umcRN BSN, RN

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All Content by umcRN

  1. umcRN

    Smart pumps = Stupid pumps?

    umcRN replied to IvoryLena's topic in NICU, Neonatal

    we use medfusion syringe pumps, looks like this -
  2. umcRN

    Transferring units: When and why did you do it?

    umcRN replied to beeble's topic in General Nursing

    I worked as a new grad in a NICU for two years, I have just recently transferred to the peds cardiac ICU. I did it for a variety of reasons, one being my nicu has no step down and I was finding myself...
  3. umcRN

    How many other nurses do you work with?

    umcRN replied to rob4's topic in General Nursing

    60 Bed NICU anywhere from 25-34 nurses depending on census and acuity 14 Bed CICU (peds) 8-16 nurses again depending on census and
  4. umcRN

    Noncompliant parents. Do I have any rights to protect my license?

    umcRN replied to RNC-NIC's topic in General Nursing

    Don't doubt the ability of parents to harm their baby even after education...they think what they think is right and will have it no other
  5. umcRN

    Nervous!

    umcRN posted a topic in PICU, Pediatric

    So today was my last day in the NICU - my first ever job as a new grad, the place I have been for the past two years with all my "nicu mamas" guiding me along. I made the decision months ago to try...
  6. umcRN

    Research for NICU Tourniquet

    umcRN replied to alex.IPI's topic in NICU, Neonatal

    Rubber bands
  7. umcRN

    Noncompliant parents. Do I have any rights to protect my license?

    umcRN replied to RNC-NIC's topic in General Nursing

    CPS will typically not get involved until the child is near discharge, at least where I am For the issue in my unit we currently have the parents banned, it started out with a behavior contract, then...
  8. umcRN

    Noncompliant parents. Do I have any rights to protect my license?

    umcRN replied to RNC-NIC's topic in General Nursing

    we have an issue like this at the moment on my unit. I will not get into details for legal reasons but the legal department at my hospital is involved and they have since been 100% banned from the...
  9. umcRN

    Pulmonary Hypertension

    umcRN replied to umcRN's topic in PICU, Pediatric

    she had never had a cath before, it all kind of snuck up on her as we were preparing for her discharge after a very few critical weeks turned stable enough for her to be in three to ones with the...
  10. umcRN

    Pulmonary Hypertension

    umcRN posted a topic in PICU, Pediatric

    I currently work in a NICU but in two weeks (eek!) am transferring to my hospitals Peds Cardiac ICU. I know I will run into pulmonary hypertension in this unit but was wondering how many patients end...
  11. umcRN

    What do you guys use for art lines??

    umcRN replied to Nursemommi's topic in PICU, Pediatric

    our PICU and Peds CICU use this system: http://www.cardinal.com/us/en/distributedproducts/ASP/PXVMP120.asp?cat=med_surg We also use a closed system in the NICU but I cannot remember the name of it, it...
  12. umcRN

    Labs and vasopressors..new icu nurse needs advice

    umcRN replied to icu26RN's topic in MICU, SICU

    I have seen pedals used in both the NICU and the PICU...granted the kiddo needs to be pretty sedated to keep them from kicking it out, don't see why it would be an issue on an adult
  13. umcRN

    Trach/PEG special

    umcRN replied to KittyLovinRN's topic in General Nursing

    its interesting to see the differences in adults vs babies...in the NICU babies can go upwards of 4-5 months of being intubated before a trach is even placed on the table, and most parents take weeks...
  14. umcRN

    Pulmonary Hypertension

    umcRN replied to umcRN's topic in PICU, Pediatric

    we do do ecmo, I doubt her parents would have allowed us to put her through it (she was actually due to go to cath lab the day she died, we all think she would have come back on ecmo), she was not...
  15. umcRN

    How much student loan debt and how much is it a month to pay back?

    umcRN replied to sunshine100's topic in General Nursing

    Funny you ask this as I just paid my bills for the month and was tallying up how much i've paid/how much I have to go I graduated in 2009 from a large state school, got a great job right out of school...
  16. umcRN

    Pulmonary Hypertension

    umcRN replied to umcRN's topic in PICU, Pediatric

    what do you use for paralysis on these kids? in my nicu we use Vec which I saw can cause drops in HR when used with narcs...had a baby months ago who died, presumably from severe PHTN - she was on...
  17. umcRN

    Type of Feeding Tubes used

    umcRN replied to menemsha's topic in NICU, Neonatal

    interesting...i don't know the exact type of tubes we use, but we have no policy on changing them, they're replaced with the baby pulls it out...what about NJ/ND tubes, do you replace those weekly as...
  18. umcRN

    Pulmonary Hypertension

    umcRN replied to umcRN's topic in PICU, Pediatric

    hmm, from what I understand, there have been at least two babies recently (neither being my consistents but ones I have cared for) who were both micro/iugr babies. One is now 7ish months, the other...
  19. umcRN

    Weekend Only Nurse?

    umcRN replied to tambourine's topic in General Nursing

    We have "WIP" nurses, stands for Weekend Incentive Program, apparently they are considered full time I think...and make more then everyone else just working their weekend shift, but they are scheduled...
  20. umcRN

    Anyone using PALS inthe NICU?

    umcRN replied to CareForBabies's topic in NICU, Neonatal

    We don't have to take pals...but after taking it m/yself I realized we pretty much follow pals guiudelines, we are not a delivery hospital, and while we rarely defib babies our compressions & code...
  21. umcRN

    ISAM Baby question

    umcRN replied to SamRNmedic's topic in Pediatric

    Cut all three by 50%??!! That's way too much, I would have called the docs and told them so and that her withdrawals scores were super high, our kiddos usually have something for breakthrough to give...
  22. umcRN

    What cert were they talking about?

    umcRN replied to A&OxNone's topic in Pediatric

    They probably meant PEARS. I had never heard of it until a coworker told me about it. At my hospital NICU nurses are required to have NRP/STABLE, ICU nurses are required PALS and the floor nurses...
  23. umcRN

    So Sick of Pushy Patients and Verbal Abuse

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

    Ha, I work in a unionized children's hospital...trust me, the parents get away with too
  24. umcRN

    How to Hang a Tube Feeding in a Crib?

    umcRN replied to mgturtle's topic in NICU, Neonatal

    we dont gravity anything byt trophic feeds...generally 10cc or less, everything else usually goes on a pump. If you need to hang it could you attach it to an IV pole
  25. umcRN

    So Sick of Pushy Patients and Verbal Abuse

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

    how about abusive parents...ugh we had one set recently that was so bad that the hospital legal people got involved and they were restricted to 1hr visits a day with a security guard