umcRN BSN, RN

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All Content by umcRN

  1. umcRN

    Brainstorming in neuro pt

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

    we call it "neuro-storming" here. I have seen it once in a baby who had a severe hypoxic brain injury after prolonged cardiac arrest and resuscitation (i believe it lasted about 2 hours and he...
  2. umcRN

    Endotracheal Intubation Protocols vs guidelines

    umcRN replied to KristineRN,NICU's topic in NICU, Neonatal

    hmm i haven't noticed any kind of protocol for intubation in my NICU. Basically the doc decides they're going to do it and the course is based on the reason. Is it sudden respiratory failure? Then rt...
  3. umcRN

    Do you think creating a personal website would be creative in getting a job?

    umcRN replied to Aongroup1990's topic in General Nursing

    Hospitals consider it a MAJOR violation to post personal photos of any kind of patient interaction online or on any social media. Even if you were volunteering I'm not sure they would look well upon...
  4. umcRN

    Anyone have a link to recent preemie survival rates?

    umcRN replied to Double-Helix's topic in NICU, Neonatal

    I can't help you with survival rates...but there are way more 23 weekers around (and unfortunately "23" weekers that are really 22 but the referring hosp/delivery doc resus's anyways...another story),...
  5. umcRN

    Do new graduates really get a job that easily in nursing?

    umcRN replied to Bchung5's topic in First Year After Licensure

    Keep reading. Things are not looking good right now. I was blessed...BLESSED to get a job out of school. A friend of mine who worked as a tech in a very large teaching hospital for FOUR years could...
  6. umcRN

    Pulmonary hemorrhage.

    umcRN posted a topic in CCU, Coronary, Cardiac

    Hi All! I am basically looking for some information re pulmonary hemorrhages and different ways to treat them. I will preface this by saying I work in a pediatric CICU. I had a 51 year old pt the...
  7. umcRN

    Grrr

    umcRN replied to anon456's topic in Pediatric

    Definitely irks me too! There was one time though I HAD to say something to the mom. Was caring for a 5mo old post cardiac-cath. He'd had some respiratory difficulties after and was on a sig. amount...
  8. umcRN

    Pain management post open heart surgery?

    umcRN replied to twinkletoes53's topic in CCU, Coronary, Cardiac

    I work in a pedi CICU, typically once extubated we will use PR tylenol/morphine/toradol until PO feeding then start on oxycodone. If they are older and we want them getting up and out of bed we might...
  9. umcRN

    New energy drink for students!

    umcRN replied to Brian's topic in General Students

    haha I had one of those ONCE. Never again, I was up till four, extremely hyper and jittery...I will say productive though
  10. umcRN

    Pulmonary hemorrhage.

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

    no no! I would NEVER switch to adults we admit adult congenital hearts to our hospital. There is an adult congenital heart program out of the adult hospital next door but they work with our (peds)...
  11. umcRN

    How messed up is this?

    umcRN replied to jelly221,RN's topic in General Nursing

    we got diddly-squat. So on my unit we threw our own party, cooked for ourselves, bought food, paid to celebrate ourselves basically. Sad
  12. umcRN

    Pulmonary hemorrhage.

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

    Thank you for that fantastic answer! I am sure we weren't intubating her for the exact reasons you mentioned, and she was maintaining herself, but definitely miserable. The doctors also just didn't...
  13. umcRN

    Experienced RN seeking ICU residency. Help/Advice!!!

    umcRN replied to amazon050508's topic in Critical Care

    my hospital offers a "fellowship" for experienced nurses, it's typically a 4 month or so orientation with classes. It's also a children's hospital so I'm not sure if that's something you'd be...
  14. umcRN

    Happy Nurses week! You Have MRSA!

    umcRN replied to allysun1's topic in General Nursing

    was hospitalized and DIDN'T have mrsa! I was so shocked because I work nicu/peds and I KNOW i've snuggled some mrsa babies way to
  15. umcRN

    Taking post-mortem pictures

    umcRN replied to Double-Helix's topic in Pediatric

    This is a wonderful program. There is an age restriction, they only do infants due to photographer availability (if you read the terms on their website they will occasionally make an exception for a...
  16. umcRN

    Taking post-mortem pictures

    umcRN replied to Double-Helix's topic in Pediatric

    I originally worked in the NICU. I am very passionate about bearevement and in the nicu photographs are very common. Even if the parents didn't want them we would take a few, put them in a sealed...
  17. umcRN

    adult patients admitted to a pediatric hospital

    umcRN replied to rnsusan's topic in Pediatric

    I had a 51 year old today...FIFTY ONE! Good lord I'll give the pt credit for being alive though, I had to actually ask the Dr. to explain to me how the pt was getting blood flow to the lungs because I...
  18. umcRN

    Probably a dumb question: "I have to pee even though I have a catheter in!"

    umcRN replied to NurseyPoo7's topic in General Nursing

    I had one recently (and let me tell you I was more concerned with the foley and a-line than I was the craniotomy!) in any case I didn't feel it at all until it got tugged slightly when PT was getting...
  19. umcRN

    A nurse's intuition

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

    Unfortunately my situation didn't end how I wanted it too. I was working NICU, I had signed on as a primary nurse for a 2 month old who had come in from home in sepsis/resp failure. Sick as snot for...
  20. umcRN

    Perforated bowel

    umcRN replied to MomRN0913's topic in General Nursing

    In the NICU (where bowel perfs and NEC are far too common) an occasional sign of a bowel that's about to perf is INCREASED or hyperactive bowel sounds, especially if you go from none/hypo to hyper,...
  21. umcRN

    Best Shoes for 12 hrs shift

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

    sketchers shape ups - there are a kind that are not super high, they look mostly like regular sneakers. Takes a shift or two to break in but I absolutely love them. I wore danskos for two years trying...
  22. umcRN

    UMass Amherst Second Bachelors Fall 2012

    umcRN replied to jldavis826's topic in Massachusetts Nursing

    I was in the traditional RN program at umass...but you will definitely want a car. There is NO public transportation to anywhere where you would do clinicals. There MAY be a bus to one of the...
  23. umcRN

    My TCU CPR policy

    umcRN replied to unsaint77's topic in Patient Safety Issues

    well I work in an ICU...so I would say definitely not common in an ICU setting. In my pedi cardiac icu we also make sure that each patient not only had a code status but also has an ecmo candidate...
  24. umcRN

    NEED HELP FROM a NICU NURSE NOW!!!

    umcRN replied to patiently-waiting's topic in NICU, Neonatal

    Well, my nicu has all private rooms, no TV watching in the rooms, no cell phone use in the rooms etc. I think it's great. I never worked in the older NICU (this one being built only 3 years ago) so I...
  25. umcRN

    IVs on baby-Am I too sensitive?

    umcRN replied to RN4kidz11's topic in Pediatric

    deleted double