umcRN BSN, RN

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All Content by umcRN

  1. umcRN

    Highest PEEP you've seen?

    umcRN replied to sapphire18's topic in Critical Care

    I've seen 15 in a baby...24,
  2. umcRN

    conscious pt terminal wean

    umcRN replied to taylynnfree's topic in MICU, SICU

    There is another way we can look at this too. Say there is a patient who has just been diagnosed with end stage cancer. No amount of surgery, radiation or chemo will cure her, but it will cause her...
  3. umcRN

    conscious pt terminal wean

    umcRN replied to taylynnfree's topic in MICU, SICU

    Personally if I were the patient in that situation I think I would make the same decision. I have had multiple major surgeries, each which included a (thankfully short) ICU stay. My biggest fear is...
  4. umcRN

    The lowest O2 saturation I've ever seen

    umcRN replied to SaraBart's topic in Critical Care

    haha I haven't heard of a "mac attack" we call them "death spells". Took care of a baby years ago who literally needed chest compressions every time she pooped...but that's another problem, but she...
  5. umcRN

    Use of blankets from home in the NICU

    umcRN replied to lmasta03's topic in NICU, Neonatal

    Blankets, clothes, mobiles, stuffed animals, you name it we've got it - level 3c
  6. umcRN

    The lowest O2 saturation I've ever seen

    umcRN replied to SaraBart's topic in Critical Care

    Haha yes probably not as acceptable in the adult world! Our babes don't notice and if they're that sick they're probably pretty sedated (we don't do that to the walkie-talkie satting 50 two year...
  7. umcRN

    The lowest O2 saturation I've ever seen

    umcRN replied to SaraBart's topic in Critical Care

    Yeah I was wondering that...my kids might tolerate a sat of 50 fine but they sure are blue...I actually had a "little boy blue" today as I called him. Comfortably satting low to mid 50's on 8L of high...
  8. umcRN

    The lowest O2 saturation I've ever seen

    umcRN replied to SaraBart's topic in Critical Care

    I took care of a 50-something hypoplastic right heart pt once. When born her parents told her to take her home to die because the surgeries (which still don't have optimal outcomes) weren't yet...
  9. umcRN

    Hospital Units with Longest patient stays

    umcRN replied to TarheelGirlx3's topic in General Nursing

    NICU/Peds Cardiac ICU. I've celebrated first birthdays in both...actually a second birthday in the cicu. Kids waiting for transplants and requiring mechanical support can hang around for months too...
  10. umcRN

    What do you tell parents when...

    umcRN replied to mason83's topic in PICU, Pediatric

    Agree that sometimes there is nothing to say. You can validate their feelings and stress that the medical team is doing everything in their power to take care of their child. Does your hospital allow...
  11. umcRN

    Low blood pressure great neurological status?

    umcRN posted a topic in PICU, Pediatric

    Have a kiddo right now whose a little bit of a mystery and wondering if anyone else has ever seen something like this. Kiddo has been pretty sick for a few months, is now s/p a heart transplant, was...
  12. umcRN

    Low blood pressure great neurological status?

    umcRN replied to umcRN's topic in PICU, Pediatric

    Kiddo did ultimately get a cath that showed no obvious issues. Yes he may have been sitting up coloring but looking at him funny could throw him off the deep end, he was tough but exceptionally...
  13. umcRN

    Low blood pressure great neurological status?

    umcRN replied to umcRN's topic in PICU, Pediatric

    Sadly this little one ultimately passed away about three months after I started this thread. Multiple organ failure. Toughest kid I've ever met or had the pleasure of taking care of. I learned a lot...
  14. umcRN

    A Med-surg/onc/tele floor to add Pediatrics!

    umcRN replied to jsepark119's topic in Pediatric

    yes bubbles! use them all the time with my cardiac kiddos. Every time I go to target and see bubbles on sale I grab a
  15. umcRN

    Any PICU RNs from CHOP or Boston Children's here?

    umcRN replied to Sloan RN's topic in PICU, Pediatric

    @jan, goodness that sounds like a mess! Our peds transport nurses don't typically hang out in the unit, I don't know what they do when not on transport. NICU transport stays in the unit and helps out...
  16. umcRN

    A Med-surg/onc/tele floor to add Pediatrics!

    umcRN replied to jsepark119's topic in Pediatric

    Treatment rooms are nice if you are able to use them because it keeps the kids room "safe". Where I did my pedi clinical they had a procedure room and would use it for everything from IM injections to...
  17. umcRN

    Any PICU RNs from CHOP or Boston Children's here?

    umcRN replied to Sloan RN's topic in PICU, Pediatric

    I'm not at boston or chop but am at another large childrens hospital so if you're looking for comparable stats I can give mine. My hospital has a PICU/CICU/NICU. There is a peds transport team and a...
  18. umcRN

    NICU/ CRNA

    umcRN replied to Robins19's topic in Student Registered Nurse Anesthetist

    Again depends on the school. I would guess that at least 3-5 people leave each year from my hospitals PICU/PCICU to go to CRNA schools. Big schools to such as Georgetown, Columbia, Duke, BU etc. My...
  19. umcRN

    NICU/ CRNA

    umcRN replied to Robins19's topic in Student Registered Nurse Anesthetist

    From what I have heard most programs will not accept NICU experience but will accept PICU or peds CICU experience. NICU is so so different from the rest of the hospital population that I don't think...
  20. umcRN

    PICU nurse "traveling" to CTICU

    umcRN replied to 21strawberry's topic in CCU, Coronary, Cardiac

    The best advice I can give you is to make sure you get your patients normals from the off going nurse and if you are unsure of anything ask. This is a great resource for defects: Home Page |...
  21. umcRN

    PICU nurse "traveling" to CTICU

    umcRN replied to 21strawberry's topic in CCU, Coronary, Cardiac

    Is this a pediatric cardiac ICU you are traveling to? If so your question would be better answered in the PICU forum as peds cicu sees congenital issues which are very different from adult cardiac...
  22. umcRN

    Interesting or Different Anatomy:What have you encountered?

    umcRN replied to nursefrances's topic in General Nursing

    As a nicu/peds cicu nurse I could go on and on with this one, things that make me wonder how any person is every born "normal". The ones that stand out: conjoined twins with two very different and...
  23. umcRN

    "I don't know how you do it"

    umcRN replied to KelRN215's topic in Pediatric

    I told MY oncologist that I worked in a peds CICU and he just looked at me and said "oh that's so sad". I dunno man, you're the oncologist pumping likely futile chemicals into 80 year olds whose...
  24. umcRN

    Staffing of ECMO patients

    umcRN replied to jrsquire1's topic in CCU, Coronary, Cardiac

    Always 1:1 along with a ECMO tech (who is a specially trained RN or RT). A few months ago we ran into some serious staffing issues when our 24 bed unit had 6 ecmo patients and an additional 2 CRRT...
  25. umcRN

    Question for those who do head/body cooling

    umcRN replied to NicuGal's topic in NICU, Neonatal

    What kinds of problems? It's actually easier IMO because you can control temp via the pump. We do it in the NICU as well as the