PICNICRN

PICNICRN BSN, RN

PICU/NICU

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All Content by PICNICRN

  1. Alaris, smart IV pumps. Are they perfect?

    PICNICRN replied to ownunez's topic in General Nursing

    We started using them a few months ago, and so far, I really like them and I have not seen too many problems. About the "beeping" many posters have mentioned- I have noticed that it does beep "air in...

  2. HFOV vs Jet

    PICNICRN replied to Preemienurse23's topic in NICU, Neonatal

    Oscillation works better for kiddos with poor oxygenation/ Jet is better for those who need to blow off more CO2. IMO both work great when used for what they were meant for. As for the oscillator, in...

  3. Patient demands fall precaution sign be taken down

    PICNICRN replied to FireStarterRN's topic in General Nursing

    What a great thread and great topic- we have been talking about this lately on our unit. How long will it be before all of these bands we are placing on the pts and signs outside of their rooms become...

  4. ARDS + prone position

    PICNICRN replied to RoyalNurse's topic in CCU, Coronary, Cardiac

    YES!! We have been "pron-ing" the pediatric RDS patients for quite some time now. And from my experience, it does improve oxygenation almost instantly! While prone, we are able to decrease their FIO2...

  5. Saw something that really disturbed me tonight

    PICNICRN replied to flightnurse2b's topic in General Nursing

    My Goodness!! I hope this was some sort of a bad psychology experiment/candid camera event and these were just actors for a dateline show---- I cannot believe someone would actually treat people this...

  6. What is the Highest Bilirubin you've ever seen?

    PICNICRN replied to dawngloves's topic in NICU, Neonatal

    28........ yep.... double

  7. UACs and tegaderm use

    PICNICRN replied to NICU_Nurse_3986's topic in NICU, Neonatal

    Tegaderm secures the cath- same as those who use the bridge method- never cover the stump... you want that dry! If you cover it with the tegaderm, it could get moist and "the yuckies" will grow!...

  8. soluset/buretrol tubing

    PICNICRN replied to picucrn's topic in PICU, Pediatric

    Seems that the smart pumps have taken the place of burettes around here. However, you must still set the smart pump to infuse how ever many hours of fluid your policy recommends. I guess the burettes...

  9. EVD/ICP monitoring??

    PICNICRN replied to PICNICRN's topic in PICU, Pediatric

    UPDATE: We just had the Camino reps out for an inservice for the monitor the unit will be getting. And the Neurosurgeon is giving a lecture/inservice next week on "care of the EVD pt"---- apparently...

  10. Introduction & Question

    PICNICRN replied to Smurfette752's topic in Ob/Gyn

    When I was a nursing student, I worked as a Tech which I think is the same as a PCA on a Maternal/Child unit. I LOVED it!!! I worked in L&D, Post partum, and Nursery. In L&D, I learned how to...

  11. Families can now call the code team

    PICNICRN replied to rn-jane's topic in General Nursing

    We had the family request for rapid response policy for about 1 year- I really don't think it was ever used by a family in that time. Just staff. Seems to really have cut down on the codes and the pt...

  12. Help! I HATE my new job

    PICNICRN replied to gal220RN's topic in PICU, Pediatric

    ((((hugs)))))

  13. Safe Harbor/Unsafe Staffing Levels?

    PICNICRN replied to Bortaz's topic in General Nursing

    "Would it be unsafe for an RN to care for 8 or 9 pedi patients of varying acuity?" YES! "Recommended" pedi ratio is 4:1. I do believe this is the case in states that have adopted safe staffing ratios...

  14. EVD/ICP monitoring??

    PICNICRN replied to PICNICRN's topic in PICU, Pediatric

    The drain was continuously open at +20- so there wasn't too much drainage your right(only drains when ICP>20). And you're right- everyplace is different. I'm used to an EVD pt also having a camino...

  15. Not Sure If Nursing Is For Me

    PICNICRN replied to D.C.Guy's topic in General Nursing

    I commend you for your honesty and I do not think you should give up on your dream just yet. I don't think you have to be a CNA before being a nurse, but it might give you an advantage as you will...

  16. continuous monitoring with EVD???

    PICNICRN replied to PICNICRN's topic in Neuro Intensive Care, ICU

    Thanks Char! I totally understand the safety of turning off monitors and do not turn off alarms of waves that I am actually measuring. I will even usually leave the CVP alarm on and set way high even...

  17. Have you had to do anything morally wrong?

    PICNICRN replied to EricaSAFJAF's topic in General Nursing

    Let me just say that I think you should do whatever you think is best for you and your family, however, I encourage you to REALLY look closely into vaccinations and your reasons vs risks for not...

  18. A Nursing Dilemma!!!

    PICNICRN replied to Tolos's topic in General Nursing

    I wouldn't have given it either, for the simple fact that you didn't even have an order. I think I would have just asked her to give it herself since she was the one who received the "verbal order"...

  19. What is the best thing to put on diaper rash?

    PICNICRN replied to mondkmondk's topic in General Nursing

    Water wipes(no baby wipes) and completely dry- then if you can, open to air!!! I have found that the best thing for a" yeasty "rash--- I'm not sure if this is medical advise--- is balmex mixed with...

  20. How do they get people with contractures in a casket?

    PICNICRN replied to NurseyPoo7's topic in General Nursing

    This is sick.... but I'm glad you asked this question because I have always wondered too! I'm kinda sorry I found out the answer,

  21. Hourly rounding... I have the time

    PICNICRN replied to DebRN06's topic in General Nursing

    I feel your pain!!! We too just started using those stupid hourly rounding sheets---- I work in the ICU and I pretty much do not leave my patient's room! I document a FULL head to toe assessment every...

  22. What are states that have high nursing shortages?

    PICNICRN replied to princesasabia's topic in General Nursing

    Follow the baby boomers!!! Florida, Arizona, Nevada, California---- where the weather is nice!!!! Hey MICHIGANRN..... just out of curiosity.... I would think that in a place like Michigan, where you...

  23. true or false?

    PICNICRN replied to lmc512's topic in Ob/Gyn

    I think you are being bamboozled!!! Is this really how we deal with a bad economy? Unsafe and poor patient care???? Very

  24. Each job title wears it's own color.

    PICNICRN replied to borzoilady's topic in General Nursing

    I worked at a hospital that did this... RNs navy, LPNs green, CNAs red, units secs khaki, RT blue and so on. Still, people called everyone who came in the room wearing scrubs "the nurse". People...

  25. Have any of you ever had to turn in a coworker for drug use

    PICNICRN replied to joeyzstj's topic in CCU, Coronary, Cardiac

    Gosh.... how sad! You know you must tell someone, though- right? If you are concerned you could go to your manager or HR- they have been trained on how to deal with these situations- most likely a...