Okiecruffler

Okiecruffler

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All Content by Okiecruffler

  1. Let's talk about death

    Why shouldn't we? We're not afraid. I'll never forget my first code, I think I had been a nurse for all of 32 hours. Wasn't my patient, so I just hit the chest compressions, good physical job where you don't have to think too much. And as I looked ou...
  2. Let's talk about death

    I love that this thread keeps coming back to life. It shows me that I was not alone in how I felt. It is true that most of your pts live and get better and go about their little lives. But those are harder to remember. It's much easier to remember th...
  3. Let's talk about death

    Reminds me of my very first patient in the PICU. Here I come to meet my preceptor, me a big bad ass nurse fresh from adult CCU. I find her sitting at the bedside of a beautiful 8 y/o boy. So I ask, "so what's the plan today?" She tells me we're waiti...
  4. Let's talk about death

    Horribly painful, beautifully touching. I've always said, I've met people at their absolute worst, and been surprised by how wonderful they are. Too many times the immediate family is in such shock that the peripheral family comes into play which can...
  5. Let's talk about death

    I sometimes think that doctors are our worst enemy. Working for so long with residents I've seen all the false hope I ever want to see. Had a 14 y/o come in one night, ATV accident, C2 internal decap. I took him down to radiology with the bright new ...
  6. Let's talk about death

    This is what I was hoping to see, an open discussion that boils down to "damn right, this is hard" I remember my first tour of the PICU. I asked the nurse supervisor how she coped with losing children. She answered, "you get used to it." So I asked h...
  7. What is the dumbest order you ever read?

    I've seen this one a few times by the same doc. Bedrest ad lib.
  8. For 10 years I worked the PICU and loved it. Then my son was born. Every coping skill I had failed me. I could no longer remove myself from the patient. Finally last december, after losing 3 pts in 2 weeks, I had to give it up. Now I work in a state ...
  9. Missing the PICU, probably for the wrong reasons

    Actually, it was mostly being a dad in general;). No, you know once you've been in the game awhile, become one of the senior nurses, gotten you certs, then you become the go-to when something bad hits. And over my last year in the PICU I lost some c...
  10. What is the dumbest order you ever read?

    IS q2h when awake. Order was on a 6 month old who was intubated. Gotta love those first year residents.
  11. Thinking of relocating

    I'm currently a PICU nurse in Oklahoma, but my wife and I are considering relocating to N.H. I was just wondering how the nursing situation is up there. I would hate to leave the PICU, but ICU or ED would be a nice change of pace.
  12. Thinking of relocating

    I'm originally from Blanchard, now living happily in Norman. Been working for the past few months at MWC regional hospital in the float pool. Had a son born last year and kinda lost my coping skills for the PICU. Starting my new job next week at JD M...
  13. Anyone in Burmingham Ala?

    One of our Ped heart surgeons, Dr Christopher Knott-Craig, just relocated to run the cardiac program there and I was just wondering if he had gotten settled in yet.
  14. Anyone in Burmingham Ala?

    In Oklahoma he did some adults. Not sure what he'll be doing there.
  15. Is this standard procedure?

    I have a full time job in the PICU. I love it. I trust everyone there from the monitor techs to the unit supervisor. We're a great team that works well together. But that's not my problem. I also have, or had, a part time job at another hospital in t...
  16. Is this standard procedure?

    Sorry, I wasn't very clear last night. In the PICU we run 2 to 1, sometimes 1 to 1. Some of us more experienced nurses will take 3 to 1 if we're baby sitting floorbait. This was just an adult med surg floor, mostly homeless and mentally challanged fo...
  17. Best hospitals in OKC area to work for?

    I'm not sure why OUHSC has such a high turnover rate. I love the PICU, it's the only place in the hospital I would work. I'm not sure if they hire grad nurses in the ER or not. I know we do in the PICU and it works out pretty well. Pay isn't up to pa...
  18. Best hospitals in OKC area to work for?

    If you really want to work ER you should work University. The pay isn't as good as some places, but it's the only level one in town.
  19. PICU Nurses

    Children's Hospital Oklahoma City here. We run 18 beds but can usually only staff for 16 and that's if they are all 2:1pts. We have 2 top notch cardio surgeons so we see 6-10 hearts a week. We used to see alot of neuro kids, my personal favorite behi...
  20. Oklahoma Nurses

    I know there is an ADN to BSN program at OU med that several of the nurses I work with are in. I'll ask Friday when I go back to work and post what I find out.
  21. Norwood procedure

    Last I heard we were hitting about 80% survivial with our Ebstein's kids which ain't too shabby. But that's kinda KC's thang. They do tend to be sicker than snot for at least a week tho'.
  22. I think you may have gotten the remedial nursing thing from me. I've refered to it as the school of remedial nursing since my first semester there. I'm also old enough to refer to the whole school as socjoc. It's all tongue in cheek I assure you. My ...
  23. PICU - What are your patient staff ratios?

    We're typically 2:1 unless the pt's condition makes it otherwise. I've taken some 3:1 assignments if they are the right pts and I'm feeling especially spry. We usually have 1 RT who does Tx and vent checks, also runs most of our gasses after we draw ...
  24. Norwood procedure

    Just thought I'd add my 2 cents since I had a Stage I Norwood Friday and a Fontan last night. Most of our hearts are done by Dr. Christopher Knott-Craig. He still uses the BT shunt for most procedures. we're seeing probably a third coming to the PICU...
  25. Pre-lpn Student-need Legal ? Answered

    Not only that, but some offenses are going to more okay if you declare them up front rather than have them find out. Sneaky is not seen as a good quality by the OBON or an employer. And for what is worth, the OSBI check is very extensive, if you're t...