slcpicu

slcpicu

PICU/CVICU/Ped Nursing Faculty/TSICU

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All Content by slcpicu

  1. Oscillator Vents and ARDS

    To answer your first question. We calculate an oxygen index (OI) on these patients needing increased vent support and worsing abg's. If the OI is approaching 20 (most of the time more like >15) we...
  2. A sufficient ICU orientation (internship)

    Good Question. I would say that 2-3 months is probably enough. BUT with that in mind. I would have to say the acuity of the patients this nurse oriented to would have to be pretty high to feel...
  3. cover letter

    This is what I would highlight. Your previous care of critically ill patients. I would highlight your critical thinking skills, vent management, knowledge of abg's, inotropes, and vasopressors. Those...
  4. IV Dobutamine Calculation!!

    ok, you made it alittle more difficult, but I am assuming that it is 500 MG/250 ml. Otherwise it would be running very very fast. 2.5*99.7*60=14,955 14955mcg/hr divided by 2000mcg/1ml =7.46 ml/hour...
  5. Great Discussion! I will add my 2 cents. Like others posters have said, bicarb in a code situation will help prevent the overwhelming acidosis that comes from decreased to no cardiac output. In...
  6. Thanks LOVEICU for the update!! I, to, was not worried 6 months ago but I am now. I will be starting school in May 09 and hope the credit freeze has improved somewhat by then. My school has set the...
  7. hey how's it going. 1. I have 4 years experience...will have 5 when I start school. 2.GPA 3.84 3. waived for GPA 4. well i know you said you didn't like the city but the city will most likely have...
  8. Sepsis case

    Interesting case....I agree with the other posters that this is a Septic shock state as evidenced by the hypotension the pt had. The latic acid was within normal because the pt was actually managed...
  9. Calcium drip

    Although I have only seen it a few times in the adult ICU population, we use calicum gtts all the time in post op cardiac patients in the peds world. If we are having bp issues and the pt responds to...
  10. ICU interview--what do they really ask?

    I was a new grad and I answered: "I would like to be the small fish in a big pond because I would have lots of room to grow." Kinda cheesy but after talking with others I think it might have been a...
  11. ICU interview--what do they really ask?

    I would be prepared to answer some of the following: Why do you want to work in the acute care setting? What are your strengths and weaknesses? Name a time you failed and what you did about it? What...
  12. Understanding ABG's

    movinup The pao2 is 40 which is very low. It is highly likely that there is some anaerobic metabolism going on because there is decreased 02 leading to the decrease in HCO3 although it wasn't given to...
  13. any guess about low pCO2?

    Thanks Registered. Wow I ended up being kinda right to begin with. LOL sometimes it's better to be lucky than good. This is a very interesting case. Any updates on outcome? Dinith 88 did you have a...
  14. Organ donation process? My Mom was the donor.

    Daisy, I am very sorry for your loss. I will attempt to answer some of your questions. I have seen many organ donations and taken care of many before becoming donors. I just want to say thanks for...
  15. More Interview stories

    Since there has been 103 ppl look and no one reply, I will be the first. IF you search alittle on here you will probably find some of the answers to your questions that have been posted already. But...
  16. I had alot of questions prepared on a 3x5 index card. I think it was very important because it drove alot of my interview. Otherwise, I think it would have been fairly short. I asked: what do you...
  17. I would have to say that most programs accept only adult experience. With that being said, I have mostly PICU experience in very large Level 1 trauma centers. I have my own opinions about the nicu but...
  18. Overall, you sound like a pretty good canidate. You will be coming from a very well known program. you have showed your dedication by being proactive and doing some grad level courses. (and did well...
  19. Currently, I am in denver, co. I have worked in slc, ut and mississippi, all of which hired new grads into there ICUs and had excellent educaion programs for new grads. (peds and
  20. nasal intubation

    All of our neonates that come back from cv surg are nasally
  21. any guess about low pCO2?

    Granted this is a metabolic problem being liver fx and increased ammonia. With the information provided, I can tell you what the bicarb is and calculating what the gas should be if there is no...
  22. Interview Prep

    So beside what others have posted. I will give you what I did. I preface this by saying I totally over studied for my interview(s) I found alot of questions by a SRNA on another site and used those...
  23. I think your chance of getting into school depends on many factors that the committee will look at. GPA of course is one of them and they range from lows of 2.8 to 3.2 with most around 3.5 or higher....
  24. What are my chances?

    In my opinion, you do have a chance. I think you would increase your chances by taking some master level courses that proves you can do the work. Also, CCRN is a great indicator to some school that...
  25. Difficult Decision

    As the professor that interviewed me said " the best school in the nation is the one you will graduate from" If you look, there are rankings out there that mean absolutely nothing. I think there are...