umcRN BSN, RN

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All Content by umcRN

  1. umcRN

    Care of chest tube for paediatric cases

    umcRN replied to deepurple's topic in Pediatric

    Hi Jan, It just so happens that I am currently in the process of reviewing our chest tube policies this year (we do this yearly and make revisions as EBP indicates) We currently continue to strip our...
  2. umcRN

    Admitting an open chest pt

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

    When I heard how much nitric cost I almost stroked because we have kiddos that LIVE on it for weeks to months at a time. With infants and children we try not to whip out the big guns (flolan,...
  3. umcRN

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

    umcRN replied to newtress's topic in General Nursing

    the unit I work on is a pedi cardiac icu. we check ALL the pulses and chart on all of them too. Not the carotids (not a common place to check on babies I guess) but brachials, radials, fems,...
  4. umcRN

    RAM Cannula

    umcRN replied to juliachloe's topic in NICU, Neonatal

    I think vapotherm is a more recent thing. We get kiddos from hospitals that don't use vapotherm and the kiddo comes on cpap and we're able to get them on vapotherm usually​ pretty easily. We use it...
  5. umcRN

    Abdominal Girths

    umcRN replied to LuvaBSNRN's topic in NICU, Neonatal

    We measure every cares here as well, and in the pedi cardiac ICU we also measure anyone under 2 with every cares. NEC is also a common issue in these cardiac kiddos who go without gut perfusion and...
  6. umcRN

    Admitting an open chest pt

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

    hmmm in my unit if they code someone better get their hands in their chest soon and massage, sure the surgeon will be there soon to put them on ecmo but till then someone better be doing something...
  7. umcRN

    RAM Cannula

    umcRN replied to juliachloe's topic in NICU, Neonatal

    I also just did some research on this since I have never seen it. How does it work? It looks like our vapotherm cannulas but says it can be attached to any ventilator/cpap/and even HFOV. I don't...
  8. umcRN

    Sedation Woes...

    umcRN replied to MegNeoNurse's topic in PICU, Pediatric

    We have sedation pathways that have just recently been renovated. Here's the gist of it: Fast track: Goal - wake & wean from vent in 12-24 hrs from admission (post cardiac surgery). Goal pain...
  9. umcRN

    When others ask what you do...

    umcRN replied to KelRN215's topic in Pediatric

    hmm I would have to say we are all jaded. Last week I was taking care of my units miracle baby...one of the few I would truly call a miracle. He survived heart surgeries, two times on ecmo and...
  10. umcRN

    What becomes of them?

    umcRN replied to Penelope_Pitstop's topic in NICU, Neonatal

    I just have to ask...why is this baby being cooled without an EEG? All our coolers are required to have a 72 hour video EEG that starts as soon as possible and stops after the baby is warm. That way...
  11. umcRN

    Admitting an open chest pt

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

    Haha I remember when I was on orientation and someone asked if they coded how do you do chest compression? Instructors answer: Preferably with
  12. umcRN

    Admitting an open chest pt

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

    Well, I work in a pediatric cardiac ICU and I would say about 60% of infants return with open chests (small chest cavities do not accommodate swelling well). Be prepared for a LOT of bleeding and to...
  13. umcRN

    NICU IV push meds and flushes

    umcRN replied to PEDSOBRN's topic in NICU, Neonatal

    we always have dedicated med lines that attach as close to the patient as possible. We run ALL our meds on pumps doesnt matter if its 0.2ml or 10ml. Typically on the really tiny ones I will only run a...
  14. umcRN

    When will people learn NOT to say the "Q" word...

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

    yes. we do not say it on my unit! My patients mom said it today and I quickly told her not to say it again! haha, nothing happened but I have seen "quiet" shifts go to all hell breaking
  15. umcRN

    How was your Friday the 13th!

    umcRN posted a topic in PICU, Pediatric

    Yup it was definitely Friday the 13th on my unit today. Had a full house, plus 4 planned OR cases, short staffed, management was in as charge RN. Intubations, ECMO decans, an additional 3 admissions...
  16. umcRN

    How was your Friday the 13th!

    umcRN replied to umcRN's topic in PICU, Pediatric

    haha true, it doesn't always have to be Friday the 13th to have a nutso shift! Ahh don't get me started on the political football either! I remember my very first rapid deploy in the CICU. After all...
  17. umcRN

    What becomes of them?

    umcRN replied to Penelope_Pitstop's topic in NICU, Neonatal

    yes! I tried to explain this to my dad once and he went on and on about how medicine would never advance if we didn't continue to try pushing it's limits. Ahh! Not on my baby OR my own life! No...
  18. umcRN

    Changing vasoactive drips

    umcRN replied to heartcare57's topic in PICU, Pediatric

    oh geez I would SO much rather double pump than have that party haha, pain yes but the code is going to be a lot more of a pain and
  19. umcRN

    Changing vasoactive drips

    umcRN replied to heartcare57's topic in PICU, Pediatric

    Hmm. That depends on how unstable the kiddo is usually. Low dose dopamine? Change out the syringe when needed (we change syringes daily and tubing every 3 days). Maxed out on your dopa, epi &...
  20. umcRN

    PPV vs CPAP

    umcRN replied to Gingerbell's topic in Pediatric

    Well good luck to you. Personally I'm not sure those classes are going to help much in the overall scheme of things and if you think NRP is hard the others are sure to be much tougher without prior...
  21. umcRN

    PPV vs CPAP

    umcRN replied to Gingerbell's topic in Pediatric

    If we are talking in terms if resuscitation (as we would be in NRP) both PPV and CPAP can be given via a flow inflating bag mask (not a self inflating). CPAP is provided this way by creating a full...
  22. umcRN

    ICU documentation templates??

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

    Haha. We just moved to a new unit and one of the main features the medical director was soooo excited about was the "iView". Basically it's a computer screen in the room that updates in real time with...
  23. umcRN

    TPN

    umcRN replied to NICUR's topic in NICU, Neonatal

    I was told that light can break down some of the proteins...but I never actually looked into this so I don't know if it's true or not Also all the units in my hospital keep the TPN in the bag it came...
  24. umcRN

    Punching out within 6 minutes of shift end, anyone??

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

    This is what we do in my hospital (shift technically ends on the 24 ie 1924 and starts on the 54, 0654. Which is 6 minutes before 0700 and 1900. We then have 6 minutes after those times (0706 &...
  25. umcRN

    ICU documentation templates??

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

    nothing fancy here. I just take a piece of paper, fold in half, write report on one half then on the other half write the time from 07-19 down the side (7a-7p) and under each hour I write what meds...