PICNICRN

PICNICRN BSN, RN

PICU/NICU

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All Content by PICNICRN

  1. Neuro Question: How would you describe this patient?

    PICNICRN replied to NurseyPoo7's topic in General Nursing

    I would call her responsive to painful stimuli or something along that line. I think a GCS would be more appropriate though. That gives people a better

  2. anesthesia bags

    PICNICRN replied to annreese's topic in General Nursing

    We use anesthesia bags all the time in our kiddos and always on the NICU babies... just at the bedside for basic emergency use and for bagging when off the vent. Ours are just a simple bag with a mask...

  3. Trach Question

    PICNICRN replied to RN4Little1s's topic in NICU, Neonatal

    Yep!! That's what ya do! Cover it with a 4X4 though- gets kinda messy with secretions....

  4. Need expertise: where to focus practice?

    PICNICRN replied to Nurse Man-ingitis's topic in PICU, Pediatric

    I've worked only PICU and NICU since I graduated nursing school 13 years ago. I, too, was very interested in cardiovascular nursing in school- which is why I think I love the PICU so much. My...

  5. High pay, no degree required!

    PICNICRN replied to love-d-OR's topic in General Nursing

    I agree that the general public has no idea how long it takes to become an RN, articles like this do not help. Oh and have you seen the TV commercials for getting your "RN degree" on-line? I think it...

  6. What do you think about Physician Assistants?

    PICNICRN replied to life_aknew's topic in General Nursing

    I've worked with a FEW surgical PAs in the hospital setting. I don't mean to offend any one by this comment at all, but the best way I can think to describe their role is that of a resident... they...

  7. New RN needs career advice...:(

    PICNICRN replied to Sieren's topic in General Nursing

    I'm sorry you are having such a hard time. Please seek a professional on your feelings- It is not "normal" to be so miserable that you cry before going to work daily and have those "day dreams". I...

  8. nasal intubation

    PICNICRN replied to Preemienurse23's topic in NICU, Neonatal

    We do not usually see nasal intubations in our NICU except for the occasional Pierre Robin baby. I think the VAP protocol is VERY much against this! We do see it occasionally in the PICU with facial...

  9. Should I ask new employer if I can work the floor with the aides before charging?

    PICNICRN replied to mondkmondk's topic in Geriatric, LTC

    We had a nurse apply to our unit ask if she could "work" a shift before accepting a position and my NM told her that she could not because she would not be "covered"- I guess kind of a CYA thing. She...

  10. venous stick for PKU????

    PICNICRN replied to rn4babies63's topic in General Nursing

    "IMHO, one stick sans squeezing is less traumatic than 1+ sticks on the heel and a whole lot of squeezing to fill those 5 circles."

  11. venous stick for PKU????

    PICNICRN replied to rn4babies63's topic in General Nursing

    You can use capillary, venous, or arterial blood for PKU. Maybe the baby needed labs in addition to the PKU like a bili or retic ? As for venous vs capillary..... isn't a stick a stick? If you get...

  12. what is the layout of your unit

    PICNICRN replied to kidsccrn's topic in PICU, Pediatric

    We currently have a 18 bed unit that will be doubling in about 6 months when our new place is finished---- yippee!! Currently we have all private rooms with sliding glass doors and sliders between the...

  13. Would you come in during an epidemic?

    PICNICRN replied to Riseupandnurse's topic in General Nursing

    OK SUE7573.... I've stayed through many a blizzard in my career...... the OP is not talking about a weather situation. She said "something that would be life threatening if contracted." Think weapon...

  14. Would you come in during an epidemic?

    PICNICRN replied to Riseupandnurse's topic in General Nursing

    OP........... I so admire your honesty!! And after careful thought of your question, I would have to say that, my main concern would be for my family. I have to say that I feel very...

  15. What is the most serious problem facing the bedside nurse today?

    PICNICRN replied to leosasha's topic in General Nursing

    I fell that the problem I feel is most frustrating is the pressure on nursing to give "5 star care" ---- I guess I my 5 star care is much different than administration's/JACO/Press-Gainey's 5 star...

  16. Looking for a little guidance please

    PICNICRN posted a topic in Flight, Surface Transport

    Ok...... so please excuse me if this is a naive or silly question, I just don't know where to get info..... I am interested in transport nursing not necessarily air transport-ground is ok with me. I...

  17. Do your docs bring baby to sterile warmer in c/s?

    PICNICRN replied to zinker35861's topic in Ob/Gyn

    We too, have the baby catcher use a HUGE sterile drape- the OB drops the baby right into your sterile arms! I'm no OR nurse, but I think there is something about the doc turning their back to the...

  18. vents and cpr

    PICNICRN replied to smartnurse1982's topic in General Nursing

    CHAR......... Great info!!!

  19. vents and cpr

    PICNICRN replied to smartnurse1982's topic in General Nursing

    Well then, If you are getting good chest rise, and you were by yourself, all you can do is increase your rate and compress yourself unitl EMS comes and takes over. My only concern is with the...

  20. vents and cpr

    PICNICRN replied to smartnurse1982's topic in General Nursing

    If your patient becomes unresponsive/bradycardic/apneic/pulseless/ect. You would treat them like any other child in need of BLS/PALS. You would think airway first, maybe they have a plug, or have...

  21. Shut up when I am giving you report...

    PICNICRN replied to RN1982's topic in General Nursing

    This is one of my biggest peeves, too!! SOOOOOOO annoying and disrespectful! I usually just say "I'll get to that" or "I'll explain that in a minute" when I am so rudely cut off. Personally, I would...

  22. HIT in Pediatric Patients

    PICNICRN replied to mabell52's topic in PICU, Pediatric

    We, too, use heparin for our monitor lines. Mixed 1:1 with NS. Bigger kiddos get 3cc/h and the bitty ones get 1cc/h. Sometimes we add papaverin to the bag if the A line blanches. Can't say I've ever...

  23. Dilution of D50 amp

    PICNICRN replied to punkstar's topic in Emergency

    What I do is, take your D50 syringe(usually comes in 50cc syringe) and mix 1:1 with NS--- there are a few ways to do this. You can take a 100cc bag of NS and withdraw 50cc out and discard, then shoot...

  24. Nasty family trying to pull the VIP card

    PICNICRN replied to TraumaNurseRN's topic in Emergency

    VIP....:chuckle I love it!! I wanna be a VIP too!! Maybe the surgeon will let her hold some instruments if her family member needs surgery! Why does anyone think they are more important than anyone...

  25. IV question from a student

    PICNICRN replied to Traci SRN's topic in General Nursing

    Hep lock/saline lock has no fluid. PIV (peripheral IV) has fluid running. I think your instructor could have explained this to you quite quickly:D Seems a bit nitpicky to me too! If you gave me...