PICNICRN

PICNICRN BSN, RN

PICU/NICU

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All Content by PICNICRN

  1. Overdoses

    PICNICRN replied to HeatherISU's topic in MICU, SICU

    From my experience with these pts(whom are mostly teens with me) RSI would absolutely be what we would do. Can't keep um calm without becoming totally obtunded. If she is a chronic opiod user like...

  2. Central Line Preventative Maintenance?

    PICNICRN replied to JustEnuff2BDangerous's topic in General Nursing

    How sad!! I've never pulled a line with a sitting up/moving around pt. I was always taught lying down and pull on the

  3. Credit Checks?

    PICNICRN replied to greenfiremajick's topic in General Nursing

    This has been going on for quite some time now- not just for nursing. It goes to character... do you pay your bills?? Have you filed chapter 7?? Defaulted on student loans?? Maybe that is not the type...

  4. Amicillin via UAC?

    PICNICRN replied to I'mANurse!'s topic in NICU, Neonatal

    It is kinda old school.... I can recall a time long ago when I used a UAC to infuse blood product because I had no other good option. Ideally, it should not be used to infuse. As for something like...

  5. ICU vs PCU

    PICNICRN replied to glamgalRN's topic in MICU, SICU

    Thanks....clears alot

  6. Bad day ... Gone GOOD !!!

    PICNICRN replied to kerric511's topic in General Nursing

    Thats AWESOME!!!

  7. ICU vs PCU

    PICNICRN replied to glamgalRN's topic in MICU, SICU

    OK... I'm gonna ask the stoooopid question... What is the P in PCU?? I've asked my coworkers and no one

  8. PICU- your observations please

    PICNICRN replied to APNgonnabe's topic in PICU, Pediatric

    "what to do" about having the procedure??? Or where/when/who to perform the procedure?? What don't you agree about... if you don't mind me

  9. surfactant use in older babies

    PICNICRN replied to qcumba's topic in PICU, Pediatric

    qcumba- sorry to hear about your patient. Sounds like a bad day. (((hugs))) to

  10. surfactant use in older babies

    PICNICRN replied to qcumba's topic in PICU, Pediatric

    We used it a couple of times- I was still quite green so I was never assigned a liquid vent pt. But my preceptor showed me a kiddo on it one day. The secretions kinda just float to the top of the ETT...

  11. Horrible delivery the other day

    PICNICRN replied to mugwump's topic in Ob/Gyn

    And I thought L&D was a bunch of rainbows and sunshine!! Seriously, I think you L&D nurses are awesome! There is nothing more terrifing than a L&D emergency- and being responsible for 2...

  12. PICU- your observations please

    PICNICRN replied to APNgonnabe's topic in PICU, Pediatric

    We recover these kiddos in the PICU because of the amount of edema they have post op- docs want to make sure they can maintain their airway.I'm sure your docs have prepaired you for what to expect-...

  13. surfactant use in older babies

    PICNICRN replied to qcumba's topic in PICU, Pediatric

    Like Jan, Ive only seen it a few times in older ones... mostly aspirations- not quite to ECMO yet. I'm not sure what that literature says about it, but I've seen it work. Does anyone remember liquid...

  14. Basic I & O Question

    PICNICRN replied to Thornbird's topic in General Nursing

    Let us know what is decided... I'm

  15. your very first patient death.....

    PICNICRN replied to ndynrs's topic in General Nursing

    Mine was a litttle guy named Marcus, he was 4. He had been sick with some kind of stomach bug and his Nana was giving him some crazy Mag and K+ liquid herbal "supplement" she heard about or made...

  16. Best city to work in

    PICNICRN replied to Mzjez's topic in General Nursing

    I lived in Chicago for the first half of my nursing career- LOVED it.... totally walkable -excellent public trans, and a TON to do. A great place to be young! Now..... as for the job market- I'm a bit...

  17. Basic I & O Question

    PICNICRN replied to Thornbird's topic in General Nursing

    I really don't know about home care, but lipids "liquid fat" in our kidds are usually given IV over 18-24 hours and they are always counted as

  18. Basic I & O Question

    PICNICRN replied to Thornbird's topic in General Nursing

    I would have to agree that the microlipids and liquid meds should be included in the I/O intake- especially in an infant. I even count my IV flushes(even less than 1 cc) in the

  19. In over my head?

    PICNICRN replied to CheezeETs's topic in Patient Safety Issues

    You have little experience with concious sedation and you are not ACLS certified..... and your new employer sees nothing wrong with sending you out on your own to manage all of these patients???...

  20. A little help from the school nurses??

    PICNICRN posted a topic in School

    Ok, I applied for a district school nurse position in my home town. The job description states salary, schedule, and benefits "to be determined by the school board". My question to you is.... what...

  21. Nurses Are Professionals? Oh Really?

    PICNICRN replied to PMFB-RN's topic in General Nursing

    Our "slogan" is .... "Is there anything I can do for you? I have the time."---- yes, we as "professionals" are supposed to ask this EXACT phrase Q1 hour to our pt/family member. Can you, as a family...

  22. Need advice: I have bad anxiety before I go to work.

    PICNICRN replied to funnygirl01's topic in Neuro Intensive Care, ICU

    I was a new grad to the ICU also... I can totally relate. I remember praying in the shower getting ready for an "easy" assignment... I was so scared of making a mistake and looking like a fool, saying...

  23. I witnessed the most horrible death last night at a LTC facility.

    PICNICRN replied to stdntograd06's topic in General Nursing

    My grandmother just passed away in a LTC earlier this month and it makes my blood boil thinking what if this was her. Simple yankaur suction to the mouth and back of throat is BASIC nursing care that...

  24. letter of resignation advice

    PICNICRN replied to chuckc's topic in General Nursing

    Katnips letter is perfect! I'd like to offer one more piece of advise... send a copy to HR the day you give it to your manager. I've been burned by a lying NM before- said she never received "written...

  25. super-high alk phos - any ideas why?

    PICNICRN replied to AliRae's topic in PICU, Pediatric

    Rickets???