kmande

Latest Activity

1. Return to the bedside

   kmande replied to Missmilo's topic in NP

   I feel your pain. Where are you now?

2. Position that is NICU and PICU?!

   kmande replied to kahlo's topic in NICU

   How do you feel now?

3. advice requested= track to PICU

   kmande replied to jopadeevra's topic in PICU

   You can also buy the critical care associations review book "Core Corriculum for Pediatric Intensive Care" as a resource - you can but it off their website. Karen

4. PICC line dressing changes in the NICU

   kmande replied to Nurse Ali's topic in Infusion

   Smithabbyp - I can give you some info/resources for PICCs/central lines.

5. Good Bye to Nursing for me...

   kmande replied to healer27's topic in General Nursing

   It is tough out there I must admit and I don't doubt that those things aren't happening, but there are so many opportunities I can't believe that you would waist all the work you did to get your degree and license. If people are treating you bad the...

6. Another question for you NICU nurses

   kmande replied to Heather333's topic in NICU

   The cleaning of objects is just as important as washing your hands. RSV lives on objects up to six hours. Hospital is closed in LA from dirty laryngoscope blade. Nursing 101 clean items & hands in between patients.

7. PICC line dressing changes in the NICU

   kmande replied to Nurse Ali's topic in Infusion

   GO to the CDC website or Infusion Nurses Society resources. The CDC recommends CL drg change weekly. Some NICU resources only change PICC drgs when wet or dirty. Every three days probably increases the likely hood of infection and the risk of acci...

8. TPN Tubing Change

   kmande replied to donnuchi's topic in NICU

   There is nothing wrong with lipids and TPN running thru the same line. Connect the lipids to the TPN line below the filter. Lipids are too large to got thru the filter.

9. NYP- Cornell or Columbia??

   kmande replied to thinkpink's topic in New York

   Columbia is very VERY fast paced. The kids are very sick and its very busy, I think Cornell is a little easier and a more pleasant environment. I have not worked at either, but know people that work their.

10. TPN Tubing Change

    kmande replied to donnuchi's topic in NICU

    Majority of facilities have a policy of changing TPN/lipid tubing Q 24 hrs. Some even go as far as TPN tubing change Q 24 and Lipid tubing change Q 12. Due to the high dextrose concentration there is a great risk for bacteria to grow therefore the ...

11. Presentation Topics

    kmande replied to NICUbunny's topic in NICU

    I agree on the skin care issue. I suggest a topic that would help the staff understand why we do what we do, something that may improve practice. If you want to go more disease specific: TE fistulas NEC IVH PPHN Apnea of prematurity Good Luck

12. Neonatal pain control??

    kmande replied to NICU_Nurse's topic in NICU

    The only 2 medications that are appropriate for pain control mentioned on this page are Fentanyl and Morphine - narcotic opiods. The others Ativan, Versed, Valium (Benzos) - anti-anxiety, antiSZ, sedative effect, not pain relief. Chloral Hydrate ca...