umcRN BSN, RN

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All Content by umcRN

  1. umcRN

    Sometimes it hits you...

    What would you like to know? We have a training program for RN's who are interested, I am not part of putting that on so I'm not sure where they get the videos/handouts. We got funding for this...
  2. umcRN

    Peds: How do you handle it?

    Came across this today. An example of why kids (and those who take care of them) are
  3. umcRN

    A new book, "The American Nurse"

    We got this book for nurses week at our hospital (probably because a few of our nurses were featured in it) but it's pretty
  4. umcRN

    ECMO

    Well so long as you have a good orientation it should be ok. In my unit all staff is also trained to do ecmo bedside, certain rn's in the nicu/pcicu are ecmo specialists and sit pump and then our core...
  5. I haven't read this entire post so excuse me if I'm repeating something. I work peds so sometimes it can be a little different, sometimes kids NEED to see their siblings to feel better, both the ones...
  6. umcRN

    Peds: How do you handle it?

    I work in a pediatric cardiac icu. As one of our more senior charge nurses put it recently, every one of our kids is already dying when they come in the door (that's more specific to my unit of...
  7. There's always that one event that ruins it for the rest of them. Never mind improving education for the floors and working to make the hospital stay better for the patient, nope just tie them to an...
  8. umcRN

    ECMO

    Our ECMO core team and perfusionists are the only ones that prime and set up the pump. The core team is made up of nurses and respiratory therapists who ONLY do ecmo, our bedside specialists (who also...
  9. Children's national medical center does both research in the nicu as well as fetal/neonatal research in the cardiac icu although I don't know how much nursing directed research is done in the nicu,...
  10. umcRN

    Case Study: Cyanosis

    EKG, chest xray, echo - she could have myocarditis r/t the recent teeth removal, chronic illness and likely weak immune system. Admit to ICU for sure. She could also have a late onset chemo induced...
  11. That's true, you probably will need an
  12. I agree. Hospital B will give you a good solid ground to build up from. Work there and you could potentially go anywhere you wanted to go, back to school, research, life flight, and will also give you...
  13. Also as far as conferences go you can become a member of NANN NANN Index and maybe find contacts through them for
  14. umcRN

    PICU Question!

    Nope not here either. If I have a kid on high pressors on line change day I will hunt down a transport pole and enough pumps for a completely identical set-up to what they have running and get...
  15. Do you work in a teaching hospital? That's where the research is going to be happening. I know quite a few nurses at my hospital that went from bedside to
  16. umcRN

    The Malignant Hero

    WHY was there a muscle relaxant in a
  17. Same here about the vents! (clearly if the floor won't do home bipap, they won't do vents) Except i'm in cardiac ICU but if an old MRCP PH-er comes in for hip surgery it's us that's got him! And all...
  18. And yet if they have obstructive sleep apnea from all these chicken fingers and need bipap at night...they will be found in my icu, because the floor can't do
  19. umcRN

    Sometimes it hits you...

    Just thought I'd share, this little one went home a few weeks ago! Four months inpatient, 2 open heart surgeries, cardiac arrest x2 & an ecmo run, she is now home, with a normal MRI to
  20. umcRN

    Parent CPR Teaching

    Hmm interesting, so it doesn't seem like bedside nurses do it very commonly, good to know,
  21. umcRN

    Parent CPR Teaching

    This question came up recently in my unit. If you are discharging a complex kiddo from ICU to home (trach/vent dependent for instance) who teaches the parents CPR? In the NICU I worked in (same...
  22. umcRN

    More $$/hr for CCRN?

    we get a (taxed) bonus and the test paid for if you
  23. "When can he take a bottle?" Never mind that the kiddo is an ex 24 weeker, has been intubated 6 months, just arrived to our facility a few days prior and we decide to try vapotherm since the other...
  24. umcRN

    And then the MD said.....

    Having worked with babies in critical care for four years I beg to differ. If the parents are around sure we encourage them to change the diapers and for some of the sicker infants it might be the...
  25. umcRN

    Calculator at work?

    But there is that 1% of times when they send up something wrong and I've seen it too many times for comfort. A bag of what should have been 800mcg/1ml of dopamine instead sent up 3200/1 but with the...