gal220RN

gal220RN BSN, RN

peds critical care, peds GI, peds ED

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All Content by gal220RN

  1. "A BP of 70/30 is normal"

    gal220RN replied to TigerGalLE's topic in General Nursing

    Tigger: Feel good about the fact you did the right thing in escalating the care and forcing the issue with this idiot doc. If you have rapid response, you should be able to take the issue higher...

  2. How to deal with death of toddler death on picu..

    gal220RN replied to nd deb's topic in PICU, Pediatric

    Let me tell you the story of Daisy. Daisy was admitted 2 days before Christmas, with a history of fever, lethargy and some impressive bruising and petechiae. On CBC, she had WBC >100K with...

  3. getting rid of an air bubble in an IV line

    gal220RN replied to Implacable's topic in Patient Safety Issues

    Absolutely. If you reference the IHI website (the national group who sponsored the 100K lives campaign and were the first to shine the spotlight on BSI), the evidence for all the BSI guidelines and...

  4. getting rid of an air bubble in an IV line

    gal220RN replied to Implacable's topic in Patient Safety Issues

    I appreciate your attention to details. After being a nurse for as long as I have, you do learn not to sweat the smallest stuff. Here are a few hints for you: 1. The best method to remove air from...

  5. advice requested= track to PICU

    gal220RN replied to jopadeevra's topic in PICU, Pediatric

    Congrats on your graduation from school! Let me say first and foremost that as a new grad, the most important thing to know is where you are- not just clinically, but emotionally. I did my senior...

  6. Sedation Problems on CVVH?

    gal220RN replied to gal220RN's topic in PICU, Pediatric

    Most of our kids are intubated as well, but we still have a difficult time keeping them sedated. We use vec all the time, but our docs do not paralyze as a standard of practice. We usually have to...

  7. Sedation Protocols

    gal220RN replied to nicksmom's topic in PICU, Pediatric

    We do use a sedation protocol. I am surprised to see so many of you use morphine as your narcotic. We never use it on intubated patients- only fentanyl. About 50% of our kids are on a...

  8. First week in PICU

    gal220RN replied to RNNPICU's topic in PICU, Pediatric

    Hang in there. Were you not humbled, I would be worried. The new grads that are dangerous are the ones who come in acting like they know everything. They can be unteachable. I love precepting new...

  9. Anyone working at Duke? I have question about pay range

    gal220RN replied to NurseAmy's topic in North Carolina Nursing

    Hey there friends: We are most probably moving to Durham in the next 3-4mos. I am a PICU RN with 14 years of nursing experience. I also have my CCRN in peds. I was excited about the PICU...

  10. ECMO

    gal220RN replied to 3230's topic in PICU, Pediatric

    I think the thing to remember with ECMO or even HFOV is that these are rescue therapies, not standard treatment. When you reach the extent of the gold standards of treatment for very sick kids, all...

  11. PICU - What kind of pt. is hardest emotionally for you?

    gal220RN replied to MA Nurse's topic in PICU, Pediatric

    What a difficult question to ponder. For me, it is the kids who actually speak to me before they crump before my eyes and die violently while we try to save them, pounding and sticking. This has...

  12. Let's talk about death

    gal220RN replied to Okiecruffler's topic in PICU, Pediatric

    I am comforted to know so many of my fellow PICU endure the same tragic, gut wrenching experiences all over the world, every single day. After 14 years of pediatric nursing, 7 in peds critical care,...

  13. ECMO

    gal220RN replied to 3230's topic in PICU, Pediatric

    Just a comment about transporting on ECMO- damn! I had no idea that happened. I can't imagine the logistics. Our institution is also very choosy about who meets criteria for ECMO. I know they...

  14. ECMO

    gal220RN replied to 3230's topic in PICU, Pediatric

    I have absolutely seen RT's running ECMO circuits. The RN usually is running CVVH at the same time along with doing patient care. Better hope for a good working relationship among the

  15. I have had it!!

    gal220RN replied to kessadawn's topic in PICU, Pediatric

    What a wonderful blessing to find out you are not alone in this frequent tragedy that eats into the PICU world like an insidious cancer. As PICU nurses, we grieve over children who have organic...

  16. Peds CCRN

    gal220RN replied to RaggedyRN's topic in PICU, Pediatric

    Good for you! Studying for the CCRN took me 6 months of fairly intense review. I used the Core Curriculum, Hazinski's reference on Pediatric Critical Care and the audio CD's, which were fantastic....