harryalexx

harryalexx

Critical Care, Pediatric

Member
  • Content

    18
  • Visitors

    2,792
  • Followers

    0

About harryalexx

harryalexx has 4 years experience and specializes in Critical Care, Pediatric.


Latest Activity

  1. Intralipid (20%) infusion administration

    Thanks so much for the reference...I wasn't even aware of this resource! I'll check in over there as well. Since initially posting this, I took this problem (with a couple other nurses) to a higher administrative council within the hospital. Basica...
  2. Intralipid (20%) infusion administration

    Thanks for the responses. googabin02: I'm surprised that they run alone all the time. We routinely run lipids with Laxis or fentanyl +/- a few other drips. We also run TPN with the manifold/drips. janfrn: Usually, the PN is such a concentration th...
  3. Pediatric cardiac surgery ICU nurses, anyone?

    I also work in a cardiac PICU, and know 10-15 people (MDs and RNs) who've all done work with ICHF or other organizations. Some hospitals even sponsor the trips. It's a cool experience from what they've said because the cases are all rather..."salva...
  4. National Certification for PICU other than CCRN

    CCRN-P is pretty much the gold standard for PICU certification. Even my friends who work on the floors say that CPN is very, very well-child focused. It's basic pediatric things that should arleady be in your brain in order to do PICU.
  5. Intralipid (20%) infusion administration

    Hi PICU nurses, I have a question regarding practice in your unit about intralipid infusions (20% fat emulsion). Do you run them independently of the PN (if PN is also on board)? Do you run them via central access if possible? Most importantly, do...
  6. Feeling down; Received first bad evaluation

    Good luck, dankat! It sounds like you have a good head on your shoulders.
  7. Question about zeroing lines

    I think part of the orientation and reeducation of RNs in an ICU should include a basic physics overview. And why we do what we do. I don't like how a lot of people do things out of habit or "just because." Let's just take over the world, eh?
  8. Dedicated med lines

    The only thing I'll add to what janfrn said (as my unit is quite similar): The med lines we use have a slide-clamp. We recently (2 years ago?) standardized its location to be between the tubing expiration label and the hub of the med line (or gtt li...
  9. Question about zeroing lines

    What she said...hahaha! Janfrn, I wish I worked with you. I have a lot of coworkers who think that a patient who has moved, or changed bed position, or sat up, needs to have their pressure lines all re-zeroed. I slap my forehead and try to explain ...
  10. PICU Practicum

    How awesome for you! Congratulations! PICU is an amazing place to be for learning. I hope that the unit gets you involved and loving PICU. As for advice, I would say start off with what you think a good peds nurse would be. Review developmental p...
  11. Feeling down; Received first bad evaluation

    Like everyone else has mentioned, 8 weeks is such a short period of time in the grand scheme of things! The orientation the new hires on my unit get STARTS at 8 weeks, and goes from there. It's kind of an expectation that everyone comes with differ...
  12. Moving to LA area... advice on hospitals?

    Hi ekr15, I also work at CHLA full-time, as well as a per diem (3x/month) in a PICU by where I live. It's true that CHLA doesn't pay top dollar, but you can comfortably live in LA with what you'll make FT. The PICU is an awesome unit, and as vivasmo...
  13. Precedex gtts in the PICU

    I work in a CV (CT) peds ICU and we use Precedex (dexmedetomadine) quite frequently on the hard-to-sedate post-op children. We're a large center on the West Coast and do a lot of cases. I've found that when titrating up - even quickly - that the br...
  14. ANY CVICUs/ICUs hiring new grads?

    The hospital in which I work hires new grads into a 22-week long "RN Residency." It's amazing! It's a pediatric teaching hospital (Magnet status). Send me a PM if you're interested in more information.
  15. How many patient's do you normally have?

    I work in a peds CTICU. My state regulates that pediatric nurses never get more than 4 patients. And in the ICU, you won't get more than 2 patients. A pair (2 pts.), though, tends to be more work on the nurse. The floor I work on is extremely hi...