Tzs1981rn

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1. Information on Florida hospitals

   Tzs1981rn replied to Aloma7's topic in Critical

   Orlando regional medical center (ormc) is a level 1 trauma center, teaching facility, and has ground and air transport teams. I am not sure about lift teams though.

2. Fentanyl Drip

   Tzs1981rn replied to FirstLadyRN's topic in Critical

   I guess it's quite different in peds - we run propofol gtt for no more than 24 hours, but when we start we run at 75-125 mcg/kg/min and titrate from there (not unusual to see 175 mcg/kg/min in the smaller patients). Seems like the smaller they are, ...

3. All CCRNs out there...

   Tzs1981rn replied to kimmini's topic in Critical

   I took the peds ccrn and we had a review course at my place of employment, and they also covered the cost of the test. I know the content is probably a bit different, but I honestly felt like the patients I had on a daily basis at work prepared me q...

4. Do you use the CPOT scale? What are your med orders?!

   Tzs1981rn replied to beleanor's topic in Critical

   We use the FLACC scale in these situations, but I also work peds.

5. Road Trip Essentials

   Tzs1981rn replied to OhioCCRN's topic in Critical

   We have a transport med box with epi and atropine, and we take a small tackle box with supplies (angiocaths, flushes, syringes, needles, etc), a monitor, ambu/anesthesia bag are on every transport. Obviously if the patient is ventilated, an RT comes...

6. Research help

   Tzs1981rn replied to schavis's topic in Critical

   I'm not sure if your character is a minor or not, but if they are, I can offer some perspective as I work in the PICU (peds icu). We sedate with fentanyl and versed, and may add precedex for difficult to sedate kids. We only use propofol for planne...

7. What kind of kids do you see in your PICU?

   Tzs1981rn replied to sergel02's topic in PICU

   We have a dedicated peds cardiac ICU, so we don't get a lot of cardiac kids in our picu. We are a trauma center, and a freestanding children's hospital. We get traumas (car accidents, abuse), various causes of respiratory failure or distress (rsv, ...

8. Priorities Can Kill: When Passing the Buck Gets Dangerous

   Tzs1981rn replied to Jacqueline.Damm's topic in General Nursing

   I know this is a side topic, but propofol can be placed in a bag by pharmacy if the mL/hr is a high rate where you have to change the bottle frequently. If it's put in a bag, it's only good for 6 hours vs the 12 hours from the glass bottle (I think ...

9. Pain Management in NUSS/Pectus Repair

   Tzs1981rn replied to corbinRN's topic in Pediatric

   We recently started to use thoracic epidurals with a basal and patient control dose using fentanyl and ropivicaine for our pectus repairs. In addition, they also have scheduled iv toradol alternating with onfirmev (they get one or the other every 3 ...

10. What certifications do you have?

    Tzs1981rn replied to confusedstudent_88's topic in General Nursing

    I maintain the following:CMSRN (certified med surg rn)ACLS (advanced cardio life support)PALS (peds advanced life support)BLS (basic life support)I will be adding CCRN (critical care rn) for peds in the next 6 months :)

11. Peg Site unable to heal- what to do?!

    Tzs1981rn replied to Lynx25's topic in Wound

    What was the final solution, out of curiosity :)

12. Peg Site unable to heal- what to do?!

    Tzs1981rn replied to Lynx25's topic in Wound

    If you can't get an order to reinsert and clamp, it might be worthwhile to try a urostomy bag if the drainage is thin enough. If it is a copious amount, you can connect the urostomy bag to a foley drainge bag. At least that way the patient's skin w...

13. Chronically high triponin levels

    Tzs1981rn replied to Tzs1981rn's topic in Cardiac

    Thank you for the great articles. I now have a better understanding as to why her triponins were so high. She does have impaired renal function. Thank you again!

14. Chronically high triponin levels

    Tzs1981rn replied to Tzs1981rn's topic in Cardiac

    Thank you - I will read over the article :) I love that we have a forum where we can help each other out!

15. Chronically high triponin levels

    Tzs1981rn posted a topic in Cardiac

    Could anyone offer any insight as to why a patint would have serum tiponin levels in the range of 40.4 to 76.3 without any EKG changes? On admission the levels were around 40, the next draw they were 60, the next they were 40, and then in the 70's. ...