harryalexx

harryalexx

Critical Care, Pediatric

Member

  • Content

    18

  • Visitors

    3,014

  • Followers

    0

  • Likes

    0

All Content by harryalexx

  1. Intralipid (20%) infusion administration

    harryalexx posted a topic in PICU, Pediatric

    Hi PICU nurses, I have a question regarding practice in your unit about intralipid infusions (20% fat emulsion). Do you run them independently of the PN (if PN is also on board)? Do you run them via...

  2. Intralipid (20%) infusion administration

    harryalexx replied to harryalexx's topic in PICU, Pediatric

    Thanks so much for the reference...I wasn't even aware of this resource! I'll check in over there as well. Since initially posting this, I took this problem (with a couple other nurses) to a higher...

  3. Intralipid (20%) infusion administration

    harryalexx replied to harryalexx's topic in PICU, Pediatric

    Thanks for the responses. googabin02: I'm surprised that they run alone all the time. We routinely run lipids with Laxis or fentanyl +/- a few other drips. We also run TPN with the manifold/drips....

  4. Pediatric cardiac surgery ICU nurses, anyone?

    harryalexx replied to natashakin's topic in PICU, Pediatric

    I also work in a cardiac PICU, and know 10-15 people (MDs and RNs) who've all done work with ICHF or other organizations. Some hospitals even sponsor the trips. It's a cool experience from what...

  5. National Certification for PICU other than CCRN

    harryalexx replied to 01bgent's topic in PICU, Pediatric

    CCRN-P is pretty much the gold standard for PICU certification. Even my friends who work on the floors say that CPN is very, very well-child focused. It's basic pediatric things that should arleady...

  6. Feeling down; Received first bad evaluation

    harryalexx replied to dankat's topic in PICU, Pediatric

    Good luck, dankat! It sounds like you have a good head on your

  7. Question about zeroing lines

    harryalexx replied to meluvsquki's topic in PICU, Pediatric

    I think part of the orientation and reeducation of RNs in an ICU should include a basic physics overview. And why we do what we do. I don't like how a lot of people do things out of habit or "just...

  8. Dedicated med lines

    harryalexx replied to umcRN's topic in PICU, Pediatric

    The only thing I'll add to what janfrn said (as my unit is quite similar): The med lines we use have a slide-clamp. We recently (2 years ago?) standardized its location to be between the tubing...

  9. Question about zeroing lines

    harryalexx replied to meluvsquki's topic in PICU, Pediatric

    What she said...hahaha! Janfrn, I wish I worked with you. I have a lot of coworkers who think that a patient who has moved, or changed bed position, or sat up, needs to have their pressure lines all...

  10. PICU Practicum

    harryalexx replied to Sinman's topic in PICU, Pediatric

    How awesome for you! Congratulations! PICU is an amazing place to be for learning. I hope that the unit gets you involved and loving PICU. As for advice, I would say start off with what you think a...

  11. Feeling down; Received first bad evaluation

    harryalexx replied to dankat's topic in PICU, Pediatric

    Like everyone else has mentioned, 8 weeks is such a short period of time in the grand scheme of things! The orientation the new hires on my unit get STARTS at 8 weeks, and goes from there. It's kind...

  12. Moving to LA area... advice on hospitals?

    harryalexx replied to ekr15's topic in PICU, Pediatric

    Hi ekr15, I also work at CHLA full-time, as well as a per diem (3x/month) in a PICU by where I live. It's true that CHLA doesn't pay top dollar, but you can comfortably live in LA with what you'll...

  13. Precedex gtts in the PICU

    harryalexx replied to kessadawn's topic in PICU, Pediatric

    I work in a CV (CT) peds ICU and we use Precedex (dexmedetomadine) quite frequently on the hard-to-sedate post-op children. We're a large center on the West Coast and do a lot of cases. I've found...

  14. ANY CVICUs/ICUs hiring new grads?

    harryalexx replied to scarcity21's topic in CCU, Coronary, Cardiac

    The hospital in which I work hires new grads into a 22-week long "RN Residency." It's amazing! It's a pediatric teaching hospital (Magnet status). Send me a PM if you're interested in more...

  15. How many patient's do you normally have?

    harryalexx replied to bamagt's topic in CCU, Coronary, Cardiac

    I work in a peds CTICU. My state regulates that pediatric nurses never get more than 4 patients. And in the ICU, you won't get more than 2 patients. A pair (2 pts.), though, tends to be more work...

  16. RN ethical dilemma

    harryalexx replied to cwishes's topic in General Nursing

    I am with this poster. Education is central to our profession. Persuasion and coercion are nasty weeds that find their way in. I've seen (and I think we all know) the difference. Scaring a person...

  17. Is med-surg really the best place to start as a new grad?

    harryalexx replied to Valerie916's topic in General Nursing

    Hi there! Congratulations on almost finishing! What a great accomplishment :) I am going to disagree with the previous posters, with some conditions. If you live in a large metropolitan area, I...