umcRN BSN, RN

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All Content by umcRN

  1. umcRN

    My baby's poo

    In the NICU I was taking care of a baby who had been there about 3 months but was getting ready to go home, the mother came into my other patients room where I was very busy with an obviously much...
  2. umcRN

    ICU induced Psychosis

    I've cared for patients with ICU-psychotic
  3. umcRN

    Critical Care Transport RN

    I have never worked transport but it's something I have a lot of interest in doing someday. I work in a children's hospital in the NICU and CICU. In the NICU in particular the docs get the call about...
  4. umcRN

    Higher CRBSI in Peds and NICU?

    Chlorehexadine baths are NOT done in my NICU and in the peds cardiac icu I work in the wipes are not to be used on any baby under 36wks gestation until they are a month old. All dressing changes are...
  5. umcRN

    Communicating with Social Workers

    Social workers are a HUGE part of the ICU's at my hospital. They must do an "assessment" of the family and their needs within 48 hours of admission. The social workers also check in weekly with the...
  6. umcRN

    EBP project help,please let me pick your brains!

    my unit does not have policies in place for either of these things but as someone who was a new grad in the NICU a few years ago I really like your second
  7. Adults and children have elevated bilirubins for different reasons though, not that it isn't still a problem, but in newborns elevated bili can cause severe, life long brain damage and needs to be...
  8. umcRN

    NICU Pros and Cons

    nicu as in neonatal ICU? There is a NICU forum you can ask this questions but as someone who just recently left the NICU for a peds cardiac icu but still work at least 1 or 2 overtime shifts a week in...
  9. umcRN

    Mandatory flu vaccines for staff

    not just my hospital then huh? we all have to wear yellow buttons too to signify that we got it, otherwise it's mask for
  10. umcRN

    Swan-Ganz Use

    I am a new pediatric cardiac ICU nurse. I have never seen PA catheters used and it's still pretty rare in the peds world (at least at my hosp). However I actually had an 18mo old with a PA catheter...
  11. umcRN

    GBS prophylaxis med error

    interesting to see how it's supposed to work at a delivery hospital. I don't work at one but work in a childrens hosp nicu and took care of a poor baby with late onset gbs meningitis, it was awful and...
  12. umcRN

    IV Filters on all fluids for neonates???

    we only filter TPN here and thats the same in our
  13. umcRN

    Test your PEDS critical care knowledge

    Post-op septic shock? I have seen kids crash with sepsis post a "routine" gtube/fundo
  14. Can anyone explain the patho behind CLE? I was taking care of a baby yesterday (1280 grams) who was prenatally dx with a right lung mass (supposedly a CPAM). When I arrived I got report that he had a...
  15. umcRN

    Greys Anatomy Scrubs

    love love love the greys anatomy scrubs! Didn't buy them for the longest time because they are expensive but now they're all I will wear. I wean the junior style though, I am an 8-12 pant size...
  16. Just curious what other units policies are on taking extensive measures to keep children deemed "not compatible with life" alive. Example: took care of a 6wk old today post op tetrology of fallot...
  17. :yelclap: Thank you! Really great replies from you both covering all the areas of a discussion that will never end, and I know unless I am placed in such a situation I cannot ever say what I would do...
  18. Age, code status, main diagnosis/reason for visit(cardiac/resp/onc? etc), weight if pediatric pt, if/what anything was observed prior to the event, where/what your access
  19. umcRN

    extension feeding tube use

    I would have to agree that it's pretty wasteful, we also change all our bags/tubes with every feeding as well. Definitely no rinsing/reusing
  20. umcRN

    extension feeding tube use

    One per feed here, we don't flush them either, just disconnect and take down with each
  21. umcRN

    Any PCICU Nurses....input needed

    You may want to try posting this in the peds icu forum. I just started in a peds CVICU after working two years in a NICU. I have my BSN and had luck finding the job I wanted straight out of school (I...
  22. umcRN

    Floating ICU Nurses

    ICU nurses at my hospital float to other ICU's only. We have a neonatal ICU, peds CVICU and PICU. If one unit is short nurses can sign up for OT in any of them as well. We do not float to the
  23. umcRN

    Nursing Documentation in ICU

    Three ICU's in my hospital and three documentation ways: NeonatalICU - Full assessments q3-4 depending on the kids "care" schedule PedsCardiacICU - Full head to toe once, then neuro/resp/CV q4 PICU -...
  24. umcRN

    Obese children...my rant

    Same here! It's funny, at 24 yrs old I am actually proud of the fact that I will try any food at least once, one of my best friends won't even go into a restaurant that doesn't serve plain old steak...
  25. I just know one statistic from my hospital that blows my mind. I work in a large children's hospital and the ICU's use inhaled nitric oxide like it's candy, I've known kids to literally LIVE on it for...