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Search Results Type: Posts; User: MegNeoNurse

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  1. To Filter or Not to Filter
    The NICU I worked in didn't filter lipids. I now work PICU and we "Y" our lipids in above the filter. Keep in mind, kids that get TPN and Lipids at home get the TPN and Lipids mixed in the same bag...
    May 20, '12
    Forum: NICU Nursing / Neonatal
  2. Sedation Woes...
    Yes, pentobarb for sedation. Works wonders for these kids who build up such tolerances to fentanyl and versed.
    May 20, '12
    Forum: PICU Nursing / Pediatric
  3. Pain management post open heart surgery?
    How frustrating to have a relative going through this and not receiving adequate pain control! It is SO important for post-op hearts to becomes extubated ASAP and ambulatory! As is pain control. ...
    May 20, '12
    Forum: CCU Nursing / Coronary / Cardiac
  4. BP Cuff Readings vs. Arterial BP
    Art line. It should be a WORKING art line if you have a pt on pressors. I am glad to work in a teaching hospital with residents available (although not always helpful) 24/7 if the attending is not...
    May 20, '12
    Forum: MICU / SICU Nursing
  5. What is the highest temp you have seen?
    Mid/High 41.0 (Celcius... in the US but our system uses Celcius kinda surprised more don't!). I take care of a lot of transplant and trauma patients. Closed head trauma is what comes to mind right...
    May 20, '12
    Forum: MICU / SICU Nursing
  6. Best floor for experience prior to ICU
    It sounds like you have a good path planned for jump starting your nursing career :). What type of ICU do you aspire to work in? Trauma/transplant, burn, neuro, cardiac? Depending on the type of...
    Feb 12, '12
    Forum: MICU / SICU Nursing
  7. Computer linking
    I have always had computer charting, we were trained in this is nursing school. Our legal classes even discussed aspects of best charting practice in reference to computer charting. So I am...
    Feb 10, '12
    Forum: Critical Care Nursing
  8. Temperature. Where do you go?
    We take axillary on patients unable to otherwise take oral temps on (so pretty much everyone). Very rarely have esophageal probes. Never taken a rectal, but a lot of our patients are transplant...
    Feb 10, '12
    Forum: Critical Care Nursing
  9. Just got hired as a CNA in the ICU
    The CNAs in the unit I work in do a lot: vitals, baths, help with repositioning, blood glucoses, answer call lights, stock rooms, set up rooms for admissions, record vitals and notes during...
    Feb 10, '12
    Forum: Critical Care Nursing
  10. Sedation Woes...
    The only time we use propofol is SOMETIMES in the 12 or so hours prior to planned extubation since the half life is so short. I know the adult units use it more often, but our intensivists don't use...
    Feb 9, '12
    Forum: PICU Nursing / Pediatric
  11. Sedation Woes...
    What do you use routinely for sedation on patiently requiring mechanical ventilation? Our first line routine is fentanyl @ 1mcg/kg/hr and midazolam at 1mcg/kg/min and we increase as patient needs to...
    Feb 9, '12
    Forum: PICU Nursing / Pediatric
  12. What do you guys use for art lines??
    We use an inline system as well for art lines. Transpac® Disposable Pressure Transducers by ICU medical. We put a T connector at the hub of the catheter, pull waste back through closed system,...
    Feb 9, '12
    Forum: PICU Nursing / Pediatric
  13. Positioning for HFOV
    As long as baby is >28 weeks and a week old, midline positioning is not detrimental for prevention of IVH. If a pt is on HFOV the ETT is ideally a bit higher than normal (still below clavicles!) to...
    Feb 9, '12
    Forum: NICU Nursing / Neonatal
  14. Neonatal IV question
    We never cover our IVs in NICU, in PICU yes as those kids actually realize they have an I'VE in their arm/hand and might pull it out. In NICU sometimes all you have for access is a PIV and TPN is...
    Feb 9, '12
    Forum: NICU Nursing / Neonatal
  15. Level lll NICU require more than NRP?
    NRP, STABLE, BLS and additional training for certain equipment but not certification (e.g. Cool cap, ECMO, SLED).
    Feb 9, '12
    Forum: NICU Nursing / Neonatal
  16. Hourly doses of vent sedation, is this common?
    I had a trauma patient last week that the trauma team wrote for PRN dosing of meds to keep RAS at a certain level. Super annoying. Generally, vented patients in our unit are on pain and sedation...
    Feb 9, '12
    Forum: MICU / SICU Nursing
  17. Drawing blood from central lines
    I work in a PICU and regardless of age or weight, we return the waste when drawing from a CVC, with the acception of heme/onc patients. I found the practice of vigorously scrubbing the hub,...
    Feb 9, '12
    Forum: CCU Nursing / Coronary / Cardiac
  18. Bilirubin levels ?
    7.0 and 6.3 is elevated for 24 hours of age, but phototherapy usually isn't started until 10.0 (in most cases, depending on the doc). Prematurity increases the risk of hyperbilirubinemia as the...
    Dec 11, '11
    Forum: NICU Nursing / Neonatal
  19. How sad is the NICU? Is there a personality type best suited to it?
    I've worked in NICU for over 7 years, and PICU for over a year now. PICU (at least the one I work in... Level I trauma center, transplants..) is by far MUCH sadder than the NICU.
    Dec 1, '11
    Forum: NICU Nursing / Neonatal
  20. What is wrong (if any)with this picture?
    I currently work in PICU, and have worked in ICUs my entire nursing career. All of our TPN and IL run on an IV pump, never piggybacked as you described. So IMO everything is wrong with that...
    Jul 26, '11
    Forum: General Nursing Discussion
  21. FDA Warning: teething gels in children can lead to methemoglobinemia
    Thanks!
    May 21, '11
    Forum: Pediatric Nursing
  22. Zeroing the transducer...help?!
    Yes, that exactly. :up:
    May 6, '11
    Forum: MICU / SICU Nursing
  23. Alaris pumps
    No this pt was on Heparin CRRT, so no calcium infusion. The port that had pressure issues was the "Pre-fluid" once the Arterial Pressure hit -300. But yes, when we run Citrate CRRT, we have the...
    Apr 8, '11
    Forum: PICU Nursing / Pediatric
  24. Alaris pumps
    The last kiddo I took care of was on Heparin SLED (CRRT). His pre and post fluids were connected in at a stopcock hooked up next to the respected arterial or venous port. I've found that I have had...
    Apr 7, '11
    Forum: PICU Nursing / Pediatric
  25. Ativan IVP given undiluted into central line.
    If central line, I give it undiluted, and as generally my pt is intubated I give it over maybe 30 seconds. As my pt is intubated, they are also on a fentanyl gtt, versed gtt and possibly propofol,...
    Apr 7, '11
    Forum: MICU / SICU Nursing


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