umcRN BSN, RN

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All Content by umcRN

  1. umcRN

    How clean is a "bathed" patient?

    umcRN replied to tiredtech's topic in Patient Care Technician, Assistants

    I was a tech for two years while in nursing school and believe me my patients were BATHED. Soap, water, piles of wash cloths and towels. Now I work in a pedi ICU and techs don't do baths the RN's do....
  2. umcRN

    Cooling

    umcRN replied to Jtsqueek's topic in NICU, Neonatal

    Oh yes! Dead on with the fluids, ugh they're a nightmare! Ours are also usually 2:1 for initial cooling...although not necessarily assigned that way but we have two charge nurses and the second one...
  3. umcRN

    Dealing with siblings

    umcRN replied to nocturncal's topic in PICU, Pediatric

    Something about twins huh? We had a little guy who was going to have care withdrawn, he was 3 and had a twin sister. She wanted to see him so we got him cleaned and covered (his chest was open, on...
  4. umcRN

    Cooling

    umcRN replied to Jtsqueek's topic in NICU, Neonatal

    We cool newborns for HIE. I went to a conference on this and it is highly recommended that cooling be done in a center that has 24/7 access to neonatal neurology, continuous EEG monitoring, MRI and...
  5. umcRN

    When you are the patient. Do you get nervous about it?

    umcRN replied to dudette10's topic in Patient, Colleague Relations

    I woke up kicking and fighting everyone around me! I managed to get my poor nurse (who was a sweetheart by the way and I really liked her and apologized later) as well as tried to pull my a-line out....
  6. umcRN

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

    umcRN replied to RNerd81's topic in Critical Care

    We have a "comfort care" mode built into our monitors. It turns all the vitals/numbers on the screen purple, no alarms will sound but if something drops below your limit (which we can change in cases...
  7. umcRN

    Early Extubation Protocol in PEDS/CICU

    umcRN replied to karenychu's topic in PICU, Pediatric

    I sent you a private
  8. umcRN

    Do children's hospitals hire?

    umcRN replied to umcRN's topic in Travel

    I work at CNMC, hehe meeting lots of travelers who have helped fuel my desire to do this but someone had mentioned to me that other children's hospitals might be slowing down in their hiring of...
  9. umcRN

    Admitting an open chest pt

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

    Thank god for NO residents in my CICU - teaching hospital yes, but residents do not do any rotations in my unit (not that first year fellows are any better but its a few months before they get to be...
  10. umcRN

    Bedside manners

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

    Well I work with kids so getting down to their level, speaking on their level, knowing way too much about Dora, Sponge Bob, Tangled, Cars etc. explaining what I am going to do on their age level,...
  11. umcRN

    When you are the patient. Do you get nervous about it?

    umcRN replied to dudette10's topic in Patient, Colleague Relations

    I found it interesting that because I was so calm anesthesia decided I didn't need any versed prior to going to the OR, until we got there I could have agreed with them but rolling into that room with...
  12. umcRN

    When you are the patient. Do you get nervous about it?

    umcRN replied to dudette10's topic in Patient, Colleague Relations

    I am also an ICU nurse and I had 5 hour brain surgery (for a tumor) with an ICU stay! I hear your fears! Haha ironically the only thing though that completely freaked me out pre and post surgery was...
  13. umcRN

    Care of chest tube for paediatric cases

    umcRN replied to deepurple's topic in Pediatric

    Chest tubes out POD 2? Ha, more and more our docs have been sending kiddos out to the floor still with their chest tubes (not always but I feel more so than when I started on the unit) I would say...
  14. umcRN

    Care of chest tube for paediatric cases

    umcRN replied to deepurple's topic in Pediatric

    We don't seem to have clots in the dependent tubing (which we usually hang as much off the bed as possible with no loops) but more clotting within the chest tube closest to the patient and the part...
  15. umcRN

    Not sure where to go to obtain the best experience, as a new nurse

    umcRN replied to rlockd's topic in General Nursing

    I say go wherever you can get a job. That's probably not the advice you were wanting to hear but the job market is VERY tight these days, especially for new grads, especially for new grad LPN's. If...
  16. umcRN

    Pay Off My Student Loans In Full or Make Monthly Payments?

    umcRN replied to whitecat5000's topic in General Nursing

    I had this decision to make recently. I am young and so wanted all my loans paid off instead of dragged out over the next few years, I had the opportunity to pay off one, which would just about wipe...
  17. umcRN

    What is your window to complete your q4h assessments?

    umcRN replied to OnlybyHisgraceRN's topic in MICU, SICU

    I typically have 1-2 patients but in the NICU we could have up to 3. With two patients I usually start the "less involved" one at 0745 - less involved being if I have an infant and a toddler or older...
  18. umcRN

    Early Extubation Protocol in PEDS/CICU

    umcRN replied to karenychu's topic in PICU, Pediatric

    hmm i can probably help a little bit with this but i am on vacation and don't have access to any of our protocols! we have"tracks" after surgery, decided by anesthesia, kids come back from surgery...
  19. umcRN

    How do you check a pulse? Nope I'm not a student

    umcRN replied to newtress's topic in General Nursing

    haha if we're using a doppler to find them some nurses might do that that way if the oncomming nurse can't find it exactly where everyone else has been finding it we know that it might actually be...
  20. umcRN

    daily weights in your unit?

    umcRN replied to picurn10's topic in PICU, Pediatric

    We do daily weights on everyone unless they're on ECMO or immediately post op. For our infants (many in our cardiac ICU) it helps with ensuring they're getting enough calories for growth (though I...
  21. umcRN

    Light Duty

    umcRN replied to MomRN0913's topic in General Nursing

    I was recently out of work for two months following massive surgery. My surgeon would not let me back to work before then. I had to use FMLA, ASSLA and then vacation hours since I did not have short...
  22. umcRN

    Forced to stay and work under mandatory evacuation?

    umcRN replied to squatmunkie_RN's topic in Patient Safety Issues

    well I don't know what you can do about it. Three years ago there was a massive snow storm in my city and the city was virtually unprepared for it. Everyone from janitor to MD was forced to stay. We...
  23. umcRN

    Chest tube care

    umcRN replied to deepurple's topic in General Nursing

    We still aggressively strip tubes in my pediatric icu, sometimes the MD's get in on the action too. We are now though in the process of reviewing this
  24. umcRN

    Care of chest tube for paediatric cases

    umcRN replied to deepurple's topic in Pediatric

    Thanks Jan! That's the same device we use, I will definitely be taking a look at those sources. Using the same drainage system set to the same suction level I don't understand why we have clotting...
  25. umcRN

    Care of chest tube for paediatric cases

    umcRN replied to deepurple's topic in Pediatric

    Well I work in a cardiac ICU so they're all open hearts, and many are on heparin drips after surgery because of their anatomy, but I know that is the case in many pedi cardiac icu's so I would also be...