AliRae

AliRae

PICU, surgical post-op

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All Content by AliRae

  1. Patent Foramen Ovale

    Are things different in the NICU, or is blow-by via NC something of a
  2. I, for the life of me, cannot pronounce the word "anesthetist." Since one of our nurses just left to go to CRNA school, I'm called on more frequently to try, and I have failed every single time....
  3. New Grad Anxiety

    I'll second what others have said ... take a deep breath. You'll be okay. I came straight out of school into the PICU as a new grad, and was scared of my own shadow for a while. It's normal. One...
  4. Bipap

    Yup to what's been said. We'll change our settings also without drawing blood (often a tricky thing to do in the kiddos depending on access) ... I had a kid today who we were just trending based on...
  5. Pediatric Critical Care courses

    We have an 8 week PICU course that runs once a year. I'm late right now (I wish allnurses wasn't so dang addicting!) but when I get home tonight I'll grab my binder and jot down a list of the
  6. allowing parents in OR?

    We have a child life program at our hospital, and one of the specialists hangs out in same day. Once the parents have signed a release/contract stating that they WILL get out when they're told, one...
  7. Nicknames your pt's give you

    My name's Ali, and I work in peds ... more often than not I'll be referred to as "Owie" or "Howie." On bad days, it's "that mean
  8. does anybody NOT like nicu???

    Sorry ... didn't mean to imply that. Just speaking to the reality that, for some, that's the outcome. I know lots of NICU babes who were SUPER sick and are fine now. I know others who have some...
  9. does anybody NOT like nicu???

    That wasn't totally serious ... they're just so SMALL! =) In reality, I'm not a fan of NICU because I work PICU. So when I get pulled there, I'm often working to save a kid who I know I'm going to...
  10. does anybody NOT like nicu???

    my fine motor skills aren't good
  11. Calling in sick??

    3 occurrences in a year on our unit earns you a "verbal counseling" (a written record of which goes in your file, go figure). And it's not a calendar year either- the year starts as soon as you have...
  12. Use of Chloraprep

    We just started using it in our PICU, but our NICU doesn't. Per our policy, I believe there's a 2 month age limit before it can be used. Since we don't really get NICU-sized babes on our unit, I'd...
  13. Nurse-led weaning of ventilation

    It depends on which attending is on for us and also how sick the kid is. Certain docs, if they trust you, will give you more free rein to wean. Usually we'll discuss it at rounds, and work kind of a...
  14. This may seem like an odd "good thing" but ... I got a mother to go home for the first time! Today marked a week after her daughter's near drowning, and although she lives about 10 minutes from the...
  15. PICU: PALS, ACLS or Both?

    PALS for us, but not ACLS. I was helping a friend brush up for his ACLS renewal the other day and just chuckling to myself they whole time at how easy those "grownup" nurses have it. What? You mean...
  16. Syringe pump bolus

    We do it. Our sedation drips are standard concentrations (usually 1:1 for versed, 10:1 for fentanyl, etc). Our orders are for a continuous infusion with a seperate order for bolus, if needed. The...
  17. Pediatric toy ideas please !!

    Man, usually just a clean syringe is enough to keep my kiddos occupied for a while! I've been known to engage in some water wars with the toomey syringes ... they make excellent squirt guns. We use...
  18. Inspiring stories

    I have another one to add! Over the summer, while we were on strike, a kid came in following a horrific MVA. Thankfully the only really sick kid that needed to be admitted while we were out, and...
  19. Today was the day that made us ALL realize why we're doing what we do. We had a kid come in after a horrific MVA last summer. Ended up trached and basically a vegetable. We sent him to a rehab...
  20. Problems with PICU nurses

    Yeah, it's been said already, but I'd be very wary of that unit and its manager. Anyone who would spread falsehood like that just isn't someone I'd be excited to work for. While we've been known to...
  21. I love when I'm giving report and I can tell the night nurse, "Yup, little Sally's mother asked if you were going to be here tonight and wanted you to be her nurse." It's nice to be able to pass on...
  22. how would you feel as a pt?

    I feel as though this thread could also be posted in the humor section! I am eternally grateful that our management hasn't gotten ahold of this whole scripting notion yet. Granted, we do get written...
  23. Do you ever forget your patient's names?

    I only have 1 or 2 kiddos at a time, so their real names don't escape me. But darned if I can remember what the parents prefer to call that baby today! Doesn't matter if his given name is "Jack",...
  24. Heparinized vs Nonheparinzed saline in arterial lines

    We might just be the only ones using heparin! Our art-lines and CVPs from our central lines get 3ml/hour of heparinized saline. We use a 0.5unit/ml concentration. The NICU-sized cardiac kiddos get...
  25. Baby-child clinical observations query

    AW! I love what we do. My favourite still has to be my little post-op T&A who woke up scared and literally JUMPED into my arms for a snuggle. Wanted nothing to do with mum or dad ... just wanted...