umcRN BSN, RN

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All Content by umcRN

  1. umcRN

    PLEASE HELP! How does your hospital do holiday rotations for night shift staff?

    umcRN replied to jnsrn's topic in General Nursing

    at my hospital if you work the holiday you work the whole thing, the eve, day and day after, so this year I am working thanksgiving - wednesday/thursday/friday night
  2. umcRN

    Dead bodies?

    umcRN replied to relgis15's topic in Patient, Colleague Relations

    someone correct me if i'm wrong but maybe you are thinking of encephalocele not anencephaly in the latter the child is born with missing brain, skull and scalp meaning what brain is present is...
  3. umcRN

    Thoughts on warming milk in the NICU

    umcRN replied to jayhawkfan's topic in NICU, Neonatal

    I supposed because we have large quantities of frozen milk (since many NICU babies don't eat right away) and that probably takes longer to defrost in just a cup & water, plus once thawed you only...
  4. umcRN

    Patient Autonomy

    umcRN replied to TGood's topic in General Nursing

    I know this is a side note but this really drives me crazy especially when it's a parent who is upset that their infant/child is recieving narcotics, oh you know, 4 hours after a large surgery like...
  5. umcRN

    Thoughts on warming milk in the NICU

    umcRN replied to jayhawkfan's topic in NICU, Neonatal

    we use penguins, can't tell you how they're charged though. We have 56 beds and every patient has their own warmer, we change the liners q
  6. umcRN

    Dead bodies?

    umcRN replied to relgis15's topic in Patient, Colleague Relations

    I 100% agree with this. It breaks my heart when parents don't want to stay and while I can't ever imagine having to make that decision, if I am around I will at least make sure I am holding the baby...
  7. umcRN

    Dead bodies?

    umcRN replied to relgis15's topic in Patient, Colleague Relations

    I work NICU and pediatric cardiac ICU. Any body that is small enough to be swaddled and carried to the morgue I will do so for, I find it's a small comfort to the family for them to know their child...
  8. umcRN

    neuro/autonomic dysfunction fevers?

    umcRN posted a topic in PICU, Pediatric

    I am trying to find some other causes of frequent fevers/temperature instability. I've been taking care of a 13 mo old w/hx of AV canal repair months ago. Now with severe pulm htn, trach/vent...
  9. umcRN

    Kangaroo Care

    umcRN replied to Crafty Fraggle's topic in NICU, Neonatal

    only seen it done in withdrawal of care situations. (although there was a nurse in our unit once who had a 24 weeker and I've heard that she was allowed to kangaroo him on the HFOV, I didn't work...
  10. umcRN

    Who has more stess RT or RN?

    umcRN replied to samirish's topic in Health, Stress Management

    also different units because an ICU RN/RT is going to have different stressors than a floor RN/RT IMO. At my hospital the RT's work both the floors and ICU's and rotate between them. I know there are...
  11. umcRN

    Trach patient with EB?

    umcRN replied to smurfynursey's topic in Pediatric

    no experience with this, but I can't even imagine the skin breakdown from the trach and ties themselves, never mind
  12. umcRN

    This Does Not Make Sense - But happens anyway!

    umcRN replied to Pepper The Cat's topic in General Nursing

    I thought the toenail thing was universal? I remember learning about it in school and I work peds and we still don't cut their nails, have to get mom/dad to bring in nail clippers to do
  13. umcRN

    night shift question

    umcRN replied to Jenni811's topic in General Nursing

    another thing I do that helps...but don't know if you are able to, is to schedule my nights all together with as much time off in between as possible. I work 3 12's a week so for instance this week I...
  14. umcRN

    night shift question

    umcRN replied to Jenni811's topic in General Nursing

    ugh, I don't really have any advice but just letting you know you're not the only one. I left a perm day position to try something new but had to agree to rotating. I hate night shift, I have never...
  15. umcRN

    neuro/autonomic dysfunction fevers?

    umcRN replied to umcRN's topic in PICU, Pediatric

    Thanks Jan! Now that you mention it I took care of a poor baby a while ago who had fungal balls in his eyes! it was awful, ophthalmology had to come given him eye injections every day :-( Anyways,...
  16. umcRN

    Low NICU census

    umcRN replied to Mimi2RN's topic in NICU, Neonatal

    Not at my hospital. My nicu is HOPPING! Very sick, high census, nurses from the other units floated there 2 out of their 3 shifts a week. And it's been like this for almost 2 months now, needless to...
  17. umcRN

    This Does Not Make Sense - But happens anyway!

    umcRN replied to Pepper The Cat's topic in General Nursing

    At my hospital we have to do "witness stickers" for all IV and PO narcs, electrolyte supplements, digoxin and some other random meds. Vecuroneium however doesn't even need a second nurse to eyeball...
  18. umcRN

    This Does Not Make Sense - But happens anyway!

    umcRN replied to Pepper The Cat's topic in General Nursing

    haha seriously! The sildenafil (viagara) is not actually in the pyxis, rather pharmacy compounds it (for peds dosing) and that with their other meds are in individual pt bins in a locked machine. As...
  19. umcRN

    This Does Not Make Sense - But happens anyway!

    umcRN replied to Pepper The Cat's topic in General Nursing

    Mrsa patients in my NICU are segregated to one part of the unit. Mrsa pts cannot be paired w non Mrsa pts. We gown and glove prior to entering the room. Parents however do not have to gown and share...
  20. umcRN

    This Does Not Make Sense - But happens anyway!

    umcRN replied to Pepper The Cat's topic in General Nursing

    Apparently it's been an issue! Haha and there are times the docs order it and in the NICU we are very "cluster care" oriented so I usually want to get it out when its time to go do the kids cares but...
  21. umcRN

    This Does Not Make Sense - But happens anyway!

    umcRN replied to Pepper The Cat's topic in General Nursing

    I work between three icu's in a pediatric facility. I can override the pyxis to pull what I need in a pinch such as narcs if we're about to intubate and other emergency drugs. However I cannot...
  22. umcRN

    neuro/autonomic dysfunction fevers?

    umcRN replied to umcRN's topic in PICU, Pediatric

    She does have Tri21 and hypothyroidism jan! haha always a wealth of knowledge you are! She has had fungal cultures sent. Would what you mention be something different? A different test? I've seen kids...
  23. umcRN

    Knowing the worst and not saying a word.

    umcRN replied to Tait's topic in General Nursing

    Yes I have. Working in a NICU I've had plenty of patients come up diagnosed with this, that and another strange/rare/fatal diagnosis. When the parents come in all I can do is give them updates for the...
  24. umcRN

    Cleaning Pts with Broken Backs

    umcRN replied to Jackfackmasta's topic in Critical Care

    I've done this! But with babies! haha it's a little easier but no less risky. Last one I had the wound nurse was insistent we lift her and put a protective dressing on her butt. Well she arrested...
  25. umcRN

    lab top color for vanco trough?

    umcRN replied to lsvalliant's topic in General Nursing

    well we use green but I would call your lab. My hospital has a lab lookup thing on the computer we can type in the lab we need and it will tell you how much blood is needed and what tube to use (also...