AMR21

AMR21 BSN, RN

PICU

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All Content by AMR21

  1. Sodium bicarbonate push

    If I have time and access I like to give an amp over 10
  2. Blood cultures

    I have a question about blood cultures. I'm a PICU nurse. We have pts w dialysis lines a lot. Temporary, permanent, subclavian, femoral. Seen nearly them all. We are good at hep locks/ citrate locks/...
  3. CRRT-effluent bag nightmare

    We empty into the hopper in the dirty utility. New bag every
  4. Wait, what the what ?!

    We recently had to present a diploma to be able to run out ISTAT machines. They didn't even care what diploma it was. I couldn't find my one from nursing school so I brought in my one from my BA in...
  5. Forgetting to prime peripheral IV line...

    Peds ICU nurse is slightly freaking out about that question. There has been no research about what about of air could be harmful to a Peds pt. in a "heathy" kid it might be ok. In a kid w a PFO,...
  6. Mispronunciations That Drive You Nuts

    We dual sign off all infusions at shift change. A couple nurses read drips as "migs per kig per hour" I don't know why it gets to me. Please, "milligrams per kilogram per
  7. Stethoscope Case

    A woman I work w stages hers in a little plastic school box. Like a pencil box from elementary school. Seems to
  8. Not where I work. If you have 'a disease of childhood' or have been refinery followed by one of the doc at our childrens hospital u end up in PICU. I really have had a 60 year old pt. it's fun...
  9. Try PICU nursing. Every speciality rolled into one. Ages 1 day- 60+ years. Ecmo, crrt, codes, multiple sizes I've every every single device. Kiddos can be fine one second and just crump the next....
  10. Mistakes as a new pediatric oncology RN

    In re: mistakes. We ALL make them. Best thing you can do is learn why is was a mistake, why it happened, and how you will never let it happen again. Keep your chin up. Nursing is hard. I bet teaches...
  11. Any good "nurse" shows on tv? Netflix?

    I think it's called The London Hospital. On amazon prime. About nurses at The London in the 1800s. Loved
  12. Piggy Back IV order with no fluid order?

    I must work at Fort Knox. Everything but saline flushes and sterile water for reconstituting meds like vec is in the Pyxis or comes from pharmacy. And to override anything we need 2 RNs. And once...
  13. Piggy Back IV order with no fluid order?

    Without the NS order how are you pulling the 50 ml bag from the Pyxis? How are you charging the pt for said bag? Perhaps where I work is just strict and MDs are understanding. But I would get an...
  14. Are there any picu specific nursing journals out there? If not, what nursing journals does everyone subscribe to? How about
  15. Journals and confrences for picu rns

    Hope it pans out. I would love a place to find picu specific articles and such in one
  16. Election day in the hospital

    Where I work, the social worker had like emergency ballots or something. Contact
  17. latex allergy holding me back

    Really?! I have a latex allergy. Never had any problems. Where are you
  18. Safe beds for patients

    I have used them in peds. They really only work for people who have nothing much attached to them. Dealing w iv tubing, feed tubing, monitor cables is a big hassle for staff and I almost need a sitter...
  19. Best Way to Let Management I'm Going PRN?

    When I left, I wrote the standard resignation letter but added in that I was willing and interested to stay PRN. Two days later, I stopped into my managers office and she had me sign a PRN agreement....
  20. ampicillin and D10w .2

    Hopefully your facility has a good pharmacist. The can be your best friend when it comes to compability questions when you either can't find an answer or get conflicting answers. I always chart...
  21. Unit Secretaries

    We have been on full computer charting for a long time. Since before I began. Perhaps the Unit Coordinator's role has evolved in that time, but out PICU couldn't run without one. They do all our...
  22. Code words

    Alphabet soup For the kid w so many diagnoses you can't possibly list them all (mr, cp, g/j tube, vp shunt, asd, vsd,
  23. I work in a PIcU. We replace for k less then 3. When I did a short stent in the adult world we replaced for less then
  24. Best place to buy scrubs online??

    Lydia's unifies is great too. Carry urbane in the linger length which I love. Sign up for their texts for
  25. Book recommendation?

    Has anyone read any great books about nursing or nurses? Healthcare in general? I love historical fiction and am looking for