umcRN BSN, RN

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All Content by umcRN

  1. umcRN

    Positioning for HFOV

    umcRN replied to menemsha's topic in NICU, Neonatal

    No real repositioning here. We "flip" every 12 hours either head to toe or back to front, the HFOV is always on the same side of the bed so we try to flip in a way that turns the kiddos head but they...
  2. umcRN

    24 weeker - how bad is it?

    umcRN replied to goats'r'us's topic in NICU, Neonatal

    Sadly I saw an ex 24 weeker, then 43 weeks, 2 days from discharge, get NEC, perf and die all before lunch (his last PO feeding being at 6am). You never ever know with these
  3. umcRN

    From the Other Side of the Bed Rails - When the Nurse Becomes the Patient

    umcRN replied to tnbutterfly - Mary's topic in Spirituality, Religion

    I am a 24 year old ICU nurse of almost three years. I was recently hospitalized for a brain tumor & crainiotomy to remove it. It was an enlightening experience for me to be the patient, especially...
  4. umcRN

    ACLS requires a doctor's order?

    umcRN replied to BUNightingale's topic in Critical Care

    I work in peds so typically our codes start with bradycardia (although its a cardiac icu so all things go) but we have a PRN Epi order and EPI at the bedside for all patients which covers us until the...
  5. umcRN

    Thermoregulation

    umcRN replied to sherirn127's topic in NICU, Neonatal

    We NEVER use manual control unless we are weaning the baby out of the isolette, way too much risk of overheating the baby, we also never use manual control on our warmers. Preemies stay in the...
  6. umcRN

    What's the longest er wait time you have Even seen

    umcRN replied to Trekfan's topic in Emergency

    10 hours in the waiting room, 3 in the back. I had just been diagnosed with a large brain tumor by a neurologist who advised me to go to a specialty center. Unfortunately my radiology report hadnt...
  7. umcRN

    Saunders or Mary Ann Hogan for nclex rn review

    umcRN replied to maia718's topic in NCLEX Exam, Programs

    2.5 years ago. Passed with 75 first time around. I also used Saunder's for questions but Hogan for my core
  8. umcRN

    Saunders or Mary Ann Hogan for nclex rn review

    umcRN replied to maia718's topic in NCLEX Exam, Programs

    Loved Mary Anns book but maybe im biased because she was my professor and we went through her review book with
  9. umcRN

    Multiple drip administration

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

    I know this is a controversial subject and different places have different policies but I work in peds and we can run compatible meds with TPN, we rarely have triple lumens and PIVS never last in our...
  10. umcRN

    When your the patient, do you tell the nursing staff your a nurse?

    umcRN replied to DemonWings's topic in General Nursing

    I was recently hospitalized and I'm young so a lot of the nurses asked me if I had moved to the area for school (because my dad had flown from out of state to be with me) and I told them no I'm here...
  11. umcRN

    experience with neonatal bacterial meningitis?

    umcRN replied to 21strawberry's topic in NICU, Neonatal

    You might want to post this in the NICU forum. I have only ever taken care of one baby with severe GBS meningitis. Sadly he died from it. I'm not sure what long term effects might occur on those who...
  12. umcRN

    NIBP monitoring on same arm as the a-line?

    umcRN replied to Verbatim's topic in MICU, SICU

    just another thing to note. Having just spent a brief amount of time in the ICU myself I originally had my cuff on the same arm as the a-line. It HURT a lot so I asked them to move it, despite the...
  13. umcRN

    Thank you, THANK YOU!

    umcRN posted a topic in Critical Care

    I just needed to send out a quick thank you to all the adult icu nurses oit there. While I work in peds cardiac icu and know the ins and outs of the icu fairly well, I would NEVER trade my kiddos in...
  14. umcRN

    Why I don't tell my family...

    umcRN replied to umcRN's topic in PICU, Pediatric

    Love all the responses, really helps when people know how you feel! Ironic it is that I would write this post though as I am now facing my own upcoming surgery and ICU stay...those poor nurses (to...
  15. umcRN

    probably a dumb question about PIVs and drawing blood...

    umcRN replied to rach_nc_03's topic in Pediatric

    I know I am not a peds patient but I was recently in the hospital, in the ICU they put a big honkin 18g in my hand (I work peds cicu/nicu so 18 g seems HUGE to me!) to draw labs (I already had a 20 in...
  16. umcRN

    NIBP monitoring on same arm as the a-line?

    umcRN replied to Verbatim's topic in MICU, SICU

    I typically just check a NIBP once a shift, if it's correlating with the a-line then i'm fine but if my a-line starts to go wonky i'll cycle the cuff, usually not on the same arm as the a-line. And...
  17. umcRN

    Right Frontal Lobe Surgery

    umcRN posted a topic in Neuro Intensive Care, ICU

    I just have a simple question, not looking for medical advice per say but I don't think i'm going to get a chance to talk to my neurosurgeon until next week and I just wanted some info. I have...
  18. umcRN

    Quick Neuro Assessment?

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

    Not a neuro nurse but currently being treated in a neuro unit receiving the same neuro check every two hours. it goes like this PERRLA Stick out tongue & wiggle it Feeling light touch on both...
  19. umcRN

    Right Frontal Lobe Surgery

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

    Thanks for your input! I know amazing things are being done in surgery these days and I really hope I get to have a good sit down with the surgeon soon. So far I only met him this morning, at about 6...
  20. umcRN

    OB--When it's good it's good and when it's not...it's heartbreaking.

    umcRN replied to linzjane88's topic in Ob/Gyn

    I work in a level 3 NICU but my first pt death was a beautiful slightly post term baby girl who for whatever unknown reason came out w/o a heart rate. She was resuscitated and we cooled her but she...
  21. umcRN

    How sad is the NICU? Is there a personality type best suited to it?

    umcRN replied to chunkiesundae's topic in NICU, Neonatal

    I worked a level III NICU for 2 years and now work in a peds cardiac icu...its not much different, lots of babies bit some older kids too. Many make it many do not. I've gotten very attached to babies...
  22. umcRN

    Why I don't tell my family...

    umcRN replied to umcRN's topic in PICU, Pediatric

    hahaha after my first shift with a 450g preemie on triple bili lights (no real way to tie her down with those things) I never underestimate ANY patients strength regardless of their size. They are...
  23. umcRN

    Why I don't tell my family...

    umcRN replied to umcRN's topic in PICU, Pediatric

    17 years! I can't imagine! Grouchy and whiney!? Ugh! I'm sorry! I used to tell my roommate about my days at work but have long since stopped, and I have to bite my tongue, hard, every time she comes...
  24. umcRN

    Why I don't tell my family...

    umcRN replied to umcRN's topic in PICU, Pediatric

    Thank you both for your great replies! I know I'm not the only one and it does get frustrating! I know there are numerous youtube videos out there of kids in ICU's too but for some reason I can't...
  25. umcRN

    Dobutamine without a Swan and use of Dopamine

    umcRN replied to maloneys's topic in MICU, SICU

    Dopa is typically the first line inotrope in children, my cardiac unit however sees infants to adults and dobutamine is first line for adults although i'll be honest I don't know all the reasons why....