qcumba

qcumba

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All Content by qcumba

  1. chylothorax

    qcumba posted a topic in PICU, Pediatric

    Hi, we have a 23 month old kiddo in our unit, who developed Chylothorax post TOF and ASD +VSD repair, he was transferred back to our hospital,his home town, he had to go out of town for the...

  2. B.Bruan Space pumps

    qcumba posted a topic in General Nursing

    Hi, we ar trying out these B.Bruan SPACE pumps, and I was wondering if anyone else out there has used them and what their thoughts are, firsthand they seem great,but we have only just started the...

  3. Coping with death

    qcumba replied to Emilyallen's topic in Pediatric

    Hi NICU nurse here, sorry if I'm invading your forum... We recently had a very sad loss in my unit, one of our micro's, a former 25wkr, 820g at birth we fought really hard along side him and his...

  4. Gastroschisis

    qcumba posted a topic in NICU, Neonatal

    Hi, I was just wondering if those of you in bigger units have seen this condition before? we are due to be admitting a baby this week with suspected gastroschisis or omphalocele, it will be the first...

  5. Gastroschisis

    qcumba replied to qcumba's topic in NICU, Neonatal

    Hi there, Just dropped by to let you know how our little guy is doing, he is still npo, on tpn and went for his secondary closure last week the surgeon says all he bowels looked good, no necrosis or...

  6. Gastroschisis

    qcumba replied to qcumba's topic in NICU, Neonatal

    Hi there, thank you Averysangels, will be in contact if I have any more questions, sory that I have been quiet, have been off from work with flu for the last few days, so am a bit out of the loop as...

  7. Gastroschisis

    qcumba replied to qcumba's topic in NICU, Neonatal

    Thank you prmenrs, for that referance and I will do a more specific search as well,I will definately be back I'm sure, asking questions is kinda my thing. And I will try and keep you updated on how...

  8. Gastroschisis

    qcumba replied to qcumba's topic in NICU, Neonatal

    thank you for all your replies and advice, I had a giggle at the tact and the emphasis on conveying said advice with respect :) us South African's have very thick skins and dont get offended easily,so...

  9. How do you measure temperatures?

    qcumba replied to EMSnut45's topic in MICU, SICU

    We use axillary temps on most of our patients, Bladder temps on our open hearts and our very untstable pyrexial patients get rectal temp probes which connect to our

  10. Intubation and Sedation

    qcumba replied to shannonFNP's topic in Emergency

    Hi,yes I tend to agree,I don't really think it's the best option either,sometimes we have to use huge doses to get the patient out enough to intubate,that we end up with a patient with no blood...

  11. Intubation and Sedation

    qcumba replied to shannonFNP's topic in Emergency

    Ok I seeI have caused some debate, let me clarify what I mean't, We use a stat dose of 10-15mg midazolam,intubateand then once the patient is intubated and ET is secured, position checked etc we...

  12. Intubation and Sedation

    qcumba replied to shannonFNP's topic in Emergency

    Reading through all these replies, it seems that we are the only unit who uses Midazolam/Dormicum, for intubations,and then dormicum and morphine post intubation for sedation, is there anyone else who...

  13. What HAVE you said to patients???

    qcumba replied to jessi1106's topic in General Nursing

    To a 9 year old brat, post cardiac surgery, after a long night of being ordered to lift/ lower the head of the bed, fetch that, bring this,refusing her oral meds and being a general PITA..eventually...

  14. Hi from South Africa

    qcumba replied to helpthehelpless's topic in General World

    Hi from a fellow south African :) Good luck with the rest of your studies

  15. B.Bruan Space pumps

    qcumba replied to qcumba's topic in General Nursing

    Thank guy's for all your input,sounds likethe manufacturing of air out of nowhere is a common problem with these pumps then, at present we are using the Baxter pumps,the colleague I think, and they...

  16. Is turning to supine considered a turn?

    qcumba replied to sockov's topic in MICU, SICU

    To be honest, I actually am not sure why we don't leave our pt's on thier sides after rubbing them, we do it with our baby's and kids but not the adult's - our unit is mixed we get all age's. I think...

  17. Is turning to supine considered a turn?

    qcumba replied to sockov's topic in MICU, SICU

    How do you manage to turn every 15 - 30 mins?? when do you do everything else you need to do and who has time to help you? Your unit must be really well staffed and you surely only have 1 patient. We...

  18. Please help

    qcumba posted a topic in MICU, SICU

    hi there, does any one know of a blood gas calculator that uses kPa instead of mmHg? I am stuck on a gas which indicates that the pH is elevated - 7.55- therefore showing alkalosis, with a pCO2 of 6...

  19. Please help

    qcumba replied to qcumba's topic in MICU, SICU

    thanks I will give that a try

  20. Anyone using 2% chlorohexidene bath packs?

    qcumba replied to nightshift82's topic in MICU, SICU

    not sure what bag baths are but all our ICU (mixed SICU and MICU)patients get bathed twice a day once for each shift usuing a chlorhexidine solution soap and we have very few cases of line

  21. tub bathing in the NICU

    qcumba replied to Cindy Lee's topic in NICU, Neonatal

    please explain what a swaddled tub bath is how do you wash them if theyre swaddled in

  22. supplies after discharge

    qcumba replied to acenab4jc's topic in NICU, Neonatal

    thank you love 2 learn, sounds interesting, wish they would implement that here, the constant charging is quite tiresome especially when you have other more important things to do, we usually have...

  23. supplies after discharge

    qcumba replied to acenab4jc's topic in NICU, Neonatal

    sorry for being obtuse, but are you talking about used supplies?? if not first of all why would you have more than one ETT, specifically for one child, surely they are ward stock? as should saline...

  24. supplies after discharge

    qcumba replied to acenab4jc's topic in NICU, Neonatal

    Why dont you just send it home with the baby? Thats what we

  25. surfactant use in older babies

    qcumba posted a topic in PICU, Pediatric

    Hi, just wondering if anyone has evidence of surfactant being effective when used in older babies and children ie 12 month old? thanks in