umcRN BSN, RN

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All Content by umcRN

  1. umcRN

    Student Clickers?

    umcRN replied to arbor-vitae's topic in General Students

    This was a requirement at my school and I had certain professors use it as attendance...and he would walk around and make sure that no one had two! (in the larger pre-req lectures it would be easy to...
  2. umcRN

    Nursing Scrubs: The Material Makes A Difference

    umcRN replied to TheCommuter's topic in Scrubs, Uniforms, Gear

    I don't know what grey's anatomy scrubs are made from (i'm on vaca so I can't go look) but once I got a pair of those pants I could never go back to anything else! I would rather pay the higher price...
  3. umcRN

    GVHD

    umcRN replied to umcRN's topic in Oncology

    I forgot I had this post but wanted to thank you all for the replies. Think I will stick with cardiac & nicu kiddos for
  4. umcRN

    GVHD

    umcRN posted a topic in Oncology

    I took care of my first ever oncology pt the other day. I am a NICU and a peds Cardiac ICU nurse. This patient was in my cardiac ICU because pt was an "old" congenital heart (though I think pt would...
  5. umcRN

    I wish I knew (blank) when I was a new CCU RN...

    umcRN replied to luckynurse_1234's topic in CCU, Coronary, Cardiac

    this is in reference to peds cicu but maybe could relate to adults too. The heart does NOT like to be messed with and it can just up and decided not to work anymore whenever it feels. I learned this...
  6. umcRN

    Visitor silencing neighboring alarms

    umcRN replied to PediLove2147's topic in Patient Safety Issues

    Nope, not ok. I work in an ICU and we tell parents first thing they CANNOT touch medical equipment...even if they come to us from another hospital where apparently the care was so poor that the...
  7. umcRN

    Meditech and ICU Assessments

    umcRN replied to KymmD77's topic in MICU, SICU

    My facility doesn't use meditech but we have all computer charting (cerner). In the ICU I work in now we document like this: q1: vitals, I&O, drips, lines/tubes/drains q2: Neuro, ADL's q4: Pain...
  8. umcRN

    meds you see most often in PICU?

    umcRN replied to tots24's topic in PICU, Pediatric

    I think interviewers would be more interested in hearing about the patients you take care of in the home though. Meds you can learn but the patient population is special. Do you have any trached...
  9. umcRN

    Care Teams vs Primary Nurse? What do you do?

    umcRN replied to kellsM's topic in NICU, Neonatal

    I don't know. That just doesn't seem like a good practice to do with such a small unit. Pain for the nurses especially being unable to maybe have certain days off that you need. Yes I agree that...
  10. umcRN

    Care Teams vs Primary Nurse? What do you do?

    umcRN replied to kellsM's topic in NICU, Neonatal

    Huh? What is CCI? We do self scheduling. We have a 56 bed private room unit. Assignments are made by the charge nurse based on patient acuity. If a nurse wants to sign up to be a "consistent"...
  11. umcRN

    Communication with patients and families

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

    I commented on one feature of the article...when the way families understand things may differ from the care team. The other point of the article I can also comment on. I agree in part that we are a...
  12. umcRN

    Communication with patients and families

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

    Funny you should write this post as I have been dealing with this exact situation for the past 5 shifts! I have a patient who is a LOT sicker than he may appear on initial glance. He is in severe...
  13. umcRN

    Question on Lovenox injection aites

    umcRN replied to NicuGal's topic in PICU, Pediatric

    Interesting as I have not seen that much bruising. I just admitted a kiddo from another hospital the other day who had not been using the catheters and he was covered in bruises and his parents hated...
  14. umcRN

    Kudos to you neuro folks

    umcRN replied to IHeartDukeCTICU's topic in Neuro Intensive Care, ICU

    I was in the neuro icu once...as a patient! And I had fantastic nurses and while I work in a pedi cardiac icu, I could never do what you adult ICU nurses do and especially neuro! hourly neuro...
  15. umcRN

    Question on Lovenox injection aites

    umcRN replied to NicuGal's topic in PICU, Pediatric

    We also use upper arms and you could probably use abdomen if they are a little older, I've seen abdomen used anyways. Do you use insuflon catheters? You can use them anywhere you would do a sub-q...
  16. umcRN

    When patients hit close to home

    umcRN replied to LCinTraining's topic in General Nursing

    I guess this is a different situation but I'll share it anyways. My very first home nursing patient during clinical in school was a 60ish woman with advanced MS. My mother had been diagnosed with MS...
  17. umcRN

    Lazy nurse or what

    umcRN replied to Theguest2012's topic in Patient, Colleague Relations

    I work in an ICU and even with only one or two patients there are still days I don't pee or sit down! Just today I had one pretty stable kiddo and admitted another stable yet VERY chronic and complex...
  18. umcRN

    reading a tb skin test

    umcRN replied to kimd's topic in General Nursing

    Just a question...is anyone (RN) able to read a TB test? My roommate has a friend that needs her read by Monday and was wondering if I could do it. I've never read one before but know we were taught...
  19. umcRN

    Care Times

    umcRN replied to sab7169's topic in NICU, Neonatal

    we also run into this problem at times on my unit. Usually surgery turns up around 6am but they only come through once with their whole clan (residents, fellows, attendings)...they've been known for...
  20. umcRN

    I think peri/rectal swabs are a humiliating 'welcome' to the hospital

    umcRN replied to FireStarterRN's topic in General Nursing

    I was a patient not too long ago, initially admitted to the ICU but essentially walked in (had driven to the ER that morning) and I told the nurse I was very capable of doing my own swabs haha. Of...
  21. umcRN

    Cooling

    umcRN replied to Jtsqueek's topic in NICU, Neonatal

    100% agree, this does not sound safe! Now if you know the kid is going to be transferred for cooling then you might not have to take any extreme measures to warm them (don't put them on the warmer,...
  22. umcRN

    Y's vs. Stopcocks

    umcRN replied to luvsnicu's topic in NICU, Neonatal

    My NICU uses all two & three ways. The CICU/PICU uses stopcocks. I had a kiddo once in the NICU who was on so much stuff that it was a mess, also I felt like keeping the pressors in the front of...
  23. umcRN

    Transition to Comfort Care in the ICU: Bedside Monitor On or Off?

    umcRN replied to RNerd81's topic in Critical Care

    Morbid curiosity? I don't think so. Having never witnessed a close family member of my owns death but observing far too many parents/families going through the loss of their child I think it is a...
  24. umcRN

    Codeine for toddler?

    umcRN replied to imapsychrn's topic in Pediatric

    Sounds like you should probably talk to his doctor if you are
  25. umcRN

    DTaP booster

    umcRN replied to Double-Helix's topic in Pediatric

    I have not heard of this but I have a physical coming up and maybe I will ask when/if I last had it since I can't remember. We had a baby with pertussis in the NICU a few years back, ended up on ECMO...