AliRae

AliRae

PICU, surgical post-op

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All Content by AliRae

  1. Most stressful moment as a nurse?

    AliRae replied to mikethern's topic in General Nursing

    In charge of a full PICU, heading out on a transport call when I got a call from the ED that they had a 1 month old in full arrest. Let me just tell you- that day was the truest test of my nursing I...

  2. Amazing story / video - "The Boy In The Moon - about boy with rare genetic disorder

    AliRae replied to student456's topic in General Nursing

    What a small world ... one of the blogs mentioned on the right hand side of the page belongs to a dear friend of our

  3. Nurse's what's your New Year's resolutions?

    AliRae replied to pumpkin1984's topic in General Nursing

    I'm going to be intentional about friendships. I'm leaving in February and will be in Liberia for a year, so I'm resolving to properly keep in touch with those I love at home. (Anyone who knows me...

  4. standard concentrations, does your facility use them ?

    AliRae replied to climberrn's topic in PICU, Pediatric

    Crusade away! However, just be sure that when they program the dang pumps the limits are appropriate. Like I said before, there's nothing worse that being in the middle of a wicked situation and...

  5. How do you stay nonjudgmental?

    AliRae replied to TigerGalLE's topic in General Nursing

    This is my last-ditch tactic. When all else fails, I repeat the follwing mantra to myself: "EVERYTHING that happens today is happening solely for your amusement." Taken in this context, shifts like...

  6. Who has had the biggest influence on your nursing practice?

    AliRae replied to UM Review RN's topic in General Nursing

    When I was 15, my 17-year old cousin drowned. He was resucitated and vented long enough for my aunt and uncle to fly home from France (where they were when it happened). I remember driving with my...

  7. Working with angry unstable incompetent RN

    AliRae replied to pedsRN121's topic in General Nursing

    WOAH! And she thinks she's a peds nurse?!

  8. Need Help with Blood Administration

    AliRae replied to peds4now's topic in General Nursing

    With my big kids I do way #1 ... prime all the tubing with saline then clamp saline and run blood through until it reaches the end. Then I put it on the pump and administer per protocol. For the...

  9. standard concentrations, does your facility use them ?

    AliRae replied to climberrn's topic in PICU, Pediatric

    Our hospital has 5 or 6 standard concentrations, A-E (or F) ranging from least to most concentrated. NICU babes end up with A and B usually, and our kiddos usually range from C-E (or F). It's nice...

  10. Human Donor Milk

    AliRae replied to bethmmbnt's topic in NICU, Neonatal

    We had a patient recently who was receiving donor milk. I'm a PICU person, not NICU, so we don't see as much breast milk in general as in the NICU. We adopted basically the same procedure as in the...

  11. Adults to Peds

    AliRae replied to CamilleL's topic in PICU, Pediatric

    I've been a peds nurse for always, but one of the best nurses I worked with in my old unit was a former SICU nurse! She made the swtich a few years ago and has loved it. She always said the biggest...

  12. Lost one of my favorite patients

    AliRae replied to ICRN2008's topic in General Nursing

    My favourite died in January. He had been "ours" his whole life ... never went home. The only time he left our unit was a brief stint at a rehab hospital where I visited him frequently. He was my...

  13. standard concentrations, does your facility use them ?

    AliRae replied to climberrn's topic in PICU, Pediatric

    What are those guidelines? Is it a standardized thing or something your facility has? Just bought my ticket! February 7th. I have a one way ticket to Africa, and I'm not planning on coming back...

  14. Anyone ever join a medical mission trip?!

    AliRae replied to christvs's topic in General Nursing

    Mercy Ships requires a minimum of 2 weeks, I think, as an RN. Although I'm not so sure of the minimum, I know the max as a short-term volunteer is one year. Which is what I'm going to be doing...

  15. standard concentrations, does your facility use them ?

    AliRae replied to climberrn's topic in PICU, Pediatric

    We went to them right before I left, and it was a nightmare. I guess there are always kinks to be worked out, but come on! One of my last days I was in charge and I helped admit a baby post arrest at...

  16. So what do you say?

    AliRae replied to TexasPediRN's topic in Pediatric

    It's hard for us when one of "our" kids starts to go downwards. Last year one of our chronic babies developed a huge cyst in his brain and his parents made the decision to take him off the vent (he...

  17. So what do you say?

    AliRae replied to TexasPediRN's topic in Pediatric

    This is why I ended up as the death and dying" nurse this summer and fall. I'm glad there are nurses out there who share my perspective. That, yes, it stinks. And yes, it's hard. But we have to do...

  18. I'm never primarying again, y'all

    AliRae replied to elizabells's topic in NICU, Neonatal

    hugs to you, elizabells. It's so hard when one a primary passes away, even when you know it's for the best. I'm glad you were able to be there with him and his family. Sending love to you as you...

  19. orientationg new nurse

    AliRae replied to Ms.RN's topic in General Nursing

    It really does depend on how far along in your orientation you are. I've precepted many new nurses, and I just had them sit back and enjoy the ride the first day (or couple days if they're brand new)...

  20. I'm never primarying again, y'all

    AliRae replied to elizabells's topic in NICU, Neonatal

    I'm a PICU person (or I was, before I quit...) and I'm so very liberal and proactive with my sedation. Glad your little one has some fentanyl on board! But I just have to say that I've been...

  21. Let's talk about death

    AliRae replied to Okiecruffler's topic in PICU, Pediatric

    It's taken me a few says to get past my own tears enough to reply to this thread. One of the last things I did at my job over the past few weeks was deal with one of these devastating situations....

  22. Should I take a PICU job as a new grad??

    AliRae replied to LyndseyER's topic in PICU, Pediatric

    I started out at a big teaching hospital. The tough part about a teaching hospital is learning how to deal with the residents. They don't necessarily know enough to write the right orders or do the...

  23. Should I take a PICU job as a new grad??

    AliRae replied to LyndseyER's topic in PICU, Pediatric

    I was a new grad in the PICU! If I do say so myself, I did just fine. Yesterday was actually my last day at my job, and I went out in style. Charge nurse, going on transports, admitting intubated...

  24. Would this be inappropriate?

    AliRae replied to Susan9608's topic in General Nursing

    I would send it. There are a couple families who will be getting phone calls and/or cards from me this

  25. NG Tubes... Sigh.

    AliRae replied to DudeNurseRN's topic in First Year After Licensure

    Yeah ... I was kind and gentle though as I explained that the tiny tummy couldn't quite handle that much and that 2-4 ml was a little more appropriate.