umcRN BSN, RN

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All Content by umcRN

  1. umcRN

    Job offers while still in school

    umcRN replied to jam752's topic in General Nursing

    Depends on where you are and where you apply. As a May '09 grad I started searching and applying for jobs in December '08, some places were hiring then (for starting the following summer) others...
  2. umcRN

    Dealing with emotion during patient care.

    umcRN replied to Mary Hicks's topic in PICU, Pediatric

    I am very sorry for your loss, and that it had to be that way. This is one reason I am part of my units bereavement committee and am committed to doing what we can for parents in these terrible...
  3. umcRN

    Dealing with emotion during patient care.

    umcRN replied to Mary Hicks's topic in PICU, Pediatric

    Sorry...apparently I have 1 more thing to say... Sometimes it hurts me more to keep those "obviously terminal" patients alive because the parents don't want to believe it. Now I have never lost a...
  4. umcRN

    Dealing with emotion during patient care.

    umcRN replied to Mary Hicks's topic in PICU, Pediatric

    Interesting. I work in a NICU. As a student I worked as a tech on an adult cardiac step down and ICU. I had a MUCH harder time dealing with the neglected elderly whose family "wanted everything done"....
  5. umcRN

    23 wkrs suffering?

    umcRN replied to nicu4me's topic in NICU, Neonatal

    Agreed...and then the ones that do "survive" that no one wants to let the parents in on the fact that the baby has no intestines, gr 4ivh, probably rop and a host of other issues that won't turn up...
  6. umcRN

    TKO/KVO vs. Saline Lock

    umcRN replied to NurseAnt's topic in NICU, Neonatal

    Saline lock PIV's with every cares. PICCS vary from D5, D10, 1/2NS and NS with 1u/ml heparin depending on the baby, little ones we run it at 0.5ml/hr, bigger ones we run @ 1ml/hr. We hep lock broviacs...
  7. umcRN

    High Frequency Jet Vent?

    umcRN replied to Bortaz's topic in NICU, Neonatal

    Never seen a Jet, only oscillators here but hospitals around us use jets because we get babies from them that had been on
  8. umcRN

    Dr Oz and Aspirin

    umcRN replied to carolmaccas66's topic in General Nursing

    I was also taught to always give aspirin, and have them chew it for quicker
  9. umcRN

    Is it out of the norm to apply to multiple hospitals?

    umcRN replied to Nevran's topic in General Nursing

    Oh man...ha I applied to 20-30 hospitals from Massachusetts(where I lived) to California & everything in between. Ended up taking a job in DC. People thought I was crazy but when my class...
  10. umcRN

    Gastroschisis

    umcRN replied to qcumba's topic in NICU, Neonatal

    I hope you have surgeons experienced with the condition... Everything depends on the baby, most are not intubated at birth unless they are preemie/have RDS. On my unit surgery for gastroschesis is...
  11. umcRN

    Ever seen a pt live after 5 chest tubes?

    umcRN replied to Darkfield's topic in MICU, SICU

    no experience with what you're talking about but I have seen an 8lb newborn with 5 chest tubes and getting multiple needle aspirates for days on end for collapsed lungs make it, go home and visit us...
  12. umcRN

    1-1 ratio for nurses

    umcRN replied to Roozeyk's topic in General Nursing

    I work in a Level 3 NICU, typically its 1:2 but for the very unstable its 1:1. I can distinctly remember a patient I took care of while I was on my orientation though, poor guy, was on ECMO - had an...
  13. umcRN

    Hanging dopamine and preventing accidental bolus

    umcRN replied to neoicu2684's topic in General Nursing

    when your patient weighs 1kg and your running 20mcg/kg/min the smallest .1 or .2mls can make quite the difference in pressure
  14. umcRN

    Hanging dopamine and preventing accidental bolus

    umcRN replied to neoicu2684's topic in General Nursing

    We use syringe pumps on my unit, if a baby is very sensitive and unstable we will gather a new pole and pumps for everything we are hanging, we will string everything together and run it all for 20...
  15. umcRN

    outpatient mrsa protocol

    umcRN replied to linguine's topic in General Nursing

    Difficult concept even in some inpatient units. For example I work in a NICU. We have private rooms and cohort MRSA patients together at the end of one hall. Nurses do not take care of a MRSA and non...
  16. umcRN

    Funny Names

    umcRN replied to nurserynurse55's topic in NICU, Neonatal

    hmm most recents: C'Ajah De-Sean Aciya & Aliya (and there was another who passed, I don't remember her name) Chanel All I got right
  17. umcRN

    Blood: do you administer platelets or PRBC first?

    umcRN replied to TJacob's topic in General Nursing

    Would depend on the pt situation, what's their crit? Are they actively bleeding? If they were just a little low in both and needed a transfusion I would give platelets first because it goes in faster...
  18. umcRN

    NICU nurse making the jump to PICU!

    umcRN replied to preemieRNkate's topic in PICU, Pediatric

    Glad you started this thread, I am also thinking of making the move, from NICU to CICU, units within the same hospital. Thinking of making the switch for a variety of reasons but am very...
  19. umcRN

    Nurse to Nurse Communication

    umcRN replied to LewisA2's topic in CCU, Coronary, Cardiac

    I work in a NICU...want to talk about lengthy stays?! (4...5....6...and yes..12 months plus!) We have computer charting and our "progress note" area is almost exactly like you describe. The note will...
  20. umcRN

    Orientation length??

    umcRN replied to Shanlee79's topic in NICU, Neonatal

    New grad? my orientation was 6
  21. umcRN

    Carbapenem-Resistant Klebsiella Pneumonia (CRKP)

    umcRN replied to APRN.'s topic in General Nursing

    I took care of a baby with Klebsiella pneumonia & osteomyelitis (of her hard palate, post choanal atresia repair), not sure of the Carbapenem resistance. She was VERY sick and later (after an...
  22. umcRN

    Traveling with intubated patients

    umcRN replied to mcleanl's topic in MICU, SICU

    I work in a NICU so managing the bed is a little easier But it still takes at least 3 people. 1transport nurse to bag, RT to take the vent and set up in ct/mri/fluro wherever, and the bedside nurse...
  23. umcRN

    How valuable is speaking Spanish in health care?

    umcRN replied to edwindelahiggins's topic in General Nursing

    Depends on where you are, I wish I knew it, i've used a spanish translator quite a few times this week
  24. umcRN

    Does NICU offer experience for other areas of nursing?

    umcRN replied to ijuanabhappy's topic in General Nursing

    I was going to say you could always go to PICU/peds CICU but if its the stress thats getting to you maybe not. There is normal newborn, mother/baby etc, and really with nursing you can always get into...
  25. umcRN

    Frequent Broviac Infections - eek!

    umcRN replied to Baboosh123's topic in General Nursing

    Seems too high, I have heard of patients going months to years without infections. Do they remove the catheter everytime there is an infection? That is usually a standard of care that a line with an...