umcRN BSN, RN

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All Content by umcRN

  1. umcRN

    Polymixin via ETT

    thanks for your reply! I'm sorry about the multiple posts, just trying to get some info but won't do it again. I wish we used more inlines though. How often do you change them if you don't mind my...
  2. umcRN

    Polymixin via ETT

    Thats what I would think but our docs do not agree...and that thinking spans all the ICU's at my
  3. umcRN

    Polymixin via ETT

    Thanks! we did not use it 100% of the time in the NICU, all HFOV had inlines and then nursing had to beg and plead to get it for kids on nitric (though our policy is always for nitric) and those other...
  4. WHAT???
  5. umcRN

    Pediatric Nursing Question!!!!

    because a quiet, scared two year old, post open heart surgery, will absolutely LIGHT UP when you tell her you have spaghetti and meatballs for dinner any adult who had just gone through the same...
  6. in the nicu had a baby with anencephalocele (missing large parts of the scalp & skull leaving the brain exposed). The baby was not going to survive but mom wanted us to "do everything" but mom...
  7. umcRN

    Test your PEDS critical care knowledge

    hmm I don't have all the rationales...but with the induced cooling in the HIE babies we see a lot of glucose instability, a lot of electrolyte abnormalities, coagulation issues and sinus brady with...
  8. I work in a children's hospital. Children cannot go to the floor if they need more than 3L high flow nasal cannula, so sometimes there are otherwise stable kiddos who just take a long time to wean,...
  9. umcRN

    Opinions on pausing drips before blood draw?

    that really doesn't make much sense. I can understand pausing say TPN if thats the only line you have to draw from, but whether you pause it or not you will be turning the stopcocks in a way that the...
  10. depends on where you are then. At my hospital the ICU nurses get a critical care differential, a few dollars more to the base pay if you work in an
  11. I have recently switched from NICU nursing to peds CICU. I've only been on the new unit a few days but am having a hard time wrapping my head around differences in ventilations for some reason. In the...
  12. umcRN

    volume vs pressure ventilation

    Thanks for the wise words! I definitely won't be forgetting my NICU knowledge, I am looking at this as a wonderful new learning experience and way to broaden my practice. I am very excited about it,...
  13. umcRN

    What You Do Best

    I
  14. umcRN

    volume vs pressure ventilation

    thanks Jan! I always know i can count on some good info from you. Understanding the reason why certain ventilation modes are used helps alot, especially puting it in relation to the pathophysiology of...
  15. umcRN

    What is your greatest fear in nursing.

    working in both the NICU and peds CICU my biggest fear is missing something in my assessment, missing a subtle sign of decompensation or not insisting more to a doctor that something is wrong with my...
  16. umcRN

    Please explain MAP to me

    working in a NICU we primarily use MAPS, unless the kiddo has a whopping PDA & then we will go to systolics, but typically if we are running pressors we have an order for MAP to remains greater...
  17. To be immersed that deep seems inappropriate though I agree sometimes its hard not to get attached, however there are differences in how attached one can get. I had two primaries the last two years...
  18. a young, new nurse here, in the ICU, I much prefer the computer charting but I imagine that's because I have grown up with computers, unfortunately when we have down time and have to resort to paper...
  19. umcRN

    graduating to PICU?

    thanks for that info! We really should move some of ours to the PICU, we occaisionally get cardiac babies after surgery but we have a large CICU and heart and kidney unit so unless the babies were...
  20. umcRN

    graduating to PICU?

    I was just wondering if any NICU's out there "graduated" their older babies to the PICU at some point. We just had two first birthday parties and I think our last longest stay was 15 months...kid was...
  21. I can understand how you're feeling. It may be strange, but I work in a NICU and I DON'T MIND taking care of a dying baby, at times I feel like I do do a good job helping the family do whatever they...
  22. umcRN

    Research for NICU Tourniquet

    if you're looking for something to improve, having a better sticking ostomy bag babies would be really helpful
  23. I work in a "decentralized" NICU so we have no real nurses station but rather all private rooms with "alcoves" in between sets of rooms, some alcoves are where our pyxis is, others have all our...
  24. umcRN

    What You Do Best

    Apparently I'm good with "difficult families". I always find myself signing up for primaries (NICU) that no one else wants because the family causes trouble, I've never had any trouble with any of...
  25. umcRN

    Research for NICU Tourniquet

    agree with prmenrs We also rarely use tourniquets for blood draws - we draw labs off their heels if they don't have an