RNNPICU BSN, RN

PICU

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All Content by RNNPICU

  1. RNNPICU

    List of hospitals that hire new grads in picu

    There are many hospitals that hire new grads in the PICU. DC children's has a new grad program for PICU. ALso George Wahington and Washignton Hospital Center have adult ICU (Medical ICU, Surgical...
  2. RNNPICU

    Any new grads starting at WHC in July?

    AS for living in DC, I lived in DC for 6 years and moved to Virginia (Pentagon City Area )after I got married. I lived in Adams Morgan which is a very fun area to live in. I lived in a house which...
  3. Hi all. I was wondering what other hospitals are doing in the PICU rgarding sedation for intubated pts. We have a sedation protocol that has been in place for a few years, I don't want to go into...
  4. RNNPICU

    PICU questions from PediED

    At the hospital where I work we do a system by system report, so when the ER calls up and give report I try and get the RN to give report that way, sometimes the ER RN gets mad, but it helps me to...
  5. RNNPICU

    picu troubles??

    If you are comfortable with your preceptor, ask him/her to step by step help you, write it down and make yourself a reference manual. I had a hard time drawing up code meds quickly, so my preceptor...
  6. RNNPICU

    New grads at Children's?

    I work at CHildren's and love it. What unit are you going to work in? Also, children's does higher
  7. RNNPICU

    Catholic University

    I graduated from there, it is a tough program but you get a good
  8. RNNPICU

    suctioning the intubated pt...1 nurse/RT, or 2?

    It depends on the pt and availability of extra hands. On pts who are unstable I always get that extra set of hands. For a sedated pt, I give sedation before I suction, then I suction by myself. It...
  9. RNNPICU

    coding a vented patient

    RTs take the pt off the vent and bag while someoneelse, RN or MD does compressions while that pts RN pushes the meds since they are the ones that know where the lines
  10. RNNPICU

    Patient request you not take care of them?

    It has happened to me and I actually was relieved because the feeling was mutual. The parents thought I was too quick to respond to alarms. Another family, not one that I was caring for thought...
  11. RNNPICU

    Peace Corps

    I am a RPCV (return peace corps volunteer, the title you get when you complete your service). I was in Nicaragua for 2 1/2 years teaching health education topics, helping with vaccination campaigns...
  12. RNNPICU

    Nurse to patient ratios and acuity in YOUR PICU

    JanI work in a city hopsital free standing children's hospital. We have ECMO, CRRT, oscillators, neuro, transport team. The cardiac kids go to the cardiac icu. OUr pt ratios are 2:1 or 1:1, ECMO or...
  13. RNNPICU

    ECMO in the PICU or peds cardiac ICU

    We also do ECMO in our PICU, we can have several pts at one time on the most we had on at one time in our unit was 4. We do it for all kinds of things, most recently we did it for C-A MRSA of the...
  14. RNNPICU

    Ethical Dilemmas

    I agree this sounds like a question I had while in nursing school for one of my courses. Which capital city in which country - Also if this is a true senario, what is the culture of the family,...
  15. RNNPICU

    An answer to them calling everyday!

    There are sometimes when there might have been call ins and the charge nurse or whomever is in charge is trying to make that shift safe staffing. On the nights (days that you work you would want a...
  16. RNNPICU

    Sedation Protocols

    OUr protocol is we start at .1mg/kg/hr of morphine and versed and if we have to give three nonprocedural boluses we can go up by 10-20% of the .1mg/kg. If we start reaching .3 or higher we think of...
  17. RNNPICU

    Pt w/ a PICC line on a heparin gtt

    We temporarily stop the infusion, draw off about 10ml first, draw the sample with the amount needed, give the 10ml blood back then a slow small amont of NS flush just enough to clear the line, then...
  18. RNNPICU

    Kaplan question bank question- feeding tube

    Depending on what the stem of the question is. In a hopsital setting you change the bag every four hours for certain types of formula. In a home setting in order to preserve the number of bags used,...
  19. RNNPICU

    Where to live?

    Columbia Heights is now the new hotspot. It is also walkable to WHC and CHildrens. It is about 10 blocks from 14th and Irving st which is the center of columbia
  20. RNNPICU

    PICU - mcg/kg/min questions

    There are two standard concentrations one is low dose Dopa which is 800mcg/kg/min and the other is high concentration which is 3200mcg/kg/min. I ALWAYS use the formula starting dose mcg X weight...
  21. RNNPICU

    Where to live?

    There are some places gthat are relatively inexpensive, 12-1600 for a one bedroom and close to a metro. I do n ot know of many gated commun ities except far away in the suburbs like Alexandria, or...
  22. RNNPICU

    PICU - What are your patient staff ratios?

    Where I work you are either paired or a sick 1:1. The Respiratory Therapists do a lot - help suction, make vent changes per MD orders, do vent checks, are there for intubation, extubation. They are...
  23. RNNPICU

    Information on Washington DC hospitals

    For the 7p-7a shift it is base +25% base. The night shift duirng the week is base +15%base. These are based on the 7p-7a
  24. RNNPICU

    parking & children's hospital??!!!

    I do believe that if you are an RN you can park in the lot on site (at the hospital). I do n ot hink it makes a difference days or nights, weekends or not. If you metro to work, there is a shuttle...
  25. RNNPICU

    parking & children's hospital??!!!

    There is a parking garage at CHildrens, I believe it is about $52/month - but I would call to verifiy, I metro to work. ALso, if you are working as an RN you will not have to park in the satelitte...