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Search Results Type: Posts; User: umcRN

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  1. Peds CVICU vs NICU
    We teach our new grads to not get too hung up on the cardiac defects during the first weeks of orientation. Better to get your "normal" cardiac anatomy down and focus on getting solid assessment,...
    Feb 10
    Forum: PICU Nursing / Pediatric
  2. Head walls or booms??
    Our unit was recently built and opened a little over 3 years ago. We have booms and 99% of the time I love them. The only part I do not like is that only one boom has the necessary oxygen/medical...
    Feb 7
    Forum: PICU Nursing / Pediatric
  3. Long term care in PICU
    We don't have a vent unit so all our long term kids (who usually are trached/vented) stay with us. We just celebrated two first birthday's back to back actually. Now assessments and monitoring are...
    Feb 7
    Forum: PICU Nursing / Pediatric
  4. Peds CVICU vs NICU
    I made the switch from NICU to CICU for several reasons. One; my original "5 year plan" was (like many new grads) to get my two years experience and move on. I am not from the state where I work and...
    Feb 5
    Forum: PICU Nursing / Pediatric
  5. Peds CVICU vs NICU
    I have done both and prefer CICU which is where I work now. While there is a MAJOR focus on the heart you also have to remember that the heart effects every organ system, and many kids with...
    Jan 16
    Forum: PICU Nursing / Pediatric
  6. Parents required at bedside?
    I work in a peds CICU but also float to the picu and nicu (and used to work there). No where in my hospital are parents required to stay, even on the floors where nurses have much less visibility of...
    Nov 16, '14
    Forum: PICU Nursing / Pediatric
  7. Code Cart/Box
    same code cart used throughout the hospital (children's hospital). Top drawer has meds, each subsequent drawer is organized by weight with each weight being a different color drawer, I'm not sure the...
    Aug 26, '14
    Forum: NICU Nursing / Neonatal
  8. Patient age limit?
    We don't transfer out often, I've seen a few instances: 1. chronic ex preemie with pulmonary hypertension being followed by the PH docs in house, they will often transfer to the cardiac icu...
    Aug 26, '14
    Forum: NICU Nursing / Neonatal
  9. Housing near MedStar Washington Hospital Cente
    There isn't much I would consider "safe" right around WHC, as others have said most people commute
    Jul 30, '14
    Forum: Washington DC Nursing
  10. Berlin's and toddlers
    I wish. And for the record we're not frustrated with her, she is exceptionally well loved by our unit, very cute and a delightful little girl, we are frustrated with the situation. She needs...
    Jul 28, '14
    Forum: PICU Nursing / Pediatric
  11. Berlin's and toddlers
    We're going on four months...O negative...:banghead:
    Jul 27, '14
    Forum: PICU Nursing / Pediatric
  12. Berlin's and toddlers
    It takes us FOUR people to hold this two year old down and sans sedation she screams bloody murder and shoots her heart rate up to 230+, even though her sites are completely healed. Our child life...
    Jun 27, '14
    Forum: PICU Nursing / Pediatric
  13. Berlin's and toddlers
    Well our hospital will definitely not be sending them to the floor anytime soon...years maybe, our "stepdown" is a bit of a joke. (" oh we have to wean your milrinone by 0.2? Back to icu for you,...
    Jun 16, '14
    Forum: PICU Nursing / Pediatric
  14. Berlin's and toddlers
    Hello all! My units been doing Berlins only for about a year now and our previous patients have all been babies. Our current patient is two. Our unit does not send vads to step down and this pt is a...
    Jun 15, '14
    Forum: PICU Nursing / Pediatric
  15. Neonatal dialysis?!
    We use regular crrt (as in the same machine the picu uses) in our cardiac icu neonates all the time with or without ecmo. Smallest i've seen was 3kg. I'll have to read that article at some point
    Jun 12, '14
    Forum: NICU Nursing / Neonatal
  16. Pediatric Chest Tube Securement Devices
    Interesting. We don't use and securing devices nor do we safety pin and I've never seen one come out. They are sutured in and dressed with an occlusive dressing. If kids are getting up and walking...
    Jun 12, '14
    Forum: PICU Nursing / Pediatric
  17. Already licensed in DC, VA wants me to retake NCLEX?
    Hoping someone can point me in the right direction here. I have an active license in DC and I work in DC. I am currently trying to get a PRN position in Virginia (I also live in Virginia). When I go...
    Apr 30, '14
    Forum: Virginia Nursing
  18. Puplic transportation Washington D.C.
    The shuttles are typically for hospital staff and you might not find out info about them on general transportation websites, more likely you might find info about them on hospital websites. Where I...
    Apr 30, '14
    Forum: Travel Nursing
  19. Puplic transportation Washington D.C.
    There is no metro in or near georgetown, there are shuttles that run from the metro to the hospital. There is a metro right next to george washington hospital, there is no metro near washington...
    Apr 28, '14
    Forum: Travel Nursing
  20. do you mask/bag during DNI
    Our unit uses the term "limited code" which has advantages and disadvantages. Often times I think it makes things confusing for the parents (this is peds). They are basically given a list of things...
    Apr 27, '14
    Forum: CCU Nursing / Coronary / Cardiac
  21. Family zone in PICU pt rooms
    At my hospital all three ICU's (picu/cicu/nicu) have parent sleep areas. In the picu/cicu (where the rooms are bigger for bigger patients) they have their whole own area in the back of the room...
    Apr 12, '14
    Forum: PICU Nursing / Pediatric
  22. Consolidation on Peds CCCU
    Check out this website for help with defects: Home Page | Congenital Heart Disease - Cove Point Foundation | Johns Hopkins Children's Hospital Most patients will be less than a year old (many...
    Mar 23, '14
    Forum: PICU Nursing / Pediatric
  23. conscious pt terminal wean
    I know this topic has already been extensively discussed but someone posted an article recently written by an ICU nurse and I thought it gave a great POV from the nurse in these situations daily. ...
    Jan 14, '14
    Forum: MICU / SICU Nursing
  24. Code rolee
    I don't think I would record until you've been in a few codes, recorder has to be loud, in charge, ok with reminding the docs how long its been since last epi, compressor switch etc. Get meds...
    Jan 13, '14
    Forum: Critical Care Nursing
  25. Let's call it "organ support," not life support
    We use Allow Natural Death (AND) at my hospital.
    Jan 5, '14
    Forum: General Nursing Discussion