umcRN BSN, RN

Member

  • Content

    867

  • Visitors

    24,279

  • Followers

    0

  • Likes

    13

All Content by umcRN

  1. umcRN

    Infant liver transplants and morbidity

    umcRN replied to NotReady4PrimeTime's topic in PICU, Pediatric

    unfortunately we don't do liver/small bowel transplants at my facility. Another hospital in my city, while it doesn't specialize in peds, was one of the first centers to begin liver/bowel transplants...
  2. umcRN

    AMA Discharges

    umcRN replied to catlover314's topic in NICU, Neonatal

    well not in the nicu, but I had a mother in the picu threaten to leave with her elementary school aged child (who had not yet stood up since OPEN HEART surgery), who still had bilateral chest tubes,...
  3. umcRN

    isolettes and premies

    umcRN replied to ladytraviler's topic in NICU, Neonatal

    a micro preemie
  4. umcRN

    Neonatal/Pediatric Transport team

    umcRN replied to JennyHaverly's topic in PICU, Pediatric

    Hmm. We have a primary NICU and Peds transport teams. NICU gets all babies, including those that go to the cardiac ICU, Peds gets everything else. They do not work on the units when they are on...
  5. umcRN

    isolettes and premies

    umcRN replied to ladytraviler's topic in NICU, Neonatal

    Well I work in a NICU so any baby in an isolette or on a warmer will always have a temp probe. I would guess that that's recommended because without a temp probe you could over heat. We do NOT dress...
  6. umcRN

    PICU, NICU, CICU

    umcRN replied to Soliloquy's topic in Pediatric

    I think if its peds med surg you shouldn't have a problem, especially with PICU. I have worked both NICU and CICU and both units use travelers frequently, in fact I am planning on travelling next year...
  7. umcRN

    Do you take vitals on babies who are sleeping?

    umcRN replied to chariot's topic in Pediatric

    Yup. I work in an ICU so we're a bit more strict with that but on our step down they still do vitals q4, the techs can try to cluster them to when their awake but it doesn't always work that way and...
  8. umcRN

    Hoping for new grad picu

    umcRN replied to Belle2013's topic in PICU, Pediatric

    Start looking for jobs early, December/January, this is when a lot of places start putting up their new grad positions. Keep relocating open as a possibility if able. Most major children's hospitals...
  9. umcRN

    Applying for a job while still in nursing school?

    umcRN replied to ilovemicrobiology's topic in General Nursing

    YES! Apply! It doesn't hurt to put in an application. I applied for my job in December, interviewed & was hired in January, graduated in May, took the NCLEX in June & started working in...
  10. umcRN

    Should a nurse ask to be assigned to specific patients?

    umcRN replied to DoraSanchez's topic in Patient, Colleague Relations

    In the NICU it was encouraged to sign up for a "primary" patient. You would then have that patient every time you worked until the baby went home unless you decided you needed a break, you could come...
  11. umcRN

    When a patient states "something isnt right..."

    umcRN replied to turnforthenurse's topic in Patient, Colleague Relations

    Guess I also experienced this as a patient too...but silly nurse me, I tried to ignore that something was wrong for a long time. When I finally saw different doctors though they didn't believe me,...
  12. umcRN

    When a patient states "something isnt right..."

    umcRN replied to turnforthenurse's topic in Patient, Colleague Relations

    This happens a lot in peds where the parents say something isn't right with the child but can't quite put a finger on it. LISTEN TO THEM! Watch them, notify the doc, in peds we heavily rely on the...
  13. umcRN

    How does your facility flag blind patients?

    umcRN replied to notjustanurse's topic in General Nursing

    Bracelets make way more sense though. No lie, I had a "falls risk" sign hung around my neck when a transport person brought me for an MRI, that on top of the piece of paper they had to get signed when...
  14. umcRN

    How do you deal with overbearing family members?

    umcRN replied to liveyourlife747's topic in Patient, Colleague Relations

    No matter where you work there is always going to be a "difficult" patient, family etc. And often times it is true that the family does know the patient better than we would and they are looking out...
  15. umcRN

    Extreme Lab Values

    umcRN replied to TX.RN.Shannon's topic in General Nursing

    pshhh 7.04? I've seen less than 6.9, sustained for days! Pt also had a WBC of 68! Kiddo survived too! Is she neurologically intact? No, but she wasn't prior to the event either, smiles & interacts...
  16. umcRN

    To the nurses who work on the Peds/maternity floor: what are the NA roles?

    umcRN replied to chariot's topic in Ob/Gyn

    there are also baby scales, same used in doctors offices to weight the little ones. I work in an ICU so our nursing assistants don't do too much patient care but they can get feeds ready for us...
  17. umcRN

    Resuscitation equipment

    umcRN replied to menemsha's topic in NICU, Neonatal

    what do you mean equipment? and what is a "kangaroo board"? You should have a code cart nearby, and EVERY baby should have an ambu bag/mask set up and attached to oxygen at the bedside, you should...
  18. umcRN

    Orientation

    umcRN replied to karnicurnc's topic in NICU, Neonatal

    10 weeks does not seem long enough! As a new grad I had 6 months! It was broken into three phases, phase 1 (feeders/growers, stable admits, bili lights, nasal cannula/vapotherm etc). Phase two (stable...
  19. umcRN

    Anyone used music as an intervention?

    umcRN replied to mamatara's topic in Critical Care

    well I work in pediatrics in a fairly well off hospital so that helps. Every patient has their own room and every room is set up with a TV and a "Get Well Network". Basically it's a hospital...
  20. umcRN

    Disgusted - wipes for bathing

    umcRN replied to beeker's topic in General Nursing

    I work in a PEDIATRIC icu...and we are supposed to use the WIPES! :-( The rationale being that bacteria can grow in the plastic buckets between washes and cause infection. Ok, my fresh, night one,...
  21. umcRN

    RAM Cannula

    umcRN replied to juliachloe's topic in NICU, Neonatal

    So I Know this is an old post but I had to share. I just saw this used on my unit for the first time. This is a pedi CICU and it was used on a 3 mo old whose been intubated his whole life. They...
  22. umcRN

    Poll to " former" new grads. How did you land that 1st job?

    umcRN replied to NursieNurseLPN's topic in Job Search, Interview, Resume

    I started applying about 6 months before my graduation. I knew I wanted peds and nothing else so I literally applied to every major children's hospital/hospital system with pediatrics across the...
  23. umcRN

    RN Propofol/Vecuronium IV push, is it ever legal???

    umcRN replied to jamesk78's topic in MICU, SICU

    I've never given propofol on my unit but I routinely give vec & roc to my INTUBATED patients, we frequently have little cardiac babies/kiddos whose sick heart and lungs just cannot tolerate ANY...
  24. umcRN

    transfer to another unit? how?

    umcRN replied to cantdoit's topic in General Nursing

    I had to work a year on my unit after I got off orientation (new grad). I stayed for two years then wanted to try something else. I made the mistake of applying to another unit before talking to my...
  25. umcRN

    NICU question

    umcRN replied to SE_BSN_RN's topic in NICU, Neonatal

    VERY different, not only because the patients are smaller, their lung compliance is different, their lung diseases are different, the vents themselves are different, the different modes of ventilation...