AliRae

AliRae

PICU, surgical post-op

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All Content by AliRae

  1. NG Tubes... Sigh.

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

    Another tip? If you're going to be putting an NG in on a little one (babies and toddlers) swaddling them is essential before you begin. I place my stethoscope over their stomach first, then wrap...

  2. farewell to PICU

    AliRae posted a topic in PICU, Pediatric

    I realized yesterday that I only have 2 weeks of PICU nursing left before I quit my job! I'm taking a year off to go and work with a medical mission called Mercy Ships. I'll be serving as a general...

  3. farewell to PICU

    AliRae replied to AliRae's topic in PICU, Pediatric

    I found out today that I'll be going to Liberia, so there's one uncertainty solved! As far as keeping in touch, I'll have a blog (alirae.net/blog) where I'll chronicle all my adventures. Stop by!...

  4. "No New Orders Received" ..... ?

    AliRae replied to RainDreamer's topic in General Nursing

    I guess this is the important bit. If its just "no orders" and you give up, then there's a bit of a problem. But if your notes are showing that you DID go down different avenues and DID try all your...

  5. "No New Orders Received" ..... ?

    AliRae replied to RainDreamer's topic in General Nursing

    Agreed, but then what did you do about it? If you knew something should be done and you called the doc and hit a brick wall, why didn't you go above that doc to get the orders you needed? I've been...

  6. "No New Orders Received" ..... ?

    AliRae replied to RainDreamer's topic in General Nursing

    I think the reason for NOT writing "no new orders" is that it seems like you've given up, so to say. If you're charting that no orders were received, it implies that you think there should have been...

  7. Pediatric RSI

    AliRae replied to CraigB-RN's topic in PICU, Pediatric

    For us? Usually fentanyl and versed for sedation with vec for paralysis. Occasionaly succs, but not the first choice. Little ones we premed with atropine too, but that's a physician choice....

  8. Wanted - Funny Triage stories

    AliRae replied to phuninfl's topic in General Nursing

    This one for the

  9. Highest PEEP you've seen?

    AliRae replied to poppy07's topic in Neuro Intensive Care, ICU

    25?! holy cow ... once we're up to 10 we consider the oscillator! I picked up a kid recently who was on a PEEP of 16, but we weaned him pretty darn quick because no one felt like putting in chest...

  10. Getting all worked up in ICU

    AliRae replied to pie123's topic in General Nursing

    This may seem trite, but at least its over! I started in PICU right out of nursing school, and my own patient didn't code on me until ... a year and a half later. I lived in fear up until then as to...

  11. Avg nurse to patient ratio in NICU and PICU?

    AliRae replied to philosophical's topic in General Nursing

    I'm a PICU girl (but only for 12 more shifts!). In our PICU we're 1:1 or 1:2. On rare occasions that the floor is full and we have floor overflow kids, we can be 1:3-4, but that's only when those...

  12. Please share something GOOD that happened at work!

    AliRae replied to RNsRWe's topic in General Nursing

    We had a crazy day. 5 admissions overnight, I was in charge and was supposed to go on transport and arrange to admit a kid who came in CPR in progress and deal with a disgruntled parent all at the...

  13. need help with bereavement committee

    AliRae replied to oupedsrn's topic in PICU, Pediatric

    This sounds like such a good idea. I think I'll talk to my child life department about

  14. Racemic Epinephrine vs Albuterol vs Xopenex nebs?

    AliRae replied to VickyRN's topic in PICU, Pediatric

    *sigh* and I'm about to head out to Africa where I have NO idea whose names they'll be using. I guess my little drug book written by our very own PharmD of our children's hospital won't do me much...

  15. Union! yes/no

    AliRae replied to nurserynurse55's topic in General Nursing

    Find out more information. Who is the union that's trying to come in? Find one of their organizers and talk with them. What do they want to do for you? What are their goals in organizing you? Do...

  16. Anybody else just recertify their PALS??

    AliRae replied to vamedic4's topic in General Nursing

    Now the proud owner of a shiny new good-for-2-more-years PALS card! If my instructor hadn't been nasty and thoroughly unable to teach, it would have been a lovely day. I like the new guidelines ......

  17. Racemic Epinephrine vs Albuterol vs Xopenex nebs?

    AliRae replied to VickyRN's topic in PICU, Pediatric

    Once again, Jan for the win. But did you mean asthmaticus, or am i missing something here?! And as far as I know levalbuterol is the same as Xopenex,

  18. How long did it take for you to work in the ICU?

    AliRae replied to Sassybottom's topic in General Nursing

    Straight into the PICU for me! (with a 5 month orientation and tech experience on the

  19. Vent settings and documentation

    AliRae replied to Lizziefive's topic in Emergency

    I'm headed to Sierra Leone next year where I can expect to manage PICU patients without the help of an RT or an intensivist, so I've been taking my time to try and learn! (Plus I do a ton of...

  20. Vent settings and documentation

    AliRae replied to Lizziefive's topic in Emergency

    I don't know anything about norms for big people... You'll be looking for the MODE: common modes include SIMV/PCPS (synchronized intermittent mandatory ventilation / pressure control pressure...

  21. Anybody else just recertify their PALS??

    AliRae replied to vamedic4's topic in General Nursing

    I'm re-certing on the 17th. Off I go to pull out my book and study some

  22. My mother is embarassed that I'm going to be a nurse...

    AliRae replied to iriska_meller's topic in General Nursing

    My uncle is a physician. He's given me nothing but grief since I started nursing school. Now, 2 years into it and a great PICU nurse (if I do say so myself), he continues to harass me whenever we...

  23. I feel like a weakling...

    AliRae replied to AliRae's topic in PICU, Pediatric

    We should be facebook friends!!! If I was ever tempted to file assault charges, this would be the time. However, I can't help making excuses ... he's bipolar and was getting extubated. Hot dang, I...

  24. I feel like a weakling...

    AliRae posted a topic in PICU, Pediatric

    Got my first on-the-job injury today. =( I was restraining a combative 18 year old prior to extubation, and he somehow almost ripped my arm out. After it was all over (he flew- yay!), I couldn't...

  25. assistance w/ report, anyone?

    AliRae replied to David's Harp's topic in First Year After Licensure

    I remember being on the phone with a good friend of mine shortly after starting my job as a new grad in the PICU. I was close to tears, and said something along the lines of "They told me there would...