Semele

Semele

pediatric ICU, Hospice

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About Semele

Semele has 8 years experience and specializes in pediatric ICU, Hospice.


I am a mother of three awesome kiddos and I work weekend option nights in a PICU and love he balance it proides my life.

Latest Activity

  1. Dumbest thing you've done in nursing??

    Glad I am not the only one giving themself a shower unspiking a bag. The peds floor I used to work on also contained a general hospice wing. Most pts were elderly and came from a nursing home and had no family. When they passed, we called the doc a...
  2. What is the dumbest order you ever read?

    I am still hoping it was a joke. What's next take away the call light and cover the code blue light with a shelf? Talk to the nurse aides but leave the vital necessary equipment in the room.
  3. Intravenous blood draws

    I would never put in a 20g specificly for lab draws, knowing how short term it will be and the possibility of collapsing tiny, obviously needed veins.I will do art sticks or even finger/toe sticks to get the lab rather than using a piv. Plus if one n...
  4. So I'm fired. Again.

    Sweetie I didn't mean anything negative by my comment honest. You will find your niche and will help so many other nurses along the way because you will remember how it feels to be treated unfair. I still think agency or even travel nursing might be ...
  5. Pediatric RSI

    We typically use a combo of fentanyl, versed and vecuronium drips.
  6. Intravenous blood draws

    I will only draw from the initial stick, like others have said. There is usually a good reason for the iv and it needs to be maintained over lab draws. Besides a heel stick or finger stick can get most of what is needed.
  7. Ancillary staff in PICU..do you use them?

    Our PICU is all RN staffed, but we do occasionally get NA or LPN help from the peds floor to come help with less critical pts when we are busy. They can feed babies etc.
  8. D.i.c.

    Not too long ago we treated an infant with DIC. It was horrific and I hope to never see it again. This poor little thing was bleeding from all the little holes we made and we were still having a terrible time trying to get lab because it would clot i...
  9. What is the dumbest order you ever read?

    I was working on the peds floor and the mother of our charge nurse was admitted to our floor because we had room. Her doc wrote for her to be rocked and burped frequently. I read it like three times and still didn't understand he was trying to be fun...
  10. So I'm fired. Again.

    If you have hated what you are doing from day one, job one, maybe it shows through in your work? Perhaps the preceptors arent monsters, but genuinely evaluating you as they see it? I think perhaps agency work where you can try many different places w...
  11. Do Nurses Eat Their Young?

    I work in a unit that is pretty fairly devided between longtime nurses and new or recent grads, with the odd couple like me that are somewhere in between. I have seen some pretty obvious examples of eating the young, but for the most part it is a tes...
  12. Peds IV Tips....

    Don't flush ivs in babies and kids with a syringe larger than three mls. I see ER nurses all the time use the prefilled 10 cc syringes. Also heparin for capped lines if you ever want to use it again.
  13. precepting as a fairly new nurse

    See one,do one, teach one. Welcome to the world of nursing.
  14. I'm Taking a Poll

    I have only seen one case of VAP in our unit and it was a situation where we couldn't rise te head of the bed because of un undone fundo and the child was orally intubated or three weeks or longer. We also only have orally intubated kiddos. In fact ...
  15. Baby nurse entering the land of "PICU"

    First of al, congrats on passing boards and entering the world of nursing. It will be a fun and exciting ride full of emotions. You have chosen wisely and you are very lucky to get a great position. You will be years ahea of your fellow grads who sta...