umcRN BSN, RN

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All Content by umcRN

  1. umcRN

    New nurse in ICU (floating to all)

    umcRN replied to khatfield's topic in Critical Care

    I hope you're getting a REALLY good orientation (like 4-6 months). I was a new grad in NICU with 6 mos orientation and then tx to CICU with 4 mos orientation and even with my experience (and previous...
  2. umcRN

    What becomes of them?

    umcRN replied to Penelope_Pitstop's topic in NICU, Neonatal

    Oh I disagree with this on so many levels, but that's probably for another
  3. umcRN

    I am curious to know what other children's hospital MRI suites/experiences are like

    umcRN posted a topic in PICU, Pediatric

    I am just curious to find out what other children's hospital MRI suites/experiences are like. I ask this because ours seems to be TERRIBLE and we have had many serious safety issues going down there....
  4. umcRN

    New RN grad moving to Boston area

    umcRN replied to Jjdewing's topic in Massachusetts Nursing

    It took a friend of mine 11 months after passing nclex to find a job in Massachusetts, and that was with her 5 years of CNA work at the Brigham (and do you think the brigham would hire her? ha, no)....
  5. umcRN

    Documentation in ICU

    umcRN replied to OnlybyHisgraceRN's topic in Critical Care

    We double chart a lot in my unit, they are all for CYA. Aside from hourly vitals, drips, I&O's, lines/tubes/drains (have to be documented hourly as well) and q4 assessments we also have to write...
  6. umcRN

    Code Blue Announcement

    umcRN replied to airborneinf82's topic in Patient Safety Issues

    we have an overhead alarm that goes off the second the code button is hit, it only alarms in the unit, about 10 seconds after that a page goes out to our phones (we all have them) with the room...
  7. umcRN

    Peds CVICU vs PICU

    umcRN replied to Myprettykitty's topic in PICU, Pediatric

    Also know that most PICU's and CICU's have not separated yet it, is becoming a trend in pediatric hospitals for sure but many cardiac patients still go to PICU's so if you want a little of both and...
  8. umcRN

    Taking post-mortem pictures

    umcRN replied to Double-Helix's topic in Pediatric

    I went to an infant bereavement conference once and this is something they talked about with the ME cases. Really sad. I can't quite remember how they suggested handling the situation but at least...
  9. umcRN

    Peds CVICU vs PICU

    umcRN replied to Myprettykitty's topic in PICU, Pediatric

    I worked NICU and now work Peds CICU (and days like today, I float to PICU). I'll admit I chose CICU over PICU because of the younger population (and my comfort was NICU) but like Ashley said there...
  10. umcRN

    Femoral CVLs- do you change the site?

    umcRN replied to Double-Helix's topic in PICU, Pediatric

    God if we had to change the PIV's q96 out IV team would march out! Haha on my unit it's unfortunate that most nurses do not know how to place IV's. Coming from the NICU I do know how to and will...
  11. umcRN

    Any new grad RNs in NICU?

    umcRN replied to Kayla.J.RN's topic in NICU, Neonatal

    I started out in a NICU. Nothing too special (except that I applied 6 months before I graduated), I worked as a tech in an adult cardiac surgery unit during school but was determined to work peds/icu...
  12. umcRN

    Running multiple drips into one line

    umcRN replied to IheartICUnursing's topic in Critical Care

    which might work in an adult but the 2kg newborn with hypoplastic left heart and literally no substantial peripheral vessels doesn't get that option. We might get a double lumen UVC if lucky,...
  13. umcRN

    24/7 Video Cameras in ICU rooms

    umcRN replied to umcRN's topic in Critical Care

    Looking back at this old post, the transition to video camera's hasn't been the nightmare we all imagined. Our video camera's are used to review codes typically and see what went well/what didn't. It...
  14. umcRN

    RNs running ECMO on adult patients

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

    IDoNotGIveOut - I couldn't agree with you more! I've worked 3 years now in NICU/Peds CICU and done bedside ecmo plenty of times. People keep telling me I should take the class for ECMO specialist and...
  15. umcRN

    What becomes of them?

    umcRN replied to Penelope_Pitstop's topic in NICU, Neonatal

    Criteria may vary by hospital but at my hospital there is a set protocol. It starts in the deliver room (which we don't have, all our kids come in from the outside). -was the baby down before birth?...
  16. umcRN

    What becomes of them?

    umcRN replied to Penelope_Pitstop's topic in NICU, Neonatal

    We do total body cooling and it can work well IF the patient was an appropriate candidate in the first place. There are guidelines for cooling yet there are many times where the emotional practice of...
  17. umcRN

    Femoral CVLs- do you change the site?

    umcRN replied to Double-Helix's topic in PICU, Pediatric

    I forgot to mention that we do also use bio patches (but not on premature infants less than
  18. umcRN

    Femoral CVLs- do you change the site?

    umcRN replied to Double-Helix's topic in PICU, Pediatric

    Definitely not! Like you said, most of our kiddos have terrible access and if it's in and it works then we use it though I will say they tend to stay in longer in the newborns than any other...
  19. umcRN

    NPO for surgery

    umcRN replied to AggieNurse99's topic in Patient Medications

    As others have said, depends on the meds, and the Dr should write an order for "NPO except for meds" if they want the pt taking meds. That being said, I was a patient recently and was waiting in...
  20. umcRN

    What was the longest code you have been in?

    umcRN replied to turnforthenurse's topic in Patient Safety Issues

    4 hours, on a 9 mo old ex preemie. They put her on ecmo and everything (never mind that she didn't qualify). Parents had already lost another baby and were asking for a heart transplant throughout the...
  21. umcRN

    Nurses are the real heroes ?

    umcRN replied to Joe V's topic in Nursing Humor

    Today at work a nurse was the first to start chest compressions on a 3 year old who coded, a second nurse drew up and gave the epi that got him back...2 heroes. Another nurse came into work tonight...
  22. umcRN

    A nurse's favorite song?

    umcRN replied to Joe V's topic in Nursing Humor

    Change it to "Roc" you (for rocuronium) and that can be my favorite! ICU nurse here, love a good dose of
  23. umcRN

    Children's Hospital MRI's

    umcRN posted a topic in Radiology

    I am just curious to find out what other children's hospital MRI suites/experiences are like. I ask this because ours seems to be TERRIBLE and we have had many serious safety issues going down there....
  24. umcRN

    Children's Hospital MRI's

    umcRN replied to umcRN's topic in Radiology

    thanks for sharing! It drives me crazy that we do not have appropriate monitoring devices for our neonatal patients in particular. Especially the Sat probe. I had an MRI tech ask me once if I "really...
  25. umcRN

    I have never taken care of a patient with a known pheochromocytoma - until now

    umcRN replied to mlykateRN's topic in General Nursing

    I didn't tell anyone I was a nurse (I had a long ER visit, 3 nights in ICU and 3 on the floor post a craniotomy). My dad though took the first chance he could to tell EVERYONE "my daughter the ICU...