slcpicu

slcpicu

PICU/CVICU/Ped Nursing Faculty/TSICU

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All Content by slcpicu

  1. In short, absolutely not. Hospital invest a lot of money on orientation and might not hire you if there is another person without your intentions of leaving.
  2. Need Opinions on Salary....

    Seems very low to me but i don't do hospice either. Also, depends on your part of the
  3. any guess about low pCO2?

    Hyperammonemia with respiratory alkalosis is caused by a urea cycle defect". After further research DISREGARD this, it is only pertaining to the neonate. I spoke with our fellow and cerebral edema...
  4. any guess about low pCO2?

    my first guess would be that although the resp are less than 20 prior to intubation the pt is doing some neuro protection of his own by breathing down his CO2 and therefore decreasing his CBF and...
  5. Nursing instructor liability

    This is a huge myth. The students are not working under your lincense and alot of nursing schools incorp. a student malpractice insurance into their tution and fees. The student's I teach are not...
  6. Couldn't pass on this even though it is really old. I do not talk to them, especially if it is a donor case. The family must realized that the child or adult is no longer there just because there is a...
  7. soluset/buretrol tubing

    We continue to use the buretrol tubing although this Large CVICU teaching facility is phasing them out. I have never used buretrols in a peds facility before come here. I didn't know they were still...
  8. HIT in Pediatric Patients

    we almost use heparin in our lines extactly as Jan described besides it's always 1:1 regardless of size. I have seen HIT in a few cases but out of the 400 plus cv surgeries I have seen only a handful...
  9. what is the layout of your unit

    Agreed, most instutions are moving away from swans even in the adult icu world (i work there to) but this is the only hospital I have ever worked at that using them at all in children at least. We use...
  10. What do use to mix IM injections?

    Sorry not much help here. I will respond though. It is very rare to give an IM injection in the PICU. Out of 4 years I can only recall 1 time, Pedi vs car and I gave a tetnus shot. In the PICU, we...
  11. what is the layout of your unit

    The unit I work in now (CVICU) is a sort of oblonged circle with nursing stations at both ends. It has 16 beds 8 open bays with 2 rooms and 8 private rooms with sliding glass doors and then 2 small...
  12. Travel Nursing in Pediatric Cardiac Critical Care

    Although, it isn't warm but Denver Children's has a great CVICU and is very traveler friendly. There are about 8 of us here right now. I have been here for a while and get the sickest of the sick....
  13. accepted SRNAs

    GPA 3.8 GRE waived 4 yrs PICU/Peds CVICU 2yrs adult SICU CVICU on the side CCRN, PALs instructor, ACLS, BLS Instructor, TNCC Starting May 2009 Good
  14. EVD/ICP monitoring??

    picnic- you were completely right. most places that have an evd in (esp if it's main purpose is to drain) will just spot check ICP q 1 or whatever their policy is. The monitior of "trends" on some...
  15. Nurse-led weaning of ventilation

    We are allowed to wean vent for certain set parameters. Say wean toward a rate of 10 for a ph greater than 7.25 without metabolic acidosis. But most of the weaning is done by the RRT with our input....
  16. Versed versus Ativan??

    Although versed is not typically used in the PICU to stop a sz. It is utilized in the ED and at home intranasally. I actually have taken care of pt.'s that use it as a last resort intranasally at home...
  17. ER Nurses contracting MRSA

    At a prior hospital I worked at a nurse contracted a deadly form of CA-MRSA and went to the er to get checked out before going home sick from the night shift. Everything checked out ok, his chest...