picurn10

picurn10

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All Content by picurn10

  1. Pressure reduction for ECMO kids

    picurn10 replied to meanmaryjean's topic in PICU, Pediatric

    we've had more than a few pts on ECMO who were so unstable, or their cannulas were so precarious, that we didn't turn at all, but its more typical to have to do small turns because they are unstable....

  2. What can you tell me about NEC?

    picurn10 posted a topic in NICU, Neonatal

    I floated to NICU and my pt got NEC and likely won't survive. I have to float to NICU frequently (usually once a month) but we typically get feeder/growers assigned to us. I feel like I caught the...

  3. What can you tell me about NEC?

    picurn10 replied to picurn10's topic in NICU, Neonatal

    why not do trophic feeds and keep them on TPN until they're term, or closer to

  4. Too many SNAT patients!!

    picurn10 replied to bungee's topic in PICU, Pediatric

    I agree that it is often the boyfriend, but we've had several recently (and my most traumatic case) where it was mom. That case was so chilling because we did the first brain death exam, and afterward...

  5. What can you tell me about NEC?

    picurn10 replied to picurn10's topic in NICU, Neonatal

    Thanks, everyone. It really makes me feel better to read your

  6. Too many SNAT patients!!

    picurn10 replied to bungee's topic in PICU, Pediatric

    see, our unit NEVER bans the family. I hate it! They say winter, particularly christmastime is busiest time for it. I've also heard the economy is leading to a rise in abuse

  7. What's you'r favorite PICU moment? What keep's you coming back!?!??

    picurn10 replied to Sk8mannate's topic in PICU, Pediatric

    It's always the little moments for me. When you can tell you've made a difference for someone. Certainly after a code or a hard fight to save someone. Or even a meaningful end of life case. One that...

  8. auditing call lights?

    picurn10 posted a topic in General Nursing

    Any one else dealing with this at their hospital? We were told that our call lights were being audited from now on. In ICU we rarely have call lights (we're typically in the pts room or very close by,...

  9. auditing call lights?

    picurn10 replied to picurn10's topic in General Nursing

    my thought is that these hospitals with a focus on customer service need to have a pt consierge! They could run around fluffing pillows, bringing ice to pts, snacks to families, and all manner of butt...

  10. auditing call lights?

    picurn10 replied to picurn10's topic in General Nursing

    wow, that RN tracking thing is INSANE! I think I'd quit at that point. Turnover in our unit is super high as it is. interesting to know that other places do this as well, I though it might just be my...

  11. why did you pick the speciality you are in?

    picurn10 replied to wish_me_luck's topic in General Nursing

    I always knew I wanted to do ICU and work with kids. I thought I wanted to do NICU, until I had clinicals and realized there wouldn't be much variety (NICU babies seem to have the same set of...

  12. Black - The New White For Nurses?

    picurn10 replied to JerseyBSN's topic in Scrubs, Uniforms, Gear

    our hospital's NICU just picked black for their scrub color and I was shocked! It seems like such a harsh, non-kid friendly color. Honestly, there is tons of research into colors and public perception...

  13. daily weights in your unit?

    picurn10 posted a topic in PICU, Pediatric

    how does your unit handle weighing pts? Our standing policy is daily weights for all pts. We have about half our beds that actually have scales, for all the rest we have to put the pt in a sling...

  14. Patient assignments - Are nurses assigned to empty beds

    picurn10 replied to LearningAboutNursing's topic in General Nursing

    In the ICU, everyone can typically handle high acuity. If the pt is just a train-wreck from the get go, they will typically reassign the nurse's first pt to someone else so that nurse only has one pt,...

  15. e-MAR headaches!!!!!

    picurn10 replied to UnionRN2's topic in Patient Medications

    hmmm, that sounds terrible. Our physicians write an order and a paper order prints, and an electronic copy is sent to pharmacy. At most it takes 10mins for it to show on the emar and the pyxis. If its...

  16. Patient assignments - Are nurses assigned to empty beds

    picurn10 replied to LearningAboutNursing's topic in General Nursing

    In my unit we typically have one nurse "open for an admit", meaning one actual assignment, and one empty bed. They don't actually decide which room until there is a pt on the way, but its near the...

  17. daily weights in your unit?

    picurn10 replied to picurn10's topic in PICU, Pediatric

    Sorry if my post came across that I was offened, not at all! I was just explaining why we can't pick up many of the pts. The more feedback I'm reading here, the more I realize it is unreasonable to...

  18. Shift-to-shift report in front of patient and family

    picurn10 replied to Piglet08's topic in Patient Safety Issues

    yes, bedside report is part of the "customer service model" that is proving to have dangerous pt outcomes, but because they government and insurance companies are starting to reimbure on "pt...

  19. daily weights in your unit?

    picurn10 replied to picurn10's topic in PICU, Pediatric

    babybluenurse, how do you lift a 50kg intubated pt w/ ct's, drains, on CRRT, or whatever the case may be? We have kids from 0-21yr and so other than a sling scale there isn't a way to lift them up....

  20. daily weights in your unit?

    picurn10 replied to picurn10's topic in PICU, Pediatric

    lol, I didn't pick up on the "snot" vibe, but apology accepted

  21. 3 things you wish someone would have told you, that you had to find out on your own..

    picurn10 replied to OnlybyHisgraceRN's topic in General Nursing

    dont always defer to "more experience" or "the expert" when you feel like something's wrong. I had a situation not too long ago where this was highlighted: Both the attending and two residents...

  22. daily weights in your unit?

    picurn10 replied to picurn10's topic in PICU, Pediatric

    lol, I do understand the concept of zero'ing a bed Ashley is gettting what I'm saying. So, day 1 the pt bed is zero'd w/ a sheet and one pillow. No one writes down what was on the bed. Day three I...

  23. Alcohol swabs and iv access ports

    picurn10 replied to luellamae's topic in Patient Medications

    there is a really cool poster out there somewhere (we have them in our hospital but I've seen it online) that shows the difference on the hub under the bioluminecent light at 5, 10, and 15 seconds of...

  24. Air in IV line

    picurn10 replied to beatrice1's topic in Patient Medications

    I'm sorry but you have the pathophys on this all wrong! We aren't worried about stroke from air in the line, we're concerned about air embolism. This can be caused by a pocket of air entering the...

  25. daily weights in your unit?

    picurn10 replied to picurn10's topic in PICU, Pediatric

    Very interesting to have the other perspectives, thanks! Janfrn, just to be clear, I do understand how zero'ing works Our problem is that often the nurse zero'ing the empty bed forgets to list what...