jgsatx

Be_Moore, will you be able to share the contents of your charge nursing preceptorship course and if yes, may I quote your hospital as one of the references?

Very, very brilliant suggestions, cardiacRN2006. I'll certainly take note of these.:nuke::yelclap:

It's not worth it because nursing is a longterm dedication that will drain you out mentally, physically and emotionally. If you want the big bucks, you might as well consider other jobs that may not come with so much stress. It's priceless when you tend to the sick. It's more than money is worth.

Not a lot of hospital units have the luxury to orient their new staff nurses into being a charge nurse. That is why we are trying to develop a charge nursing training course in our hospital. If you have any suggestions or any course you have attended that is done in your hospital, will you be willing to share the concepts? I'd be so grateful to be the recepient of whatever you can share.

Have you attended the class and would you be able to discuss it in depth or summarize the contents of the course, like in a table of contents form?

Would you like to share any input on how you train your staff for charge nursing role, eg. formal class or training course?

Thank you for the information. That was really helpful. Do you mind if I can quote the name of your hospital when I present this idea to my team? Thanks once again.

Interesting! This method must apply to those older children or at least those not toothless. Who does the intubation, EENT or the trauma surgeons? How do you change ETT position to decrease pressure ulcer occurence? What is your estimated rate of accidental extubation. Have your unit tried other methods in the past like good ol' tape method, securement device or nasal intubation?

Thank you for the info. Our PICU just opened doors to burn patients and we are in the process of developing a protocol to secure ETT and decrease the occurence of accidental extubation in these patient population considering, not only the risk of extubation, but also the difficulty in re-intubating them. One of my follow-up questions to your method is about the frequency of tie changes. How often does that majority of the time? BID, every 2 days? We use most often than not Bacitracin ointment on facial burns. Does this method withstand the concoction of ointment, secretions & serous drainage? Do you have other guideline special to your unit like mandatory nasal intubation for all burn patients, cuffed ETT, RT practices? Quite a number of questions here..hope you won't tire out. Thanks a bunch!

I need input from nurses working in burn unit about securement of ETT in patients with facial burns or smoke inhalation injury? Any idea is welcomed.. Thank you. jgsatx

For nurses in PICU taking care of patients with facial burns and/or smoke inhalation: what ETT securement method do you use in these group of patients and what is your unit's protocol in ETT maintenance? Any idea will be welcomed... Thanks, jgsatx