umcRN BSN, RN

Member

  • Content

    867

  • Visitors

    24,280

  • Followers

    0

  • Likes

    13

All Content by umcRN

  1. umcRN

    IVs on baby-Am I too sensitive?

    umcRN replied to RN4kidz11's topic in Pediatric

    I'll stick a baby ANY day over a 6 year old who can scream at me! (former NICU now peds cicu nurse). I am still super nervous and uncomfortable putting IV"s in older kids but I'll take that screaming...
  2. umcRN

    Patient load

    umcRN replied to latebloomer74's topic in Pediatric

    At my hospital it's 3 or 4 to 1. But it will depend on your location, acuity, nights vs day
  3. umcRN

    Peds is NOT easy!

    umcRN replied to Double-Helix's topic in Pediatric

    Well said! After almost 3 years in nicu/peds I had my first parent yell at me the other day, have never had that experience before but I think I handled it well at least. Then her 12 year old...
  4. umcRN

    Is attending a patient's funeral overstepping "the" boundary?

    umcRN replied to BostonTerrierLover's topic in General Nursing

    I've gone to one funeral so far in my career. She was a NICU baby that I had taken care of for 3 long months. She came in sick, got better, almost went home and then crashed hard and died a week...
  5. umcRN

    adult patients admitted to a pediatric hospital

    umcRN replied to rnsusan's topic in Pediatric

    Yes I did actually. I was very upset. Especially since I had yet to even tell my family that I had gotten the biopsy results, and I'm 25, not a child. She was a little taken aback on the phone when I...
  6. umcRN

    adult patients admitted to a pediatric hospital

    umcRN replied to rnsusan's topic in Pediatric

    Horribly frustrating! Similar thing had happened with my 26 year old BMT patient, one day the patient said he didn't want to do this anymore, next thing you know moms getting papers signed to be his...
  7. umcRN

    Same patient's over and over again

    umcRN replied to MattNurse's topic in General Nursing

    Oh but they DO come back...at least at my hospital, a childrens hospital, we will re-admit if its a quick readmit or up until they're three months old Or if you float to the picu...you see them again...
  8. umcRN

    adult patients admitted to a pediatric hospital

    umcRN replied to rnsusan's topic in Pediatric

    Not all adult patients feel that way though. There is a 40ish frequent flyer at my hospital and he'll tell anyone who asks that he'd rather be at the children's hospital than the adult hospital across...
  9. umcRN

    Can you put gloves on after tying tourniquet?

    umcRN replied to wish_me_luck's topic in General Nursing

    I had a preceptor once (in NICU) who told me to NEVER let a parent see me touch their baby without gloves. Now, yes, in NICU we can be a bit stringent with handwashing, contact (often wearing a gown...
  10. umcRN

    Dumb question

    umcRN replied to FORTHELOVEOF!!!!'s topic in General Nursing

    At my hospital we get paid as if it were 40 hours...we actually make slightly more money the last 4 hours of a shift which evens it out as if we were working 40 instead of
  11. umcRN

    Bathing Policies

    umcRN replied to umcRN's topic in PICU, Pediatric

    I wish we used soap and water! Ugh I hate those bath cloths. We have also noticed a sharp increase in our central line infections the past few months (in the CI), way more than I ever noticed in the...
  12. umcRN

    Bathing Policies

    umcRN posted a topic in PICU, Pediatric

    So this is probably a random topic but I am interested in bathing policies in other peds ICU's. I have worked in all three ICU's at my hospital and it varies between them, some for obvious reason but...
  13. umcRN

    Kids Say the Darndest Things...

    umcRN replied to Music in My Heart's topic in Pediatric

    Had a ten year old who was from another country, had been very sick for weeks, now doing better but her poor hair was matted to the core. Her mother had been working on it for days and finally...
  14. umcRN

    Crap!

    umcRN replied to Creamsoda's topic in General Nursing

    I did that once. Called and told my charge and then got in my car, drove back to work and returned it the same night. Too risky
  15. umcRN

    adult patients admitted to a pediatric hospital

    umcRN replied to rnsusan's topic in Pediatric

    I work at a childrens hospital. We ALWAYS take the adult congenital hearts on our unit. No matter what their admitted for. Post op, cardiac cath, fever, kidney failure. Once a heart patient always a...
  16. umcRN

    oxygen saturation for pediatric cardiology

    umcRN replied to deepurple's topic in Pediatric

    Like others have said, you will not find what you are looking for. I work in a pediatric cardiac ICU, you can have three infants, all post a norwood sano shunt for instance and they can all have...
  17. umcRN

    SIDS prevention and Back to Sleep education for NICU parents

    umcRN replied to scrabblern's topic in NICU, Neonatal

    We also start teaching back to sleep right away (Level IIIc). Obviously it's not practiced right away but we emphasize to parents why sleeping prone is helpful in the present situation and that it is...
  18. umcRN

    K+/Mag replacement protocol

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

    **edit: iCal
  19. umcRN

    Open Heart Recovery Training

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

    pretty much what others have said. I work in a peds CICU (open hearts, transplants, ecmo, vads & MANY open chests post op). I did a 4 month orientation with the last two months or so focusing...
  20. umcRN

    K+/Mag replacement protocol

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

    I work in a pediatric CICU. All our post op pts have mag, Ca & K replacement orders. We keep K >3.5, ionized calcium >2 and Mag >2. Typically mag only gets checked/replaced once per...
  21. umcRN

    GVHD

    umcRN replied to umcRN's topic in Oncology

    Thanks for your input. Sadly this patient did die just this past week, what a miserable last few months of life
  22. umcRN

    Parents who are controlling

    umcRN replied to obprof's topic in NICU, Neonatal

    Ashley I will completely agree with everything you are saying, and for the most part all those techniques work well with "difficult" parents. However, I have worked in NICU, PICU and peds CICU. NICU...
  23. umcRN

    Parents who are controlling

    umcRN replied to obprof's topic in NICU, Neonatal

    When you find the answers please share :-) My NICU is notoriously horrible for allowing micromanaging by parents, not just with the nurses but with the doctors as well. Things don't get escalated...
  24. umcRN

    Why I don't tell my family...

    umcRN posted a topic in PICU, Pediatric

    Ugh! Sometimes it gets to me how wonderfully naive most people are to what goes on in the hospital. Thankfully, I suppose, my family is "medically naive". While my mother suffers from two chronic,...
  25. umcRN

    No IV Practice / Little hands-on practice in clinicals

    umcRN replied to SlyFoxRN's topic in General Students

    pretty common. I never put an IV in until I started working in a NICU. In the NICU nurses did all their own IV's so we were very encouraged to just start doing them. Now I work in a peds cardiac ICU...