PICNICRN BSN, RN

Hi guys- I posted this on the Neuro ICU thread- wanted your opinion too! 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 ...

Did she have a leak? Did you check a cuff pressure? The cuff is not always inflated as much as it should be, but does not cause problems with ventilation so we don't worry about it. And even if it is, like the above post says, the OG can migrate with...

Ya know..... he could just as easily say the meds in question must be yours- after all, you did live together! Let it go- you seem to have done enough to ruin him for now.

How about the 'hand over the face'?? Usually I try this with our "unresponsive kiddos, but it has worked with some "seizure" pts. But like I said... ours are a little less mature.

I was just thinking about this the other day..... When I was in nursing school, I was 3 of 3 for passing out during my "OR experience"! Normally I took afternoon clinicals because I was not a morning person- first time was a cataract same day surgery...

Our "seizure fakers" are a little smaller and not as "mature" as yours most likely are. I usually try the holding down of one limb or part of a limb- if I am able to, or the original type of movement of the limb changes or weakens... not a seizure. A...

I couldn't find anything about not using a chest vein either. In our world, if you have a good blood return and it flushes well- use it! I'd imagine that some might think that you might not be able to see if it would infiltrate. But trust me- if you...

I think we are a little different in the Pediatric population in that we use feet, scalp, legs, groin, ect all the time- and I prefer the saph to any upper extrem vein in most cases. I've even seen one placed in the abdomen until central access was o...

Off topic>>>>>> I wish I could loose 27 lbs in 4 days!!!

Yes.... the SNATs(suspected non-accidental traumas) are by far the worst thing I deal with day to day.There is just no way make sense of it in your brain. That being said, it is not every day. And the ones who get better and go home far out- weigh t...

Mostly all of our pts are weighed in bed also, one thing that I have learned to do is when I do the initial weight is to put a note taped to the bed that says- "pt weighed with crib sheet, X amount blankets, leads, vent tubing, ect"- whatever the cas...

Don't worry, if you are going to a national leader in Peds care you will receive a good orientation! They will make sure of it! That being said.... I suggest brushing up on your "norms" for vitals, and basic calculations- we do TONS of calculations ...

When I used to tell people that I worked in the NICU, their faces would light up because they thought I sat around and held babies all day. Now that I'm back in the PICU, when I tell people what I do, I get these horrified looks and people(nurses too...

You absolutely DO NOT want to "ice" a child or infant- I cannot speak for an adult patient- however I cannot imagine that the pathophys is any different. Ice baths/ cooling the core temp rapidly will produce the "shivering" effect! What does this do?...

Like the above post said.... kids who are vented are kept nicely sedated, could even be in a pentobarb coma with the seizures- who knows. I do know that the kid would most likely not be up for play. How about some music therapy??? Ask the parents wh...

2 days of orientation is CRAZY!! When I was a new grad it received 6 mnths- I know it is a different specialty- but 2 days! This is an accident waiting to happen- IMHO. I can rememeber my first few days of orientation... my preceptor had to remind me...

Exactly as the above poster said!! They, as your employer ,would be required to report this if they actually think you are diverting. Obviously, they do not and cannot prove it.... they are bluffing you so that you will resign. Sounds like you are be...

I do not want to give away too much info just in case (HIPPA) but.... currently, we have a patient who had a positive brain death exam and the family has refused the second brain death of exam due to "cultural beliefs". So now we have a patient witho...

All three Children's hospitals I have worked have used the Braslow cart in the ED and a Pedi cart in the rest of the house- as you said- we already know the weight. Braslow is the standard of care, I believe. Now, I could see them not liking that yo...

I'm a little confused- were you cited because you had the tape but not the cart itself??

Back in the day.... there was a list of all the NICU staff who were 0 neg blood type. When a baby needed transfused- O- nurse sat down and they pulled off 20mls and gave it right to the baby.

Got news for ya...... Unfortunately, it's not just LTC I feel your pain!!

Well..... after the first brain death exam- we stopped escallating any care- no titrating gtts up, no labs, no meds, ect ect. These parents were not saying "do everything"- just would not accept brain death-so....Since she was already DNR- her body w...

Problem is.... that 3K is for a position that is hard to fill, usually. And who do they want to fill it with? Someone experienced- especiallly if they are paying a 3K referal.

I would have to agree with the above. Now, I work in the world of kids and for the most part all of the docs I encounter are pretty great to work with but there is just a special something about the Pedi Orthopods--- usually quite arrogant group of f...