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Search Results Type: Posts; User: umcRN

From Date
  1. 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
    Forum: PICU Nursing / Pediatric
  2. 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
    Forum: PICU Nursing / Pediatric
  3. 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
    Forum: MICU / SICU Nursing
  4. 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
    Forum: Critical Care Nursing
  5. Let's call it "organ support," not life support
    We use Allow Natural Death (AND) at my hospital.
    Jan 5
    Forum: General Nursing Discussion
  6. Highest PEEP you've seen?
    I've seen 15 in a baby...24, yikes!
    Jan 1
    Forum: Critical Care Nursing
  7. conscious pt terminal wean
    There is another way we can look at this too. Say there is a patient who has just been diagnosed with end stage cancer. No amount of surgery, radiation or chemo will cure her, but it will cause her...
    Dec 28, '13
    Forum: MICU / SICU Nursing
  8. conscious pt terminal wean
    Personally if I were the patient in that situation I think I would make the same decision. I have had multiple major surgeries, each which included a (thankfully short) ICU stay. My biggest fear is...
    Dec 27, '13
    Forum: MICU / SICU Nursing
  9. The lowest O2 saturation I've ever seen
    haha I haven't heard of a "mac attack" we call them "death spells". Took care of a baby years ago who literally needed chest compressions every time she pooped...but that's another problem, but she...
    Dec 21, '13
    Forum: Critical Care Nursing
  10. Use of blankets from home in the NICU
    Blankets, clothes, mobiles, stuffed animals, you name it we've got it - level 3c nicu
    Dec 21, '13
    Forum: NICU Nursing / Neonatal
  11. The lowest O2 saturation I've ever seen
    Haha yes probably not as acceptable in the adult world! Our babes don't notice and if they're that sick they're probably pretty sedated (we don't do that to the walkie-talkie satting 50 two year...
    Dec 19, '13
    Forum: Critical Care Nursing
  12. The lowest O2 saturation I've ever seen
    Yeah I was wondering kids might tolerate a sat of 50 fine but they sure are blue...I actually had a "little boy blue" today as I called him. Comfortably satting low to mid 50's on 8L of...
    Dec 18, '13
    Forum: Critical Care Nursing
  13. The lowest O2 saturation I've ever seen
    I took care of a 50-something hypoplastic right heart pt once. When born her parents told her to take her home to die because the surgeries (which still don't have optimal outcomes) weren't yet...
    Dec 15, '13
    Forum: Critical Care Nursing
  14. Hospital Units with Longest patient stays
    NICU/Peds Cardiac ICU. I've celebrated first birthdays in both...actually a second birthday in the cicu. Kids waiting for transplants and requiring mechanical support can hang around for months too...
    Dec 12, '13
    Forum: General Nursing Discussion
  15. What do you tell parents when...
    Agree that sometimes there is nothing to say. You can validate their feelings and stress that the medical team is doing everything in their power to take care of their child. Does your hospital allow...
    Dec 2, '13
    Forum: PICU Nursing / Pediatric
  16. Low blood pressure great neurological status?
    Kiddo did ultimately get a cath that showed no obvious issues. Yes he may have been sitting up coloring but looking at him funny could throw him off the deep end, he was tough but exceptionally...
    Nov 20, '13
    Forum: PICU Nursing / Pediatric
  17. Low blood pressure great neurological status?
    Sadly this little one ultimately passed away about three months after I started this thread. Multiple organ failure. Toughest kid I've ever met or had the pleasure of taking care of. I learned a lot...
    Nov 20, '13
    Forum: PICU Nursing / Pediatric
  18. Boston Travel Gigs..Are they out there?
    I have two friends that just resigned a contract in Boston for a total of 6 months. I'm not sure what company they are with, they are working at Brigham's cardiac icu
    Nov 13, '13
    Forum: Massachusetts Nursing
  19. A Med-surg/onc/tele floor to add Pediatrics!
    yes bubbles! use them all the time with my cardiac kiddos. Every time I go to target and see bubbles on sale I grab a bunch
    Nov 12, '13
    Forum: Pediatric Nursing
  20. What kind of Medic alert do you use?
    road ID has some great ones! including some that can be worn on the ankle
    Nov 12, '13
    Forum: General Nursing Discussion
  21. Any PICU RNs from CHOP or Boston Children's here?
    @jan, goodness that sounds like a mess! Our peds transport nurses don't typically hang out in the unit, I don't know what they do when not on transport. NICU transport stays in the unit and helps...
    Nov 11, '13
    Forum: PICU Nursing / Pediatric
  22. A Med-surg/onc/tele floor to add Pediatrics!
    Treatment rooms are nice if you are able to use them because it keeps the kids room "safe". Where I did my pedi clinical they had a procedure room and would use it for everything from IM injections...
    Nov 10, '13
    Forum: Pediatric Nursing
  23. Any PICU RNs from CHOP or Boston Children's here?
    I'm not at boston or chop but am at another large childrens hospital so if you're looking for comparable stats I can give mine. My hospital has a PICU/CICU/NICU. There is a peds transport team and a...
    Nov 10, '13
    Forum: PICU Nursing / Pediatric
  24. NICU/ CRNA
    Again depends on the school. I would guess that at least 3-5 people leave each year from my hospitals PICU/PCICU to go to CRNA schools. Big schools to such as Georgetown, Columbia, Duke, BU etc. My...
    Nov 9, '13
    Forum: Pre-CRNA Inquiry
  25. NICU/ CRNA
    From what I have heard most programs will not accept NICU experience but will accept PICU or peds CICU experience. NICU is so so different from the rest of the hospital population that I don't think...
    Nov 8, '13
    Forum: Pre-CRNA Inquiry