PICNICRN

PICNICRN BSN, RN

PICU/NICU

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All Content by PICNICRN

  1. Refusal of Brain Death exam??

    This is how it usually goes...... child comes in with trauma or whatever- with VERY POOR odds- we do what we can but prepare the parents from the begining for the reality that the kid will most likely...
  2. Refusal of Brain Death exam??

    It is not lack of education or understanding---- it is religion! I know it is hard to comprehend if it is not your own religion. Just as some religions do not accept blood transfusions or organ...
  3. Refusal of Brain Death exam??

    Do you remember if it was a religious/cultural issue?? You know its weird because its not about the family being in denial, misinformed, poorly educated on what brain death is- I believe they fully...
  4. Refusal of Brain Death exam??

    I can see where this situation is going..... the pt will hang on until the lungs fill up and they finally cardiac arrest. Just a matter of time. It is really hard for me to deal with personally...
  5. Refusal of Brain Death exam??

    You do not need permission to do it....... but they certainly can refuse ANY
  6. Refusal of Brain Death exam??

    MEDIC09.... Thanks so much for your post! The links and previous threads were very helpful to me! Like I said the whole situation is very difficult for all
  7. Refusal of Brain Death exam??

    Not a tiny hospital where we don't know what we're doing- thanks for asking. Actually a large teaching facility/trauma center. I am very familiar with braindeath criteria and I totally agree with...
  8. Any tips for a newly pregnant nurse?

    I had "all day sickness" with my first and I will have to agree with others as to the small amounts all through the day- never let your stomach be empty! Ginger snaps are great! Anything dry like...
  9. J Tubes... checking placement/residual???

    OOPS...... after re reading the post I know see that you are not talking about a NJ tube but rather a surgically placed J tube----- Sorry......... just ignore
  10. J Tubes... checking placement/residual???

    I think the only "real" way to check placement is by XR, but if the tube is transpyloric, you can usually get a "snap" when you aspirate- the plunger snaps right back to the tip of the syringe. With...
  11. Ridiculous waste of time

    CRAZY!! Our pet jelly is on our "central supply" cart so we are free to use it whenever. "Butt cream" is another story- however we have a box the MD checks on the admission sheet for "skin care per...
  12. Do Real Nurses Work From Home? You Betcha!!

    Oh Pam....... I am soooo jealous!!!! GOOD FOR YOU!! Congratulations! Nice to see a "happy"
  13. BP question....

    With a Coarc your BP are higher in the uppers usually.............. Could it be the cuff?? If it reads accurate in the lowers is the cuff too big for the uppers? This could give you a false
  14. chlorhexidine vs. providone iodine

    We use only Chloraprep now days... no more betadine. Personally, I like it. Betadine needs to be "washed off" pretty quickly on the small kiddos, it can cause some bad skin irritation. I think the...
  15. Ok seasoned nurses, I have a question!

    I swear by the Eucerin cream- the thick white stuff in the jar. I put TONS of it on before bed and throughout the day when I am not at
  16. Are you happy with your job?

    I guess I would say that yes... I do like my job. I like taking care of my patient population, I feel challenged, I feel supported by my co workers. I also agree with other posters that nursing in...
  17. Need some more help---- QUICK!

    OK guys! Thanks so much for the response to my previous thread- I soooo appreciate it! Well, I was called for an interview on Fri morning--- this Fri!!! Guess they work pretty fast! Anyway..... I...
  18. Nursing and Astrological Sign

    Another Aquarius here!
  19. suctioning the intubated pt...1 nurse/RT, or 2?

    We have all inline suction. Sometimes, if the kid is really junky we will take them off the vent and sterile suction them. Before in lines came along, we did do 1 person suction all the time. Suction...
  20. "Well, that's ONE way to do it!"

    Its funny...... I cringe and look away when getting by blood drawn or IV start. But.... I had a terbutaline pump with my last pregnancy and had to do a SQ needle change every 3 days- no problem...
  21. When has your intuition saved the day?

    I had a baby post op heart- we closed her chest on Fri -she did well, had her Sat- she did well, Sun morning I started my assessment and thought her heart sounds were just a slight bit quieter than...
  22. Working in new NICU unit

    Did you get into some kind of time warp?? Sounds like the 1980s to me! No, really, it does seem a bid outdated. Is this a smaller unit that perhaps does not have an educator or developmental...
  23. anesthesia bags

    Yep... the second ones look like what I'm used to. Maybe you got the wrong
  24. How many of us work on RN only units?

    Only RNs in all units I've worked
  25. anesthesia bags

    Yep- ours attach straight to the flowmeter. I cannot think of the brand off hand- I'll check in the morning at work. I do love them though. The only time we use the self inflating bags is for kids on...