AMR21 BSN, RN

If I have time and access I like to give an amp over 10 min.

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/ even been seeing some TPA locked lines. We are wel...

We empty into the hopper in the dirty utility. New bag every time.

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 anthropology. Honestly, I have zero idea why. The m...

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, deadly. Air emboi are no joke. I've taken care of a ge...

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 hour"

A woman I work w stages hers in a little plastic school box. Like a pencil box from elementary school. Seems to work.

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 looking at the central monitors and wondering if that HR...

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. Every single day we are seeing new things. On top of t...

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 don't fill the guilt like we do when they grade a p...

I think it's called The London Hospital. On amazon prime. About nurses at The London in the 1800s. Loved it!

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 something is an override it pops up as a big purple li...

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 order.

Are there any picu specific nursing journals out there? If not, what nursing journals does everyone subscribe to? How about conferences?

Hope it pans out. I would love a place to find picu specific articles and such in one place!

Where I work, the social worker had like emergency ballots or something. Contact them.

Really?! I have a latex allergy. Never had any problems. Where are you looking!

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 in the room anyway to keep them tangle free. For ...

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. I ended up coming back full time to that until aft...

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 something like Per Bob, pharmD, OK to run x and x toget...

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 welcome info packets, door signs, check to ensure the ...

Wait? I just reread. She has an ng? Why can't that be utilized for pain med admin? Thanks for being such an advocate for this pt!

Do you have a pain team who can consult and possibly educate the family? SL morphine, some sort of transdermal patch? If that doesn't work, I would call the ethics committee. ASAP.

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, ...)

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 4.