melbae9

melbae9 has 4 years experience and specializes in Critical Care - Pediatric CICU.

Latest Activity

1. Sedation choices for vented babies

   melbae9 replied to wensday's topic in NICU

   I was not under the impression RNs were not allowed to push propofol or sux. For intubation we use fentanyl since it has the least risks from a cardiac standpoint in regards to hypotension or bradycardia and always a paralytic, sometimes Cis but usua...

2. Berlin's and toddlers

   melbae9 replied to umcRN's topic in PICU

   We definitely try to get our VAD kiddos to our step-down unit ASAP. We have VAD engineers who manage the pump and are responsible for checking it and our step-down unit as pretty awesome nurse patient ratios. Whenever possible VADs are in a 2:1 assig...

3. Heparin and Lovenox together

   melbae9 replied to agldragonRN's topic in General Nursing

   I work in a Pediatric CICU. We use heparin and lovenox together routinely. Lovenox can take several doses to reach therapeutic levels. Therefore, when someone has a known clot, giving heparin until the lovenox kicks in keeps the patient anti-coagulat...