PICNICRN

PICNICRN BSN, RN

PICU/NICU

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All Content by PICNICRN

  1. EVD/ICP monitoring??

    PICNICRN posted a topic in PICU, Pediatric

    Hi guys- I posted this on the Neuro ICU thread- wanted your opinion too! Ok all you Neuro ICU RNs- need some help here. So, I'm on my last day of orientation and my preceptor has to leave early today....

  2. OG tube aspiration with ET tube in place?

    PICNICRN replied to hallk008's topic in General Nursing

    Did she have a leak? Did you check a cuff pressure? The cuff is not always inflated as much as it should be, but does not cause problems with ventilation so we don't worry about it. And even if it is,...

  3. HIPAA VIOLATION!

    PICNICRN replied to mehart2001's topic in General Nursing

    Ya know..... he could just as easily say the meds in question must be yours- after all, you did live together! Let it go- you seem to have done enough to ruin him for

  4. R/O Seizures

    PICNICRN replied to desertnurse222's topic in MICU, SICU

    How about the 'hand over the face'?? Usually I try this with our "unresponsive kiddos, but it has worked with some "seizure" pts. But like I said... ours are a little less

  5. Who else has passed out?

    PICNICRN replied to Nightingale11's topic in General Nursing

    I was just thinking about this the other day..... When I was in nursing school, I was 3 of 3 for passing out during my "OR experience"! Normally I took afternoon clinicals because I was not a morning...

  6. R/O Seizures

    PICNICRN replied to desertnurse222's topic in MICU, SICU

    Our "seizure fakers" are a little smaller and not as "mature" as yours most likely are. I usually try the holding down of one limb or part of a limb- if I am able to, or the original type of movement...

  7. IV insertion area guidelines

    PICNICRN replied to patwil73's topic in General Nursing

    I couldn't find anything about not using a chest vein either. In our world, if you have a good blood return and it flushes well- use it! I'd imagine that some might think that you might not be able...

  8. IV insertion area guidelines

    PICNICRN replied to patwil73's topic in General Nursing

    I think we are a little different in the Pediatric population in that we use feet, scalp, legs, groin, ect all the time- and I prefer the saph to any upper extrem vein in most cases. I've even seen...

  9. Is This Possible??

    PICNICRN replied to mrscoozy's topic in General Nursing

    Off topic>>>>>> I wish I could loose 27 lbs in 4

  10. Advice, Seasoned RN going into pediatrics!

    PICNICRN replied to cocosmama's topic in General Nursing

    Yes.... the SNATs(suspected non-accidental traumas) are by far the worst thing I deal with day to day.There is just no way make sense of it in your brain. That being said, it is not every day. And...

  11. Is This Possible??

    PICNICRN replied to mrscoozy's topic in General Nursing

    Mostly all of our pts are weighed in bed also, one thing that I have learned to do is when I do the initial weight is to put a note taped to the bed that says- "pt weighed with crib sheet, X amount...

  12. Advice, Seasoned RN going into pediatrics!

    PICNICRN replied to cocosmama's topic in General Nursing

    Don't worry, if you are going to a national leader in Peds care you will receive a good orientation! They will make sure of it! That being said.... I suggest brushing up on your "norms" for vitals,...

  13. What would make you say "I could never do that"

    PICNICRN posted a topic in General Nursing

    When I used to tell people that I worked in the NICU, their faces would light up because they thought I sat around and held babies all day. Now that I'm back in the PICU, when I tell people what I do,...

  14. Febrile Interventions

    PICNICRN replied to nurse2be2010's topic in General Nursing

    You absolutely DO NOT want to "ice" a child or infant- I cannot speak for an adult patient- however I cannot imagine that the pathophys is any different. Ice baths/ cooling the core temp rapidly will...

  15. Question about Play

    PICNICRN replied to nescobedo.RN's topic in PICU, Pediatric

    Like the above post said.... kids who are vented are kept nicely sedated, could even be in a pentobarb coma with the seizures- who knows. I do know that the kid would most likely not be up for play....

  16. Please help. . . And quickly!!!

    PICNICRN replied to kemkem's topic in General Nursing

    2 days of orientation is CRAZY!! When I was a new grad it received 6 mnths- I know it is a different specialty- but 2 days! This is an accident waiting to happen- IMHO. I can rememeber my first few...

  17. HIPAA dilemna continues

    PICNICRN replied to 925_ER_RN's topic in General Nursing

    Exactly as the above poster said!! They, as your employer ,would be required to report this if they actually think you are diverting. Obviously, they do not and cannot prove it.... they are bluffing...

  18. Refusal of Brain Death exam??

    PICNICRN posted a topic in General Nursing

    I do not want to give away too much info just in case (HIPPA) but.... currently, we have a patient who had a positive brain death exam and the family has refused the second brain death of exam due to...

  19. Pediatric Code Carts in ED and pt weight

    PICNICRN replied to Vicki_RN's topic in Emergency

    All three Children's hospitals I have worked have used the Braslow cart in the ED and a Pedi cart in the rest of the house- as you said- we already know the weight. Braslow is the standard of care, I...

  20. Pediatric Code Carts in ED and pt weight

    PICNICRN replied to Vicki_RN's topic in Emergency

    I'm a little confused- were you cited because you had the tape but not the cart

  21. How nursing has changed over the years...

    PICNICRN replied to nurse2be2010's topic in General Nursing

    Back in the day.... there was a list of all the NICU staff who were 0 neg blood type. When a baby needed transfused- O- nurse sat down and they pulled off 20mls and gave it right to the

  22. Why am I responsible for the dirty blanket???

    PICNICRN replied to KY RN's topic in General Nursing

    Got news for ya...... Unfortunately, it's not just LTC I feel your

  23. Refusal of Brain Death exam??

    PICNICRN replied to PICNICRN's topic in General Nursing

    Well..... after the first brain death exam- we stopped escallating any care- no titrating gtts up, no labs, no meds, ect ect. These parents were not saying "do everything"- just would not accept brain...

  24. It's not what you know it's Who you know......

    PICNICRN replied to wife&mommyRN's topic in General Nursing

    Problem is.... that 3K is for a position that is hard to fill, usually. And who do they want to fill it with? Someone experienced- especiallly if they are paying a 3K

  25. what is the best/worst specialty docs to work with...

    PICNICRN replied to ErinDel's topic in General Nursing

    I would have to agree with the above. Now, I work in the world of kids and for the most part all of the docs I encounter are pretty great to work with but there is just a special something about the...