umcRN BSN, RN

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All Content by umcRN

  1. umcRN

    Cooling Blanket for HIE

    umcRN replied to HarleyNrs's topic in NICU, Neonatal

    We use these and only use a rolled blanket under the blanketrol to turn them side to side. They should be adequately sedated for the three days they're on it anyways so developmental "comfort...
  2. umcRN

    How did you get into NICU nursing?

    umcRN replied to pixie6089's topic in NICU, Neonatal

    Agreed. My instructors all advised me against looking for pedi jobs but I refused to work with adults. I applied to pedi hospitals literally across the country and the first interview and offer I...
  3. umcRN

    Seizure activity during re-warming phase of hypothermia

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

    All our cooling kiddos are kept on continuous EEG throughout the cooling and rewarming. Seizures can be seen even if the patient is paralyzed. I guess I assumed all cooling patients were monitored...
  4. umcRN

    Nursing Fear

    umcRN replied to MN-MN's topic in Pediatric

    My first patient death was a newborn. We knew she was going to die. She was an HIE baby (apgars 0, 0, 0, 1) we cooled her but she herniated. Support was withdrawn but she continued with spontaneous...
  5. umcRN

    Patient responsive but in cardiac arrest

    umcRN replied to Blandini7's topic in MICU, SICU

    Yes. Had a teen that kept going into complete heart block, we had difficulty getting his external pacer to capture and for a while he was too unstable to go to the OR for a permanent one. Unnerving to...
  6. umcRN

    NICU program gives charge of baby's care to parents

    umcRN replied to HyperSaurus, RN's topic in NICU, Neonatal

    Interesting. At my hospital we try to encourage parents to be there as often as possible. We have private rooms and parents are taught from day one how to change diapers, take temperature (and know...
  7. umcRN

    Question on dopamine infusion

    umcRN replied to kthelander's topic in NICU, Neonatal

    thats going to depend on your unit/pharmacy policies. In my NICU we change all the lines q24. In the PICU/CICU (same hospital) they're changed
  8. umcRN

    fentanyl dosing on a vent

    umcRN replied to robinicu's topic in MICU, SICU

    I've given high doses of fentanyl to intubated kiddos, but usually those that have worked up a tolerance. A just intubated patient (who should have received decent sedation prior to intubation) should...
  9. umcRN

    I'll be completely honest with you...

    umcRN replied to sarahdanielle14's topic in Pediatric

    VERY hard to come by as a new grad and very difficult. I worked as a new grad in the NICU first (a level 3c with surgery/ecmo) and that gave me a great foundation to stand on moving into CICU....
  10. umcRN

    I'll be completely honest with you...

    umcRN replied to sarahdanielle14's topic in Pediatric

    2 years of peds cardiac icu here and I LOVE
  11. umcRN

    How do you update families in your ICU?

    umcRN replied to psu4hld's topic in Critical Care

    I work peds so it may be slightly different but for us only the parents are allowed to receive medical info, that's on the phone and in person. They are provided with a patient specific code (last...
  12. umcRN

    Sometimes it hits you...

    umcRN posted a topic in PICU, Pediatric

    It was five minutes till seven at the end of a long but good shift. I was on my way to fill my water bottle before giving report to the oncoming nurse. A nurse called out to me, "hey aren't you a...
  13. umcRN

    Family In The Room for Code?

    umcRN replied to Nursingbride12's topic in CCU, Coronary, Cardiac

    I have written a post about this previously, found here: https://allnurses.com/picu-nursing-pediatric/sometimes-hits-you-809739.html I am strongly for family presence and at my hospital we have a...
  14. umcRN

    Home Vent Training for Parents

    umcRN replied to meanmaryjean's topic in PICU, Pediatric

    This is a huge issue in my unit. First home vent kids ALWAYS go to ICU, either NICU/PICU/CICU depending on the age/history For new trachs parents get one 2 hour teaching session with our trach...
  15. umcRN

    Has anyone here done ICHF/baby heart mission?

    umcRN replied to hubcaps's topic in PICU, Pediatric

    I've applied and am waiting for vacation time/trip to line up. Many of my coworkers have done them and loved them. Do you have heart experience? You will be expected to teach the locals the basics...
  16. umcRN

    Failure to maintain sats on ventilator

    umcRN replied to nurseJinicu's topic in MICU, SICU

    Oh yes, we have our fair share of those too. Wait till they pass out then bag em
  17. umcRN

    Failure to maintain sats on ventilator

    umcRN replied to nurseJinicu's topic in MICU, SICU

    My favorite was a few weeks ago had a kiddo who all day had been fine (pre op TGA, sats 80's) and then around 5pm apparently the PFO started closing and he wanted it in a bad bad way. Sats 30's, lost...
  18. umcRN

    Failure to maintain sats on ventilator

    umcRN replied to nurseJinicu's topic in MICU, SICU

    All the time in peds, then we start talking about oscillating or ecmo if that doesn't work, depending on what the issue is. Of course I work cardiac so sometimes our normal sats are in the 70's
  19. umcRN

    "Fake" or Nonprescriptive Eyeglasses

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

    I just got Lasik to never wear contacts or glasses again, who cares what people thought of me in them, they were obnoxious, working in an ICU, at times sweating and trying to keep glasses on my face....
  20. umcRN

    ICU RNs running CRRT?

    umcRN replied to liz0105's topic in MICU, SICU

    ICU nurses do the CRRT in my PICU, however we are at little silly and staff both the pump and patient (so the patient is 1:2). Granted some days those kids can be busy and it's great to have someone...
  21. umcRN

    Esophageal Temperature Probes

    umcRN replied to dolanra's topic in General Nursing

    xray verification in our neonates though with our older kids we now use rectal
  22. umcRN

    Advanced Directive

    umcRN posted a topic in General Nursing

    I hope this isn't medical advice but if it is please disregard. I am having surgery next week in a different state than the one I live in. If I have an advanced directive for the state I live in will...
  23. umcRN

    Why do hospitals hire travellers?

    umcRN replied to mlbluvr's topic in Travel

    At our hospital we moved two of our ICU's to much larger units, nearly doubling our occupancy. Management didn't think though that because we had more beds we would instantly have more patients...but...
  24. umcRN

    Advanced Directive

    umcRN replied to umcRN's topic in General Nursing

    Interesting. I work in an ICU but I work peds so we don't deal with advanced directives much. Not sure I'll have time to discuss this before surgery but I'll
  25. umcRN

    Advanced Directive

    umcRN replied to umcRN's topic in General Nursing

    Thank you! Since they're pretty easy to print out I just printed one for the other state and will bring both. I'm not especially worried about anything but it is going to be brain surgery so you never...