PICNICRN

PICNICRN BSN, RN

PICU/NICU

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All Content by PICNICRN

  1. Lung biospy at bedside?

    Yes... most likely they will obtain the biopsy via a bedside bronch- bronch the pt and grab some
  2. Lung biospy at bedside?

    Most likely... they will do a bedside
  3. Close Call

    yeah.... I was a young pup and these two had been around the block- I will never forget that experience- because I learned what never to do! Now, I look back and laugh because all was ok in the end,...
  4. Close Call

    Years ago... one of my coworkers was not feeling well(flu like with nausea) so we sent her home in the am. Before she left, one of my other coworkers(good friends with the gal) took some Compazine...
  5. Avenues for a second job?

    FLu season is coming up- that means 2 things.... increased hospital census and the opportunity to make some extra cash giving flu shots- check local ads for flu shot clinic nurses, they should b...
  6. Blanching arterial line???

    We use 0.5:1 or 1:1 Heparin in our kids still... we tried to switch to plain NS and started having clotting issues and these little patient's arteries are too precious to take the chance of clotting...
  7. So What Constitutes Clinical Experience?

    Well.. Most of the positions that require only 2 years clinical experience are for Clinical Nursing Instructor as opposed to a lecture position that would require a Masters or higher. So... you would...
  8. Sedation for a spinal tap??

    I'm not sure how the adult word works but.... with kids we will give a little versed and fentanyl at least- sometimes Ketamine- and sometimes propofol depending on the situation. Hopefully, she has...
  9. Flight nurse?

    Depends.... what kind of "flight nurse" you are speaking of. For instance... I have done helicpter/fixed wing transports for many years... I transport sick children and neonates from community...
  10. Traits of RNs that thrive in ICU

    I totally agree with the other posters on many qualities. - absolutely need a completely organized(almost anal) personality- BTW I only exhibit this behavior at work! ( I can leave dishes in the sink...
  11. Special tubing and stopcock for diprivan??????

    I wonder... do they change thier lipids Q24 also?? I think the standard is change Q12 and I cannot say that I have ever hear of the need for a stopcock kor special tubing for Propofol
  12. I have small kids so I end up getting up at 0630 anyway.... but... that is 1 1/2 hours longer sleep time than when I get up for
  13. Manifold..safe to mix or not.

    You can usually run meds together on a manifold that are "y- site " compatible.... they might not be able to mix in a syringe together but will be ok for a short time in a
  14. Hello Im in a Hickle of a Pickle

    Take the 7a-7p job ---- it is what you want and will work for you and your family. Tell the current NM as soon as you have accepted the position be honest and don't burn any bridges. Good
  15. Maybe you would like ICU?? Don't get me wrong, its still kinda crazy....I like to call it "controlled chaos". I have 1 or 2 patients at the most and I really do feel like I have time to do a good...
  16. Nurses providing good "service"?

    Isn't that great!?! Momma has such great judgement and knowlege of IDDM that he is a noncompliant dialysis pt! Perhaps she should just take care of him at home from now on since you obviously don't...
  17. Ivp/ diluting med

    If you have say 50 mg of any drug and you dilute it in any amount of NS- you still have 50 mg of the drug. If you gave 1cc- you would only be giving
  18. An assessment on a kid this age can rarely be done in a textbook head to toe fashion. First off, you can learn alot from a few feet away while the kid warms up to you. Start by talking to the parents...
  19. Nurses providing good "service"?

    Yep! I feel more and more like a McDonald's employee every day... we even have to fill out the stupid "hourly rounding" sheet(much like the bathroom cleaning schedule at McDonalds) and our "customers"...
  20. Nurses providing good "service"?

    If only we received tips for our excellent customer service! 10% of a total hospital bill would be pretty sweet- even if we had to split it up with the techs, and unit
  21. The Dreaded Death Bath and a Moral/Ethical Dilemma?

    Ahhh, the "death turn".... I know it well. Or how about the ones that drop their pressures and desat simlpy at the sound of the portable XR rolling by their door??? Fact is some patients do not...
  22. Med Errors- would you report one?

    I always report an error and almost always a near miss- Like the other poster stated- it is not to get someone in "trouble" it is simply to learn from the situation and assure that is does not happen...
  23. Nurses and reality TV?

    So what.... you're a nurse... not a nun! If you want to do it than do it, just remember as others have posted, the editing can really make you look bad sometimes. If you are ok with it then might as...
  24. Burnout rate-experienced nurses reply

    I would have to say that, from what I have noticed, the real "burnout" starts around 7-8 years- that is when I started feeling it myself. This is when I notice my coworkers moving on to cath lab,...
  25. You should NEVER speak with any attorney unless you are represented!!!! Also, the fact that this "attorney" was asking for info because the "family was thinking about suing" is a huge red flag to me....