AMR21

AMR21 BSN, RN

PICU

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All Content by AMR21

  1. Book recommendation?

    Thanks for all the
  2. The "Q" Word and Other Mysteries

    Saying a frequent flyer's name. They ALwAYS show up right after
  3. I also attended chamberlain. It was a second degree for me. Costly, oh yes. No wait time, check! Amazing facilities, yes. Great clinical sites, yes. Possibly best in the city. Every person in my class...
  4. Our hospital policy is new catheter, new bag. Always- unless dire emergency. We also can NOT switch from peripheral to central w same bag and tubing. It is OK per policy, but uncommon to switch from...
  5. Ack! I'm being published!

    Awesome!
  6. Giving injections to babies

    Swaddle her tight with the limb you are going to inject out. If a baby blanket doesn't work sometimes a towel will. Just a normal old swaddle should work. This is what I do very often when starting...
  7. We run all our pressors except dopa and doubt centrally in my picu. We can start peripherally in an emergency until we gain central access. We try to do the same for bicarb and anything w >d10...
  8. Littmann cardiology iii I work picu and have pts from 2.5kg to 250 kg. I can hear everything w that scope. It's a fav among RNs, RTs, NPs, and MDs on my unit. Kinda heavy but worth
  9. Scrubs for the Overwieght?

    I'm about the same size. I too used to wear pants "under" my belly. I have slowly learned to wear them over. Honestly, it looks much better. Takes a bit to get used too but no more showing anything....
  10. NCLEX rules/study material

    They even made me take my pandora bracelet
  11. Bio Patch with PICC line dressing changes?

    We use biopatches on all central lines for kiddos who qualify based on wt and allergies. We stopped threading the bio patch all the way around the line though. We just set it on top of the insertion...
  12. We check everything in the room.bpt, glucose, type, dose, order, primed the pen, etc. Our facility has gone to pt specific pens for all insulin. They r kept in the locked med bin in each Pts room....
  13. "Baby Friendly"

    It's an iv ... I like the idea of giving moms a chance to establish supply before turing right to formula. Breast feeding has so many amazing benefits. In addition, think how much money this country...
  14. Saying no when work calls

    Wow. I phone fat finger fail. Sorry about the misspellings
  15. Saying no when work calls

    We recipe tilt went to a system that sends out a mass text massage asking for help. So much
  16. Any time I walk into the icu to get report and the people I'm getting report from say, "they paired this pt?!!" No
  17. Favorite scrubs brands

    I have been loving butter soft from uniform advantage. I mostly wear t shirts or a print top (peds), but their pants are amazing. Soft. Hold up to washing in hot water without
  18. Pseudo Munchausen parents...

    What does everyone this of the ----'s journey Facebook pages? Sometime I feel like some of this parents are just thriving on number of 'likes' they are getting. I have encountered several
  19. Littman Classic II?

    Also try the small as opposed to regular sized ear pieces. Littman has both small and regular sizes and hard and soft. Once I tried the small I was fine. The larger weren't going into my
  20. Angios vs. butterfly intima catheters?

    I worked somewhere that used angios and was fine at placing ivs. (In squirming kiddos!) then switched to somewhere that used the other kind you mentioned. They were so baffling to me. I really think...
  21. Your journey (jobs) as a nurse?

    After graduating from nursing school I applied to every and all job within a 2 hour radius. Jobs in my area were super tight at the time. I was offered only 2. Corrections and PICU. Took PICU. Did 2...
  22. Too many SNAT patients!!

    I know! I don't know what is is about this winter, but I feel like we are seeing more and more in that same age group. I would like to see some data on
  23. Getting floated. Seeing a kid three minths out from a trauma that I admitted. I remember thinking his first 2 nights, why are we doing this? Let him
  24. EPIC Computer Charting

    Epic is great or awful depending on who designs it. I worked in a large children's hospital and lived it. Clean, streamlined, only needed a few (assessment, restraint, profile for admits, controlled...