tryingtohaveitall

tryingtohaveitall

PICU

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All Content by tryingtohaveitall

  1. Harsh coworker makes me feel stupid & hate going to work!

    tryingtohaveitall replied to Isadora_Faye's topic in First Year After Licensure

    I agree with the PP who recommended you ask her if there is a reason she seems to dislike you. I'm going to try and give her the benefit of the doubt and hope that she doesn't realize how she's...

  2. What do use to mix IM injections?

    tryingtohaveitall replied to guardwife's topic in PICU, Pediatric

    You piqued my curiosity, so I went looking to see what actually is recommended to use as a diluent for Rocephin. This site lists NS, sterile water, D5W, and lidocaine....

  3. Cipro and ITP. What would you do?

    tryingtohaveitall replied to tmd76's topic in Emergency

    There's such a ridiculously loose association between the Cipro and the code that I can't believe the dr is even trying to make an issue of this. You did what you were supposed to, no way there's a...

  4. share your touching moments

    tryingtohaveitall replied to AliRae's topic in PICU, Pediatric

    i hear you. i find myself remembering this

  5. CRRT

    tryingtohaveitall replied to NotReady4PrimeTime's topic in PICU, Pediatric

    Our PICU has done CRRT for many years, 14, I'd guess. The last several years we've been using the Prisma and it's worked well. Our training on our new machine begins next month. What we have done in...

  6. How often do you assess your patients?

    tryingtohaveitall replied to MissAnthrope's topic in MICU, SICU

    In our PICU it's a full head-to-toe assessment at least every 2 hours, every hour if they're unstable or have a strong potential to become

  7. HIT in Pediatric Patients

    tryingtohaveitall replied to mabell52's topic in PICU, Pediatric

    Several years ago we changed from 1:1 heparin to the premix 2:1 for our a-lines and CVPs. Most run the 3ml/hr from the standard setup, but if it's a teeny tiny we'll put it on the NICU setup that runs...

  8. what is the layout of your unit

    tryingtohaveitall replied to kidsccrn's topic in PICU, Pediatric

    Our PICU sounds very similar to the OP's new unit. We have 15 beds, 13 rooms with 2 that can be doubled for sibs or times of high census. Before our renovation we were a 19 bed unit and yes, we do...

  9. soluset/buretrol tubing

    tryingtohaveitall replied to picucrn's topic in PICU, Pediatric

    Our children's hospital got rid of buretrols probably 15 years ago. I haven't noticed any difference in

  10. PICU RN and a parent?

    tryingtohaveitall replied to MommyandRN's topic in PICU, Pediatric

    Great

  11. Contact the nurse manager??

    tryingtohaveitall replied to Sarah LnDHopes's topic in General Nursing

    You could, though I'd try first to get it through the hospital website or the operator. The unit's probably a busy place without time to answer

  12. Is one year of med/surg necessary?

    tryingtohaveitall replied to Lpn1997's topic in General Nursing

    I think you're probably getting great experience. If you don't have the desire to make med-surg your career, then I don't understand the "need" to do MS for a year. I worked a peds cardiopulm floor...

  13. Contact the nurse manager??

    tryingtohaveitall replied to Sarah LnDHopes's topic in General Nursing

    I think it's fine to leave the unit manager a message or send an e-mail summarizing your experience and desire to work there. We have seen applications lost or never sent along by HR, even on...

  14. babies or NP first?

    tryingtohaveitall replied to crazylilkelly's topic in Nurse Practitioners, NP

    I have 5 kids, work part time, homeschool 3 of them, and am slowly working towards my AC-PNP. It is a ton of work, yet I don't think for me, that I'd have done it any other way. The one thing I will...

  15. Parental Obstruction of Care

    tryingtohaveitall replied to Mimsy909's topic in PICU, Pediatric

    One other comment, many/most of the Munchausen's cases I have dealt with started with a true illness with the child. My theory is that the family/parent started enjoying the attention and couldn't...

  16. Parental Obstruction of Care

    tryingtohaveitall replied to Mimsy909's topic in PICU, Pediatric

    hmm, i disagree that it's not munchausen's. pulling out invasive lines that have to be put back in? shutting off dobutamine? those are harmful to the patients and they are doing it. sure sounds like...

  17. PICU RN and a parent?

    tryingtohaveitall replied to MommyandRN's topic in PICU, Pediatric

    I've been a PICU nurse for 18 years and a parent for 15. While I love it and I feel called to this field of nursing, it also has made me a paranoid mother. I'm sure I worry more than most about my...

  18. Is it difficult to get into PICU or NICU?

    tryingtohaveitall replied to PLM311's topic in Pediatric

    One suggestion, try working as a nurse's aide in a PICU or NICU. Not only will this help you get valuable experience and help you figure out if this is an area you enjoy, but it will also help you...

  19. PSA: When weighing kids be careful about what you chart.

    tryingtohaveitall replied to MIcrunchyRN's topic in Pediatric

    I transport pediatric patients from adult hospitals back to our children's facility. We ONLY document weights in kg, whereas it's common for the adult facilities to tell me the child's weight in lb....

  20. No more buretrol/burette?

    tryingtohaveitall replied to MikeyJ's topic in Pediatric

    The children's hospital at which I work did away with buretrols probably 14 years ago. I haven't seen any difference in the safety, i.e. it is very rare to hear about a problem and it has always been...

  21. nursing care of a family suspected of childabuse?

    tryingtohaveitall replied to mashamontago's topic in General Nursing

    What specific questions do you have? Some tips, you treat them like you do anyone else, though we all acknowledge that's easier said than done. Document their interactions with the child,...