PICNICRN replied to nurseshepherd's topic in General Nursing
We have seen cutbacks systemwide.... layoffs mostly of mid management(NMs/assistant NMs/Educators/Lactation Consultants). Trimming the fat! No more bonuses for the big guys! No more education fund. No...
PICNICRN replied to PhilaBSNstudent's topic in PICU, Pediatric
The unit where I work currently does not utilize CCPNPs however.... I worked for a HUGE midwest children's hospital for years and we used them there and they were WONDERFUL! The PICU had 2 PNPs that...
RELAX! Yes, it will be totally different than what you are comfortable with. Yes, parents can be a challenge. Yes, you might even hate it BUT.... you are a student and it is simply to expose you to a...
PICNICRN replied to Canadian Girl's topic in PICU, Pediatric
Honestly, it is not light work at all in my opinion. Even with the 2 kg kiddo, you might have to do the "bag and drag" to CT/ MRI ect- you're pushing beds/pumps ect. Then you have the 100 kg 15 yr old...
OUCH! Did you actually go into his chart and snoop or just look at the ER board? I guess I need a HIPPA refresher because I was under the impression that you had to actually access personal info for...
I think that this kind of "I'm so smart" behavior is a strange combination of insecurity and newly acquired self confidence. Rarely is this behavior seen in the nurse who is a leader on the unit- one...
If you are planning on moving within the next 6 months and you only have 6 months experience to begin with, you risk looking like a "job hopper" when you settle in your new town. You mention that you...
PICNICRN replied to johan john's topic in NICU, Neonatal
Two times in my 13 years I have heard of stories like this- once a baby hit the floor while being weighed another time a teeny one wiggled out of an open port hole and was literally hanging by his...
Looks like I'm takin the bus to Ohio too!! We, unfortunately, are not always 1:1 on intubated pts. We use soft wrist restraints/no nos/swaddling whatever works safely for the pt. Never do we rely on...
How about music- do you have music therapy at your facility? I remember my dad reading the newspaper to my grandpa daily- not every word- just kinda talking to him and giving him updates on the...
PICNICRN replied to NightNurse0711's topic in General Nursing
Hang in there! You have received some solid advise on this thread. I think BlueBell is on the money about documenting your efforts on the tele leads. That way there is NO question. As for that...
My understanding is that benzos have no affect on pain- just sedation. So I would think yes- the pt would feel discomfort during the procedure but not actually remember. In my experience, we always...
Ok all you Neuro ICU RNs- need some help here. So, I'm on my last day of orientation and my preceptor has to leave early today. So I continue on and give report to this "not so welcoming" RN that...
PICNICRN replied to biker momma's topic in Emergency
Another example of Press-Gainey/JACHO maddness!! We have this policy also and I work in PICU and pretty much never leave my pts bedside in 12 hours! I chart at least Q1 v/s in the chart with...
I have gone to a few in my carreer, mostly of kids that I have been primary of. I feel like if I had a good connection and relationship with the family and they want me there, then I try to attend....
I saw this once myself.... termish kid 36wks I think? Mom came in "ruptured" and progressed from there- musta been a forebag?? Looked like something out of a scifi
Happy Holidays Everyone!! As I sit here in my warm house with my healthy kids, I think of those kids and families at work and think of how blessed I am!! I hope you all have a wonderful holiday! And...
PICNICRN replied to WeekenderSims's topic in General Nursing
Are you talking about sorta like a Baylor position- staff that works only weekends? If so, I think those positions sign a pretty straightforward contract- at least ours do. And the way it goes at my...
PICNICRN replied to locolorenzo22's topic in General Nursing
I'm so sorry for what happened to you--- what an awful feeling! I hope you are able to clean up and feel better soon. Thank goodness you are alright! HUGS to
4 days is simply not enough time. I'm sure their own employees receive more time. The Children's Hospital where I did my ECMO circuit training gave us 5 days "classroom" time with circuit to play with...
You know...... I find it very interesting that many post are about "educating" these family members. Believe me, I am all about education especially on a topic such as this one. However, I really...