umcRN BSN, RN

umcRN has 4 years experience as a BSN, RN.

Latest Activity

1. 

   Peds CVICU vs NICU

   umcRN replied to MGMR's topic in PICU, Pediatric

   We teach our new grads to not get too hung up on the cardiac defects during the first weeks of orientation. Better to get your "normal" cardiac anatomy down and focus on getting solid assessment,...
2. 

   Head walls or booms??

   umcRN replied to NotReady4PrimeTime's topic in PICU, Pediatric

   Our unit was recently built and opened a little over 3 years ago. We have booms and 99% of the time I love them. The only part I do not like is that only one boom has the necessary oxygen/medical air...
3. 

   Long term care in PICU

   umcRN replied to nurseiam's topic in PICU, Pediatric

   We don't have a vent unit so all our long term kids (who usually are trached/vented) stay with us. We just celebrated two first birthday's back to back actually. Now assessments and monitoring are pt...
4. 

   Peds CVICU vs NICU

   umcRN replied to MGMR's topic in PICU, Pediatric

   I made the switch from NICU to CICU for several reasons. One; my original "5 year plan" was (like many new grads) to get my two years experience and move on. I am not from the state where I work and I...
5. 

   Peds CVICU vs NICU

   umcRN replied to MGMR's topic in PICU, Pediatric

   I have done both and prefer CICU which is where I work now. While there is a MAJOR focus on the heart you also have to remember that the heart effects every organ system, and many kids with congenital...
6. 

   Parents required at bedside?

   umcRN replied to Nepenthe Sea's topic in PICU, Pediatric

   I work in a peds CICU but also float to the picu and nicu (and used to work there). No where in my hospital are parents required to stay, even on the floors where nurses have much less visibility of...
7. 

   Code Cart/Box

   umcRN replied to morgan_porgan's topic in NICU, Neonatal

   same code cart used throughout the hospital (children's hospital). Top drawer has meds, each subsequent drawer is organized by weight with each weight being a different color drawer, I'm not sure the...
8. 

   Patient age limit?

   umcRN replied to VintageSwagger's topic in NICU, Neonatal

   We don't transfer out often, I've seen a few instances: 1. chronic ex preemie with pulmonary hypertension being followed by the PH docs in house, they will often transfer to the cardiac icu somewhere...
9. 

   Housing near MedStar Washington Hospital Cente

   umcRN replied to VickiZRN's topic in General Nursing

   There isn't much I would consider "safe" right around WHC, as others have said most people
10. 

    Berlin's and toddlers

    umcRN replied to umcRN's topic in PICU, Pediatric

    I wish. And for the record we're not frustrated with her, she is exceptionally well loved by our unit, very cute and a delightful little girl, we are frustrated with the situation. She needs...
11. 

    Berlin's and toddlers

    umcRN replied to umcRN's topic in PICU, Pediatric

    We're going on four months...O
12. 

    Berlin's and toddlers

    umcRN replied to umcRN's topic in PICU, Pediatric

    It takes us FOUR people to hold this two year old down and sans sedation she screams bloody murder and shoots her heart rate up to 230+, even though her sites are completely healed. Our child life and...
13. 

    Berlin's and toddlers

    umcRN replied to umcRN's topic in PICU, Pediatric

    Well our hospital will definitely not be sending them to the floor anytime soon...years maybe, our "stepdown" is a bit of a joke. (" oh we have to wean your milrinone by 0.2? Back to icu for you, home...
14. 

    Berlin's and toddlers

    umcRN posted a topic in PICU, Pediatric

    Hello all! My units been doing Berlins only for about a year now and our previous patients have all been babies. Our current patient is two. Our unit does not send vads to step down and this pt is a...
15. 

    Neonatal dialysis?!

    umcRN replied to Ack_RN's topic in NICU, Neonatal

    We use regular crrt (as in the same machine the picu uses) in our cardiac icu neonates all the time with or without ecmo. Smallest i've seen was 3kg. I'll have to read that article at some