GatorRN21 replied to NotReady4PrimeTime's topic in PICU, Pediatric
I think it is great that your nursing unit prepares most your own infusions. Nurses on our unit have had little training in mixing infusions independently outside of the pharm--we do more training....
Know your code drugs inside and out. I work in a CICU so I know the correct dose and how many mL to draw up of epi (1:100,000 vs 1:10,000), atropine, Cal gluconate, and bicarb (infant vs adult...
In our CICU, we use the VAMP system on all arterial lines, which is a closed system. VAMP System Unfortunately, the VAMP is only supposed to be placed on arterial lines, so all other lines we still...
GatorRN21 replied to Double-Helix's topic in PICU, Pediatric
Great question! There is no right answer in this situation! Everyone will have an opinion! Thus, this is always a hot topic among the critical care team. umcRN, I found it good to hear that the...
GatorRN21 replied to NotReady4PrimeTime's topic in PICU, Pediatric
Thank you for posting this info. I did not know so many drugs are going are going to be on short supply! At our hospital, I feel like every week that I have an e-mail about another change related to...
I just moved to Philly from Florida as well. I just moved into my apt last week so don't know many of the areas yet. It seems as though Philly is quite large. The cost of living is much more...
Hi! I am starting NP school this Fall so I don't have experience with calling consults. But, my boyfriend is a cardiology fellow and I hear him vent about this all the time. The consult service...
At our hospital on the post op heart surgery kids, we titrate the nitroprusside first up to 4mcg/kg/min for the systolic BP then once we reach that amount we add on nitroglycerine up to 4mcg/kg/min...
Sometimes a kiddo will return from surgery without a NGt in place and is ventilated. The plan usually is to extubate the kid but when would it become time to put a NGt in a kid that hasn't been...
Thinking about switching from surgical pediatric patients to HemeOnc speciality. Any suggestions? How long did it take you to get certified? Is working with this patient population very sad or more...
I've been working in an unit that gets many post op neuro patients that require q4h neuro checks. I find it so hard to perform neuro checks on the smaller kiddos and am so scared I'm gonna miss...
GatorRN21 replied to HeartsOpenWide's topic in General Nursing
Health care is not like fast food. People know where to get a good hamburger but don't know what type of disease/illness is ailing them. People are able to be customers when going to resturants,...
I take care of a lot of post-op cleft lip/palate kids and post-op protocol is to have elbow splints on. No MD order is needed q24h for the splints. Well another nurse said they were restraints while...
I've taken care of a few infants in which the parents added rice to the formula becuase they believed their infant had GER. The parents believed it helped treat the GER. None of the infants were dx...