umcRN BSN, RN

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All Content by umcRN

  1. umcRN

    G-tube leaking :(

    umcRN replied to umcRN's topic in General Nursing

    we have changed the extension tubings a few times now (due to the med port stretching out, and we always have a back up clean one). The bubble inside is filled properly but I never thought of the...
  2. umcRN

    Great metro areas to work in the U.S. Today?

    umcRN replied to PraiseMariahCarey's topic in General Nursing

    filthy?? hmm, i'm originally from Boston and the cleanliness of DC far surpasses Boston, and any other city ive ever seen, of course the president lives here so it has to be clean! Anywho's, the city...
  3. umcRN

    Are the parent easy to deal with?

    umcRN replied to cory'swife89's topic in Pediatric

    *sigh* in my short time nursing (1 1/2 years) in a nicu its the loved ones that die most often, and the ones with the crazy, drug addicted parents who do fabulous and have to go home with that As for...
  4. umcRN

    Does NICU level IV exist???

    umcRN replied to Sandhya's topic in NICU, Neonatal

    I believe my NICU is considered a Level IIIc...but we are a regional refferal center, do ECMO, body cooling and all surgeries except for transplant however we have a "sister" hospital that does...
  5. umcRN

    Great metro areas to work in the U.S. Today?

    umcRN replied to PraiseMariahCarey's topic in General Nursing

    New Grad a year and a half ago, came to DC, live in northern virginia and commute into DC to work. Lots to do, tons of museums and sight seeing, pretty decent nightlife, lots of...
  6. umcRN

    open visitation/ 24/7

    umcRN replied to kalamazoo's topic in NICU, Neonatal

    we have open visitation, but we also have private rooms so we are always able to go out of ear shot of the family, and parents are not involved in report. I also think that would be really difficult...
  7. umcRN

    Bedside PPV Bag & Masks

    umcRN replied to Love_2_Learn's topic in NICU, Neonatal

    Bag/mask/suction set up & ready to use in our nicu/picu. Checked @ the start of every
  8. umcRN

    frustrating coworkers

    umcRN replied to ICURN27's topic in NICU, Neonatal

    WHILE they are patients??? I have seen coworkers who have seen PAST patients outside the NICU, either because they were in house for a doctors visit or because that particular nurse/family continued...
  9. umcRN

    Bedside Code Sheets

    umcRN replied to nurseck04's topic in NICU, Neonatal

    YES! We use them and they are part of our daily "safety check" the sheet is updated each week when the med calc weight is updated. Not sure of the program, its something we get through our hospitals...
  10. umcRN

    Any 22 weekers out there?

    umcRN replied to mauigal's topic in NICU, Neonatal

    We have one now, almost 3 mos old now, had her PDA repaired, pretty much tolerating feeds but her eyes are pretty bad, no IVH but you never really know what their heads are like until their older...
  11. umcRN

    Short gut babies

    umcRN replied to LaNICUnurse's topic in NICU, Neonatal

    It is Omegavan, we are starting to use it in my hospital on the kids with severe liver damage...usually our kids are started on it after their Bili's hit a certain level or if they are severe short...
  12. umcRN

    Baby friendly NICU?

    umcRN replied to preemie69's topic in NICU, Neonatal

    I guess in that case our NICU would about as "baby friendly" as you can get a level IIIc unit. Private rooms with chair for 1 parent to stay overnight (the other parent may sleep in a similar chair in...
  13. umcRN

    Patients families dictating care and treatment

    umcRN replied to MomRN0913's topic in General Nursing

    we see this in the peds world too. "Family centered care" becomes "Family directed care". Had a father once who wanted daily CBC's on his 3lb son...do you think that kid had enough blood for that?...
  14. umcRN

    Why no NICU?

    umcRN replied to goldens1's topic in Certified Registered Nurse Anesthetist, CRNA

    I work in a NICU and people do have to leave to get experience elsewhere if they want to go CRNA. The reason being mostly is that we do not sedate and use anesthesia in the NICU as it is used in other...
  15. umcRN

    nurses intubating newborns

    umcRN replied to gunverferth's topic in General Nursing

    They are certified to place lines on our unit (they don't do it prior to transport), if they are not on transport they are on the unit, placing lines, changing line dressings, we have a 60bed unit and...
  16. umcRN

    nurses intubating newborns

    umcRN replied to gunverferth's topic in General Nursing

    I work in a level IIIc NICU in a childrens hospital so all our babies are transported in, by our NICU Transport RN's. Those nurses can intubate, place lines (PICCS/UVC's/UAC's/Pals). They are very...
  17. umcRN

    how long can you prime fluids for in advance of infusion?

    umcRN replied to BayBabyRN's topic in NICU, Neonatal

    Because TPN doesnt seem to come up from pharmacy until 530-630! :rotfl: Anyways I'm sure there is an actual reason as far as how long the components are "good" for as well, and I would guess all the...
  18. umcRN

    Question for those who do head/body cooling

    umcRN replied to NicuGal's topic in NICU, Neonatal

    36 weeks. 1.8kg or greater, 6hrs old or younger (people gotta jump for that one, we transport all our babies in, no L&D in our hospital). We exclude severe chromosomal defects incompatible w/ life...
  19. umcRN

    ventilators vs ambubag

    umcRN replied to smartnurse1982's topic in General Nursing

    I would have suctioned and bagged him. If I have a pt on the vent whos sats drop, tube is in the right place I will bag to get better sats then suction, or suction first if I can see/hear something...
  20. umcRN

    Children's National Medical Center/DC Children's

    umcRN replied to NurseLay's topic in General Nursing

    As far as the NICU at childrens...i can tell you that you have way missed the application point, openings were likely up in september-november, interviews have probably already been done or are...
  21. umcRN

    Children's NICU

    umcRN posted a topic in Colorado Nursing

    Didn't realize I put this in the wrong spot, sorry for the respost! Just had a quick question for anyone who works at denver Childrens, does anyone know if the NICU keeps their cardiac babies or if...
  22. umcRN

    Children's NICU

    umcRN replied to umcRN's topic in Colorado Nursing

    Thanks for the info, I know at the children's hospital I am at now the CICU takes all cardiacs, occasionally they may be sent to the NICU once stable but needing to grow, etc but otherwise all cardiac...
  23. umcRN

    What happened to the follow-up on this child?

    umcRN replied to oramar's topic in Pediatric

    In regards to the baby I wrote about, he also had a primary nurse who tried again and again to get another plan on the way. CPS was involved, social work and case management all involved but without...
  24. umcRN

    What happened to the follow-up on this child?

    umcRN replied to oramar's topic in Pediatric

    It's so frustrating when children we care for end up like this. There was a similar incident in my area, we had a baby in our unit for quite a few months, went home on oxygen and a monitor. The mother...
  25. umcRN

    Older nurses taking forever to computer chart

    umcRN replied to Giga's topic in General Nursing

    We had down time for 48 hours once, out of the blue, Let me tell you I was running to those nurses who had been in the unit 30+ years. I am very glad they are