umcRN BSN, RN

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All Content by umcRN

  1. umcRN

    Help- Moving to private rooms! Need advice!

    umcRN replied to luvmyboys's topic in NICU, Neonatal

    Having a couple rooms that can hold two babies is a good idea...one that my NICU didn't really think of until we admitted the conjoined twins Luckily we have a "procedure" room on unit (that is never...
  2. umcRN

    Help- Moving to private rooms! Need advice!

    umcRN replied to luvmyboys's topic in NICU, Neonatal

    I've never worked in a "pod" style NICU, only private rooms. I personally love the private rooms. We have "code blue" and "staff assist" buttons in all the rooms for emergencies. When pushed the...
  3. umcRN

    Running multiple drips into one line

    umcRN replied to IheartICUnursing's topic in Critical Care

    well I don't have an actual picture from work but... Put a few of these together (as many as you need) Then add the "two way's" or "three ways" to each of the ports and hook up the meds you need to...
  4. umcRN

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

    umcRN replied to umcRN's topic in PICU, Pediatric

    I want one of
  5. umcRN

    DNR versus AND

    umcRN replied to Double-Helix's topic in Pediatric

    I find in my unit we use AND when withdrawing care. We had a patient today being withdrawn on and his code status is listed as AND. I have never actually seen DNR on my unit but we have "limited code"...
  6. umcRN

    The Biggest Challenges of Peds?

    umcRN replied to GinaCat's topic in Pediatric

    I certainly work in the exact same environment as you though we have a large "family friendly" unit that just opened recently with private patient rooms and plenty of room for parents to be out of the...
  7. umcRN

    The Biggest Challenges of Peds?

    umcRN replied to GinaCat's topic in Pediatric

    I'm sorry but the no parents visiting just sounds absolutely horrible to me. I work both NICU & Peds CICU with floating time to PICU at a very large, nationally known teaching hospital and to...
  8. umcRN

    Running multiple drips into one line

    umcRN replied to IheartICUnursing's topic in Critical Care

    we use stopcocks as well but I work peds so sometimes we have very limited access. if its compatible to run together we will run it all. so on a "train" of stopcocks I might have a three way off one...
  9. umcRN

    The Biggest Challenges of Peds?

    umcRN replied to GinaCat's topic in Pediatric

    I work peds CICU. I faced my biggest challenge this past weekend when the toddler I spent the morning talking with about mickey mouse coded and rapid deployed onto ecmo 1 hour later. How fast kids can...
  10. umcRN

    BP Cuff Readings vs. Arterial BP

    umcRN replied to Zee_RN's topic in MICU, SICU

    we flush our arts, RA's, LA's. CVL's, UVC/UAC's whatever you got. How else are you supposed to know it's patent? Even our intra-cardiac lines we have a policy to draw back every morning to make sure...
  11. umcRN

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

    umcRN replied to umcRN's topic in PICU, Pediatric

    I am unbelievably thankful for our portable CT scanner...makes a quick tentative diagnosis a lot easier in those ECMO
  12. umcRN

    Hospitals hiring NEW RNs

    umcRN replied to britt88knee's topic in General Nursing

    many of the new grad programs around here hire between December-April. Most of these programs will be starting up soon and are therefore full. That's my experience anyways with the DC hospitals that...
  13. umcRN

    IV bolus to CHF patient. Need your opinions please

    umcRN replied to lsvalliant's topic in General Nursing

    agree. if she's in congestive heart failure then the lungs are overloaded and the rest of the body might look dry (in the labs). It's a fine line with these patients balancing their fluids and I would...
  14. umcRN

    Never placed an IV!!!!!

    umcRN replied to LoriZ342's topic in General Nursing

    We didn't do ANY IV's in my school...and I went to a very good school. When I started in the NICU we just jumped in and learned, it was required to get off orientation. Now I work in the peds cardiac...
  15. umcRN

    OG tube during feedings/cleft lip & palate kiddos

    umcRN replied to obprof's topic in NICU, Neonatal

    I wouldn't typically leave an OG in when PO feeding. If the kid needs supplemental tube feeds they should have an NG and that I would leave in...because if the baby doesn't finish their feed you can't...
  16. umcRN

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

    umcRN replied to umcRN's topic in PICU, Pediatric

    yes we also use crazy coiled tubing but that is probably the norm and the pumps can be in the MRI room...they are just different pumps than we use in the unit. And yes pharmacy has to make all new...
  17. umcRN

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

    umcRN replied to umcRN's topic in PICU, Pediatric

    No Jan! I AM working in a free standing fully resourced children's hospital. Supposedly one of the best in the country! It drives me (and everyone else) crazy! And they just re-did the entire MRI...
  18. umcRN

    Trachs/Vents - How much training?

    umcRN replied to Purple_Scrubs's topic in Private Duty

    YES! These kids AREN'T stable...but with medical technologies they are now able to live a life outside the hospital walls, quality of life is sooo important for the pediatric population that we do...
  19. umcRN

    Do the doctors and nurses really sit apart in cafeterias?

    umcRN replied to Maui79's topic in Patient, Colleague Relations

    please also do not base your decision to go into medicine on what you see on TV. I would say less than 5% of what is portrayed on tv shows is accurate...and that's probably being
  20. umcRN

    Do the doctors and nurses really sit apart in cafeterias?

    umcRN replied to Maui79's topic in Patient, Colleague Relations

    we eat in the breakroom. Doctors don't generally join us but a few have been known to and we don't mind. If we have potlucks the doctors are more than welcome to join and some of the attendings will...
  21. umcRN

    Surveillance cameras in pedi patient's home?

    umcRN replied to lovelane78's topic in Private Duty

    I don't work private duty but in my pcicu we have 24/7 cameras above every patient bed. They are used so codes and other serious safety events can go back and be reviewed and see if procedures (like...
  22. umcRN

    Trachs/Vents - How much training?

    umcRN replied to Purple_Scrubs's topic in Private Duty

    Yes, the patients who are sent home are "stable" but complications can happen fast and be devastating. Also it really depends on what their other issues are. A cardiac baby/child with a trach can have...
  23. umcRN

    NNP vs. PA Advice?

    umcRN replied to dcorynn's topic in NICU, Neonatal

    My hospital uses PAs & NNPs. like the previous user states most of us prefer NNPs. They have more "hands on" experience in what we, the bedside nurses, see and do every day. They tend to listen...
  24. umcRN

    Trachs/Vents - How much training?

    umcRN replied to Purple_Scrubs's topic in Private Duty

    I have no experience with home vent training but as a NICU/Peds CICU nurse I ask that you PLEASE make sure you get adequate training and feel comfortable with the patient and their needs before taking...
  25. umcRN

    Hypothermic policy

    umcRN replied to cparra's topic in MICU, SICU

    We use the blanketrol. I haven't used another so I can't compare but it works pretty well. I have experienced two cooling protocols. One in our NICU which is theraputic hypothermia after...