umcRN BSN, RN

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All Content by umcRN

  1. umcRN

    Standard Concentrations

    umcRN replied to neopedsflight's topic in PICU, Pediatric

    We can pull ready made dopa/epi from our pyxis. We can mix first dose abx from the pyxis and we have all our sedation drugs we could need from the pyxis After those first doses pharmacy will make and...
  2. umcRN

    Standard Concentrations

    umcRN replied to neopedsflight's topic in PICU, Pediatric

    we use standard concentrations which were in use long before we got the "smart pumps" which we have now, so far no major issues that I have heard of. The smart pumps have a separate profile for each...
  3. umcRN

    How fast does dopamine work?

    umcRN replied to ornurse25's topic in General Nursing

    we go up to 20 mcg/kg/min in the NICU...PICU too I think, usually starting lower and working up as needed, it works pretty fast which is good when you need it asap, you can pull it from the pyxis,...
  4. umcRN

    Any 22 weekers out there?

    umcRN replied to mauigal's topic in NICU, Neonatal

    Tralala&TiffanyMarie - These are the issues we deal with every day, which baby is going to go in which direction and how can we predict that to give them the best quality of life, whether here on...
  5. umcRN

    Nursing scrubs are darn expensive

    umcRN replied to Katie5's topic in Scrubs, Uniforms, Gear

    I wear grays anatomy because I love them, i'm wearing them 3-4 days a week for 14 hours a time so I should love them right? I don't mind the extra buck or two. I really feel quite grateful actually...
  6. umcRN

    Current Method of Gavage Syringe Warming

    umcRN replied to faitdog's topic in NICU, Neonatal

    we are lucky to have these "penguin warmers" on our unit, every baby has their own, great for warming milk or formula and also for defrosting frozen milk http://crecheinnovations.com/penguinfaq/...
  7. umcRN

    8 y/o with brain injury

    umcRN replied to DemonWings's topic in PICU, Pediatric

    That's what I was
  8. umcRN

    Awake, alert, oriented & non ventilated...on ECMO??

    umcRN replied to umcRN's topic in PICU, Pediatric

    Wow!!
  9. umcRN

    Morphine dose in vial?

    umcRN replied to Chaya's topic in General Nursing

    we have 2mg vials, however I work in a nicu and we give morphine based on a range which is 0.05mg/kg up to 0.2mg/kg, which makes a VERY small dose for most of our patients, and yes, even if they are...
  10. umcRN

    NICU Swings Policies

    umcRN replied to charryse77's topic in NICU, Neonatal

    We don't have any unit swings :-( We do encourage parents to bring swings/bouncy seats when appropriate for the baby, they usually enjoy getting to bring in things that they may have sitting around...
  11. umcRN

    Awake, alert, oriented & non ventilated...on ECMO??

    umcRN replied to umcRN's topic in PICU, Pediatric

    Thanks for all the input! I love seeing the different technologies that are able to be used successfully. I don't know what kind of ECMO pump my hospital has, we did just start using a new one and...
  12. umcRN

    Understanding limited DNR

    umcRN replied to me2shugar's topic in Geriatric, LTC

    hmm usually they have some specifics to them, but i work in an icu...things i might see on a limited dnr would include: no intubating, no chest compressions, no code meds, anything really, some kids...
  13. umcRN

    Preterm Infants in NICU Recovery Rates By Race?

    umcRN replied to crbetts's topic in Pediatric

    you should probably try this in the NICU forum, but anyways, I only have 2 years NICU experience but so far I think I can say that is pretty accurate. We had african american twins once, boy and girl....
  14. umcRN

    Staffing ratios in isolation units

    umcRN replied to GHGoonette's topic in Pediatric

    What?? thats crazy, I've talked to a friend of mine who used to work on our hospitals peds unit and she said she had 2-3 pts during the day and 3-4 at night. I couldnt imagine trying to BABYSIT 16...
  15. umcRN

    Charting question

    umcRN posted a topic in PICU, Pediatric

    Hello! I just have a question about how you do charting in your PICU. I work in a NICU and today floated to the PICU (where I've been trained but forgotten this interesting fact about their charting)....
  16. umcRN

    March of Dimes: Less than 39 weeks

    umcRN replied to Elvish's topic in Ob/Gyn

    I guess I'm not terribly experienced, but working in a large NICU I guess I've only seen the bad cases...but enough to scare me away from 40wks + 2
  17. umcRN

    23 wkrs suffering?

    umcRN replied to nicu4me's topic in NICU, Neonatal

    Figure I could help a little: Hope that helps, feel free to add in
  18. umcRN

    March of Dimes: Less than 39 weeks

    umcRN replied to Elvish's topic in Ob/Gyn

    Glad this info is getting out there I also do think something needs to be said to docs though who let women go too long...working in a large referal center NICU I've seen too many "post date"...
  19. umcRN

    23 wkrs suffering?

    umcRN replied to nicu4me's topic in NICU, Neonatal

    we have some docs that can't seem to let it go though...had a baby once with NO kidneys, full term, they let that torture go on about 3 days, he was finally let go and I remember, hours later as...
  20. umcRN

    JCAHO in relation to NICU care

    umcRN replied to HurleyRN's topic in NICU, Neonatal

    We dont have any sort of sticker system where I work, lab will call for critical results and we are to notify the doc for any critical result we get and then chart that they were notified and if we...
  21. umcRN

    "Capped Care" in the ICU

    umcRN replied to micker14's topic in MICU, SICU

    I work in a NICU and we have a "limitation of care' order that is written by the physician after talking with the baby's family. It can say anything from DNR/DNI/AND (allow natural death) to being a...
  22. umcRN

    Awake, alert, oriented & non ventilated...on ECMO??

    umcRN replied to umcRN's topic in PICU, Pediatric

    Hmm, I guess I never thought of ecmo like a VAD. I've never dealt with a pediatric VAD but did use to work as an aid on an adult cardiac unit in a hospital with a huge VAD program so I guess it is...
  23. umcRN

    Charting question

    umcRN replied to umcRN's topic in PICU, Pediatric

    Thanks for the replies! I don't know why we chart full assessments q 3-4 hrs, but this is the only unit ive ever worked in so it's all I know, therefore going to other units where this isnt the...
  24. umcRN

    RN jobs with high amount of patient/family teaching

    umcRN replied to Junebug0710's topic in General Nursing

    I work in a nicu and we do a TON of teaching before discharge, as is often heard on my unit "discharge starts the day of admission" and it doesn't matter if its a 23wk preemie bound to be with us for...
  25. umcRN

    Looking into medical and colorblind

    umcRN replied to truckinusa's topic in General Students

    I don't know what other places do but I know I've gotten a color blind test every year since I started at my place, don't know what their policy is though for people that are colorblind...I mean I...