PICNICRN

PICNICRN BSN, RN

PICU/NICU

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All Content by PICNICRN

  1. 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...
  2. Nurse Practitioners in the PICU

    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...
  3. "End Stage" Untreatable Obesity

    Try not to be nervous! Please keep us all posted on your recovery- I wish you all the
  4. Is Being Loyal Worth It?

    AMEN!!!
  5. Peds rotation

    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...
  6. How Physically Demanding is PICU?

    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...
  7. secureing orogastric tube w/intubated pt

    We either secure it by tegaderm to the cheek right over the ETT tape or like you said- right to the ETT itself. I prefer to the
  8. Good Old HIPAA Violation!

    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...
  9. Aggressive Nurses

    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...
  10. quitting after 6 months?

    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...
  11. Fall from weighing scale

    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...
  12. physical restraint in picu

    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...
  13. stimulating a vented patient

    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...
  14. New Nurse In TEARS...

    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...
  15. questions on versed usage

    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...
  16. 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...
  17. Hourly Rounding in the ED

    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...
  18. Baby in a bag!

    That is exactly what this patients mother said! They were of hispanic culture and also believed it was good
  19. Do You Go To The Funeral?

    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....
  20. Baby in a bag!

    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
  21. Happy holidays!

    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...
  22. Holiday Staffing Crisis- Hospital Setting

    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...
  23. Life sucks...

    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
  24. Univ of Mich ECMO training

    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...
  25. Refusal of Brain Death exam??

    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...