umcRN BSN, RN

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All Content by umcRN

  1. umcRN

    Calculator at work?

    umcRN replied to 1Luv_xo's topic in General Nursing

    I've probably got three calculators in my bag, we have them at all our pyxises (pyxi? haha) and outside most rooms, and for anything i'm not sure about I double check with someone else. This is peds...
  2. umcRN

    Fresh Heart Training

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

    We take post-ops on orientation but then generally have the more stable kiddos for the first few months to a year. That being said on my unit (a peds cicu) the most "stable" kid at the start of the...
  3. umcRN

    And then the MD said.....

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

    I had a patient once, a teenager, don't remember how old but not very big (but big enough to take two to move her), admitted my shift. Doc came to put a line in and accidentally got blood on the bed,...
  4. umcRN

    Tympanic temperature of children with CHF and on digoxin

    umcRN replied to Enthused RN's topic in Pediatric

    I work in a cardiac icu and have never checked a tympanic temp on any child (axillary, oral or rectal) whether they were on dig or not. Where did you hear
  5. umcRN

    voice after trach decan?

    umcRN replied to umcRN's topic in PICU, Pediatric

    Good to know! This little one's mom had been wheeling him around the unit all day trying to get him to sleep so every time he "kazoo'd" by the thought popped into my head and the coworkers I asked...
  6. umcRN

    voice after trach decan?

    umcRN posted a topic in PICU, Pediatric

    Random question here but we have a pt on our unit right now who comes in every few months. This pt is about 26 mos old or so. Trached over a year ago for severe tracheal stenosis and had had multiple...
  7. umcRN

    Green smoothie craze?

    umcRN replied to Florence NightinFAIL's topic in General Nursing

    I think the new craze is funny, seen lots of people with green smoothies lately at work but I've been bringing them to work for 3 years and getting all kinds of funny looks...not now though! I don't...
  8. umcRN

    Hearts and recovery

    umcRN replied to aerorunner80's topic in NICU, Neonatal

    I'm so surprised your surgeons allow this! Our surgeons won't even let the kiddos go to our acute heart unit/step down over the weekend which is literally a 3 minute walk through the building away....
  9. umcRN

    The LEAST critically ill kid you've cared for in PICU :)

    umcRN replied to meanmaryjean's topic in PICU, Pediatric

    at my hospital all pre-glenn cardiac cath patients have to stay overnight in the CICU for observation. I admitted one today, big fat chunky 4 month old who w/in the first 30 minutes of waking up from...
  10. umcRN

    Size matters? (IV question)

    umcRN replied to theantichick's topic in General Nursing

    Well in peds and nicu we use 24's on all our neonates, and they get blood, fluid pushed, abx and whatever else you can put through an IV so it's not "impossible", we are just gentler if we have to be...
  11. umcRN

    Hearts and recovery

    umcRN replied to aerorunner80's topic in NICU, Neonatal

    agree with all that marycarney said! The difference in my particular unit is that we get all our babies pre op and they stay post op and are transferred to our acute heart unit, they never go to the...
  12. umcRN

    Hearts and recovery

    umcRN replied to aerorunner80's topic in NICU, Neonatal

    Not at my hospital. In fact I think the shift in practice now is to start having primarily cardiac intensive care units. Most major children's hospitals have them now and many others are starting to...
  13. umcRN

    Low glucose baby, NPO, no access to dextrose

    umcRN replied to anon456's topic in Pediatric

    You can place an IO in an infant in an emergency. And if you didn't have an IO and couldn't place a PIV then transfer to ICU for a central line/cut down as previous poster
  14. umcRN

    Routine PIV changes

    umcRN replied to KelRN215's topic in Pediatric

    I've only seen this once but it was a kiddo in whom this was literally her LAST point of access (they had actually put PIVs in her abdomen!) and she was already oscillating, on iNO, maxed on dopa/epi,...
  15. umcRN

    Cost effective patients

    umcRN replied to SNB1014's topic in Nursing Humor

    I brought my own pillow and blankets. Much nicer than the once provided and made me more comfortable. Also the second I was able to get the gown off and into my own PJ's I did...nothing related to...
  16. umcRN

    Cost effective patients

    umcRN replied to SNB1014's topic in Nursing Humor

    No idea if they save much but I did get an itemized bill for my hospital stay. Those little mouth care kits in the ICU? $30, TED socks? $50...can't remember all the details right now but I remember...
  17. umcRN

    Low blood pressure great neurological status?

    umcRN replied to umcRN's topic in PICU, Pediatric

    I guess another question could be, has anyone ever experienced a transplanted heart that didn't respond well to vasoactives? Like I said this kid can't get off his beloved dopamine and sometimes epi...
  18. umcRN

    Can a nurse refuse to participate in a code?

    umcRN replied to wooh's topic in General Nursing

    I don't think so...I did have a patient once though who I was very close to, he was basically comfort care at that point but without the technicality of the DNR, his parents just couldn't agree to it...
  19. umcRN

    Is a slow code ethical?

    umcRN replied to blackvans1234's topic in General Nursing

    I also recently read this article which seems to apply to this conversation. Our unrealistic views of death, through a doctor's eyes - The Washington
  20. umcRN

    Is a slow code ethical?

    umcRN replied to blackvans1234's topic in General Nursing

    Depends on the patient and if a "slow code" is what's need to "stop doing harm" to the patient then it might be the lesser of two evils. We had a patient on my unit once who was going to die. Slowly...
  21. umcRN

    patients who don't age out

    umcRN replied to anon456's topic in Pediatric

    I don't work in the PICU so I don't know how many older patients they have (though I did float there once and care for a 23 yr old duchenne muscular dystrophy pt) but working in the cardiac icu we get...
  22. umcRN

    Low blood pressure great neurological status?

    umcRN replied to umcRN's topic in PICU, Pediatric

    We are actually looking into this now since we are still (a month later) having this issue. Cortisol level is "low normal" @ a whopping 2. Endocrine said they couldn't help a few weeks ago but now...
  23. umcRN

    Thermoregulation and regularity of temp checks?

    umcRN replied to MistyM's topic in NICU, Neonatal

    Yes true! I got report on a little guy once (1kg or so) and the night RN told me she was having trouble with his isolette all night, that it kept alarming that he was cold but he wasn't. Well when I...
  24. umcRN

    Routine PIV changes

    umcRN replied to KelRN215's topic in Pediatric

    Plus, why traumatize the kids with routine
  25. umcRN

    Routine PIV changes

    umcRN replied to KelRN215's topic in Pediatric

    Hang on to it like it's gold! If you can get a PIV in a cardiac kiddo (which is where I work) it's not likely to last more than a few days but we will hold on to it for dear life for as long as it...