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Our unit is a SICU/PICU. We use the AACN procedure manual with a smaller volume of fluid. Usually your patient has hemodynamic instability, increase in abdominal size and firmness, increase in vent support and decrease in u/o. You should inject your fluid slowly and give it a couple of minutes clamped in the bladder. The patient must always be laying flat on their back. You will get different numbers each time but they should be close to each other (say within 10 points either way). Our surgeons would take to the OR if all the above things were wrong and the pressure was greater than 25 (this number varies a little between adult and pediatric surgeons). There is a new product on the market, the AbVisor. It is a bladder pressure measuring kit. It costs around $100.00. It comes in adult and pediatric sizes.

Our unit is a SICU/PICU. We use the AACN procedure manual with a smaller volume of fluid. Usually your patient has hemodynamic instability, increase in abdominal size and firmness, increase in vent support and decrease in u/o. You should inject your fluid slowly and give it a couple of minutes clamped in the bladder. The patient must always be laying flat on their back. You will get different numbers each time but they should be close to each other (say within 10 points either way). Our surgeons would take to the OR if all the above things were wrong and the pressure was greater than 25 (this number varies a little between adult and pediatric surgeons). There is a new product on the market, the AbVisor. It is a bladder pressure measuring kit. It costs around $100.00. It comes in adult and pediatric

Our unit is a SICU/PICU. We use the AACN procedure manual with a smaller volume of fluid. Usually your patient has hemodynamic instability, increase in abdominal size and firmness, increase in vent support and decrease in u/o. You should inject your fluid slowly and give it a couple of minutes clamped in the bladder. The patient must always be laying flat on their back. You will get different numbers each time but they should be close to each other (say within 10 points either way). Our surgeons would take to the OR if all the above things were wrong and the pressure was greater than 25 (this number varies a little between adult and pediatric surgeons). There is a new product on the market, the AbVisor. It is a bladder pressure measuring kit. It costs around $100.00. It comes in adult

Our unit is a SICU/PICU. We use the AACN procedure manual with a smaller volume of fluid. Usually your patient has hemodynamic instability, increase in abdominal size and firmness, increase in vent support and decrease in u/o. You should inject your fluid slowly and give it a couple of minutes clamped in the bladder. The patient must always be laying flat on their back. You will get different numbers each time but they should be close to each other (say within 10 points either way). Our surgeons would take to the OR if all the above things were wrong and the pressure was greater than 25 (this number varies a little between adult and pediatric surgeons). There is a new product on the market, the AbVisor. It is a bladder pressure measuring kit. It costs around $100.00. It comes

Our unit is a SICU/PICU. We use the AACN procedure manual with a smaller volume of fluid. Usually your patient has hemodynamic instability, increase in abdominal size and firmness, increase in vent support and decrease in u/o. You should inject your fluid slowly and give it a couple of minutes clamped in the bladder. The patient must always be laying flat on their back. You will get different numbers each time but they should be close to each other (say within 10 points either way). Our surgeons would take to the OR if all the above things were wrong and the pressure was greater than 25 (this number varies a little between adult and pediatric surgeons). There is a new product on the market, the AbVisor. It is a bladder pressure measuring kit. It costs around $100.00. It

Our unit is a SICU/PICU. We use the AACN procedure manual with a smaller volume of fluid. Usually your patient has hemodynamic instability, increase in abdominal size and firmness, increase in vent support and decrease in u/o. You should inject your fluid slowly and give it a couple of minutes clamped in the bladder. The patient must always be laying flat on their back. You will get different numbers each time but they should be close to each other (say within 10 points either way). Our surgeons would take to the OR if all the above things were wrong and the pressure was greater than 25 (this number varies a little between adult and pediatric surgeons). There is a new product on the market, the AbVisor. It is a bladder pressure measuring kit. It costs

Critical Care Nursing of Infants and Children 2nd Ed. Curley Moloney-Harmon. Our PICU Attending bought us this book for us because he thought it was the best one.

I worked in an adult SICU for 4 years and then did PICU and never wanted to go back to adults. I love PICU. It is either for you or not for you.

In 13 years I've never seen that problem. Does your manager have a problem? Most people just leave the unit for something less stressful. More often I find people loving PICU and never leaving.

Our PICU is combined with an adult SICU. We do Adults before children. Orientation is a 8hour beginner class with a dialysis nurse and then 8hours of being precepted on a patient with CRRT. Down the road there is a 4hour advanced CRRT class. We also have a competency. Our most experienced nurses take care of our children on CRRT. Often the children are 2:1's if they are real sick. The dialysis sets up and the PICU nurse does all the hourly needs. Our nephrologist writes orders for the net loss and the bath and other dialysis orders. If need be we take off during the night, we are all trained to rinse back and disconnect.