picurn1972 RN

picurn1972 is a RN and specializes in PICU, SICU.

Latest Activity

1. MD vs NP in the picu setting

   picurn1972 replied to dyslexicandetermined's topic in PICU

   You must decide for yourself. MD is straight thru with no breaks. My brothernlaw is an MD. I regret very much I didn't stay true to the path of MD in my youth. I am to old to work all night. Also, you must realize that as a resident you do 70 hours a...

2. Drip line change policies??

   picurn1972 replied to LucyDDRN's topic in PICU

   This is PT based. An entire pole change out is required to let drips run thru tubing so it will mimic the same infusion on the other pole. We do this with 2 rn's scrubbing and reconnecting almost simultaneously. This prevents really sick babies, unde...

3. NICU nurse making the jump to PICU!

   picurn1972 replied to preemieRNkate's topic in PICU

   Get ready for resuscitaton on a whole new level, when your 16 yo is bleeding out from GI bleed!

4. MD vs NP in the picu setting

   picurn1972 replied to dyslexicandetermined's topic in PICU

   I work in a level 1 peds icu and NP's do nothing but round with the fellows/attendings writing their orders. They make no decisions and do NO invasive procedures. Maybe it will change one day but not in top teaching facilities where these fellows nee...

5. 75 Questions on NCLEX, pass or fail?

   picurn1972 replied to Lurksalot's topic in NCLEX

   i know 5 that passed in 75 in my class

6. Are some people just not cut out for ICU?

   picurn1972 replied to TigerGalLE's topic in MICU

   aspiration pneumonia, and no pain at least 2 hour but don't cave b4 1 hr. It is the actual moving in and out that helps the most. Otherwise we,d put all of our beds into chair positions. A teenager should be pulling at least 500 to keep alveoli open ...

7. New to the SICU

   picurn1972 replied to ClaRn's topic in MICU

   Find out what type of surgeries it is generally based on the level. My sicu was liver txp, kidney, big thoracic sur, and traumas. Call and ask them if they have info/education material. Is there a seperate cardiac icu? Then you will have a better ide...

8. Can I bolus this patient? A legal / practice question about sedatives and narcotics

   picurn1972 replied to simvee's topic in MICU

   dont you have to do totals every hour? Any doc sees the volume which is off the pump and knows how much the pt got. At least all our SICU attendings did. second in peds yes you chart the time of the bolus, but in adults you chart the score of the sca...

9. What would you do? ...stop TPN or not

   picurn1972 replied to IheartICUnursing's topic in MICU

   we stop tpn occasionaly for access issues your course of action was standard on our unit including the post about the D5 also know how fast you can givethe abx, some can be given in 15 minutes. Check with pharmacy and you might be surprised, however ...

10. Any good rules of thumb r/t IV compatibility? & your preferences?

    picurn1972 replied to IheartICUnursing's topic in MICU

    dont forget Protonix!!

11. Legal question?/ What would you do?

    picurn1972 replied to Iseeyou_RN's topic in Critical

    In response to post. Husband is first, if no husband and children it is oldest child over 18, then diverts to parent of pt if none of the rest, never made it farther than that it is the law in our state. Yes the dnr includes any medications that are ...

12. Does anyone know the average cost per day per patient for ICU?

    picurn1972 replied to pH7.40's topic in Critical

    Let's see, crrt is 1250 just for the filter, apheresis tops out around 10,000 and people get it everyday for weeks at a time, yeah BMT docs keep pushing, then add the vent. and all the other costs. It is VERY variable on why you are there ie transpla...

13. Question about the HESI test I took tonight

    picurn1972 replied to macgirl's topic in General Nursing

    Well I have 2 answers. I work with someone who scored that high and passed in 75 question. However certain scores are required to graduate on the hesi where im from. I on the other hand wasn't required to pass hesi to graduate it was only for informa...

14. Low Censused while on Orientation

    picurn1972 replied to missbutton's topic in MICU

    Don't you have a competency checklist of goals /skill that need to be acquired during orientation? Titrating drips, pressors sedation, bedside procedures? If you do tell them you need to focus on them, if not it wouldbe a great project for the future...

15. Personal Info in Cover Letter?

    picurn1972 replied to LoveMyBugs's topic in General Nursing

    I think it depends. In my pursuit to work at one of the best peds facilities in the country I did use some personal and it was then that I got 3 interviews. That little cover letter is all the manager saw from a stack of similar resumes sent from HR....