umcRN BSN, RN

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All Content by umcRN

  1. umcRN

    How do you verify NG tube placement on your unit?

    umcRN replied to digitiminimi's topic in NICU, Neonatal

    auscultation for ng, xray for
  2. umcRN

    Compression stockings....

    umcRN replied to PinkNBlue's topic in General Nursing

    i havent noticed hot/intchyness. I agree they make a world of a difference. As for the brand I have mine from a few hospital stays (hey they charged me $50 a pair, might as well get some use out of...
  3. umcRN

    Does anybody use sterile technique anymore?

    umcRN replied to bookwormom's topic in General Nursing

    Clean technique for any wounds I've seen on the two units I work on (NICU/Peds CICU)...and that includes midsternal incisions. Sterile line dressing changes & foley cath placement...our chest tube...
  4. umcRN

    Illness?

    umcRN replied to StL_Momma27's topic in General Nursing

    almost never and I work peds. I get sick when I work night shift (but have never called out for it) and prior to a recent surgery I just had that required two months out of work I had called out twice...
  5. umcRN

    Major Drug Shortages Looming

    umcRN replied to NotReady4PrimeTime's topic in PICU, Pediatric

    I haven't heard of that...will have to take a look. I'm sure it doesn't work for everyone based on what I have witnessed. I will say though that when I was extremely nauseous and vomiting after brain...
  6. umcRN

    Major Drug Shortages Looming

    umcRN replied to NotReady4PrimeTime's topic in PICU, Pediatric

    Yup. We are short of many of those drugs here. Had to call pharmacy today and beg for zofran for my eight year old s/p mitral valve replacement yesterday, extubated today and screaming for water. A...
  7. umcRN

    Best book for cardiac defects??

    umcRN replied to WSU_Ally_RN's topic in PICU, Pediatric

    this book is great: Amazon.com: Illustrated Field Guide to Congenital Heart Disease and Repair (9780979625251): Allen D. Everett, D. Scott, M.D. Lim, Marcia L. Buck, Jasper Burns, Paul Burns: Books...
  8. umcRN

    Handover

    umcRN replied to neopedsflight's topic in PICU, Pediatric

    Not really. We do morning huddle which covers announcments for the nurses/unit and then the charge RN from the night before will let us know which patients are the "hot spots" so we can listen out, we...
  9. umcRN

    They say nursing students are multi-tasker. Are you?

    umcRN replied to Brian's topic in General Students

    Three years out of college and you couldn't pay me to go through that again...I was on a D1 sports team so if I wasnt in class I was practicing/working out and studying, often all at
  10. umcRN

    What is your units procedure on accessing central lines?

    umcRN replied to hcox1975's topic in NICU, Neonatal

    We only access broviacs on my unit as our PICCS are too small for blood draws. They are typically only accessed at line change OR if the kiddo starts acting sick and we need a lot of labs, otherwise...
  11. umcRN

    Why I don't tell my family...

    umcRN replied to umcRN's topic in PICU, Pediatric

    Surgery on a child with a disorder that is incompatible with life (anencephaly), "fixing" the heart of an infant who has no kidneys...therefore little lung tissue, putting a child on ECMO who does not...
  12. umcRN

    Antiemetic Shortage

    umcRN replied to Peeker19's topic in General Nursing

    yup, sort of all those things here, as well as versed, papaverine, vec and a few others. Starting to get real frustrating as I work in peds and there aren't always a ton of
  13. umcRN

    chinstraps on ncpap

    umcRN replied to wensday's topic in NICU, Neonatal

    I have never seen chinstraps. I am intrigued though, I HATE CPAP and SiPAP with a passion because with an active baby you can't never get a good seal and they are always getting them off or loosing...
  14. umcRN

    Walking vented patients

    umcRN replied to Verbatim's topic in MICU, SICU

    not in my peds cicu...parents are lucky if they get to hold their stable, intubated infants. I have seen a video though on a news website about a girl walking on ECMO to stay conditioned for a double...
  15. umcRN

    Does suctioning trach's ever get easier?

    umcRN replied to MadpeysRN's topic in General Nursing

    I hate trachs, and the word "sputum" just sends shivers down my spine. That being said I work in pcicu & nicu and somehow the patients I always fall in love with are the trached pulmonary...
  16. umcRN

    Managing sedation in an infant with cardiomegly.

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

    I work in a peds CICU, I have only been off orientation a few months (which unfortunately included a two month sick leave) and therefore still not taking the sickest patients but I know from...
  17. umcRN

    What "qualifies" a patient to be admitted to ICU

    umcRN replied to jules11's topic in MICU, SICU

    Haha i'm actually quite glad I had no idea that I was a ticking time bomb I would have been waaay more stressed out. All that really concerned me was getting rid of the headaches. Looking back on it...
  18. umcRN

    What "qualifies" a patient to be admitted to ICU

    umcRN replied to jules11's topic in MICU, SICU

    I had headaches actually, for about 6 months, initially I thought they were migraines (nausea, vomiting and fatigue accompanied them), and of course my PCP agreed with me. I saw her twice but when I...
  19. umcRN

    Where does all the money go?

    umcRN replied to everydaynurse's topic in General Nursing

    Currently dealing with insurance/hospital bills for a recent stay. My two nights in the ICU were $4480 each, my days on the floor were $2480/day. Add in a $37,000 surgery (which doesn't include my...
  20. umcRN

    What "qualifies" a patient to be admitted to ICU

    umcRN replied to jules11's topic in MICU, SICU

    I was an ICU patient once. I thought it was funny actually, I'd been walking around the ER all day but I had a 6cm x 4cm brain tumor causing mass affect & a 1.1cm midline shift. I was in the neuro...
  21. umcRN

    Temperature. Where do you go?

    umcRN replied to MLB55's topic in Critical Care

    I have had cooling patients in both the NICU & peds cardiac ICU. In NICU we use esophageal probes and in CICU we use rectal. Not sure why there is a difference between the units. In any case its...
  22. umcRN

    Lost two kids yesterday

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

    :hug: I had a primary baby when I worked in the NICU. I took care of her for 5 months, every shift. I saw her go from being admitted on her deathbed to getting well enough to talk about going home....
  23. umcRN

    Does your hospital have peds neuroscience? What do they do?

    umcRN replied to loveoutloud's topic in PICU, Pediatric

    I'm not sure what their "life" is like since I don't work there but my hospital does have a neuro unit (it's a children's hospital) and a part of the PICU is typically reserved for neuro kiddos. I...
  24. umcRN

    Funniest thing you've ever seen happen to a doctor

    umcRN replied to Guttercat's topic in Nursing Humor

    I was working in the peds cardiac ICU one day taking care of this kiddo 1 day post op who really wasn't doing to hot. He was acidotic, hypotensive, having respiratory distress, just in general looked...
  25. umcRN

    Discharge Prep

    umcRN replied to nursecarlie06's topic in NICU, Neonatal

    can't really help with speeding up the process. We have a system though there are always kids who after 3 or 4 months of being there are ready for discharge with nothing done. Basically we have...