nocangel2

Seattle Children's is Hiring for PACU, PICU, OR and some clinic positions.

We can get the LMX on override if we want it and the J-tip by order. However, I agree with the vasoconstiction comments. For infant to 5y the holding down seems to be the worst part and that can't be fixed. We just use distraction and emotional supprort of course, plus the child life specialist during the day.

Saline locks for PIVs Q8hr, PICC lines get heparin Q12. All ages. If you do a lit search you will find that the newest research reflects that fact that there is no great incidnece of clotting with saline vs heparin as long as turbulent flushing techinque is used. Hope that helps.

RN pediatrics, Seattle, WA- 28 beds Census up for resp season. No change in staffing. Hosp cont to recruit new RNs.

Neb till clear right? PICU does the cont nebs for us, we will only take them after they have gone to q2. I know that is only one therapy, however. Vapotherm, O2, Decadron, atrovent etc.

We are slowly phasing the practice out.( you always have some MDs who want it) It is anxiety producing for mom and disruptive for baby as they have to get all cold and uncomfortable to be reweighed again after feeding. We are going by lact cues i.e. latch, suck, time and emptying to gauge how much if any to gavage. Remember you can alway do nonutritive suck with a gavage if the pt is latching poorly or fatigued which is comforting to all. If you really need to know you can always suck it back out the NG. We have a feeding advancement protocol we use and I could always forward it to you if you are interested.

PICU or Peds flex RN (ICU trained), intensivist, peds hosp and RT. Our hospital is not peds stand alone but has a NICU, PICU, ISCU and peds unit so we have the staff to man that group 24/7. I don't know that your facility will. Good luck getting the ball rolling. You've got to start somewhere after all!

axillary for us. We have digital with disposable plastic covers. they read in less than 1 min. Very nice for squirmers.

Sometimes morale is shift to shift. I know that my night shift has great morale and it seems to be lower on days. My personal opinion for the difference is that we are really there for each other and often do tasks for each other without being asked. We also frequently bring in treats for each other like cookies or even just coffee creamer. That always gives everyone a boost! :redbeathe We also frequently tell each other how much we appreciate a co-worker. Good manners, doing a little extra for somebody else and a sugar fix. That seems to be our receipe for happiness! Good luck!

Been there and learned from it. They do have to pay you, and you are correct that once you left with the family you had to stay, if there was not another RN to assume care. Otherwise you potentially could be liable for abandonment if something happened. Next time, my advice is.. if it truly is an "emergency" call 911 for the transport to the nearest ER and report off.

We had it, we eventually wore them down and they took them away. Scripts too. Now they are trying something new and want to take away all our brain sheets and replace them with standard sheets "everyone" will use. We will see how long that lasts....

Our protocol is infants-2y: admit then QD 2y-8y-Q8hr 8y and on-with scheduled VS unless otherwise ordered. This of course changes if they are post-op then it is the same protcol as adults. Or if they have a condition that indicates more freq monitoring. i.e. VP shunt placement, cardiac issue etc. You use your clinical judgement.:wink2:

Betadine for cleansing prior, sterile tech. naturally. We only irrigate usually on a ureter reinplant or similar surgery where occlusion is common. Sterile tech. Usually, 1-2x per shift as necessary. Remove ASAP. Also, usually on ABX anyway for the surgery. No secondary UTI's that I know of. hope that helps!

That is our present practice as well. The research I have been reviewing in most cases suggests that this is fine. One or two however have indicated that most infection is cased by retrograde flow and that the bacteria may not be removed by just rinsing. Since most of our bolus pts are either NICU graduates working up on feeds or kids with chronic GI issues, they would be the vulnerable population likely to come up with a rare case like that. So, just looking for some other hospital policies for consensus. Thanks!

Yes, Nursing assistant-certified. costs about 250$ to get the certification I believe.