umcRN BSN, RN

Member

  • Content

    867

  • Visitors

    24,126

  • Followers

    0

  • Likes

    13

All Content by umcRN

  1. umcRN

    Discharge Planning

    umcRN replied to Julius Seizure's topic in PICU, Pediatric

    Also as far as teaching in general, I used to work NICU and we had plenty of complex patients discharged from there and we had a discharge teaching program that started at admission. It included ten...
  2. umcRN

    Discharge Planning

    umcRN replied to Julius Seizure's topic in PICU, Pediatric

    Unless our patients are vent dependent they will transfer to the acute care heart unit and discharge from there. Discharge teaching all takes place there. I do know that we have an extensive single...
  3. umcRN

    Continuity of care/Routines

    umcRN posted a topic in PICU, Pediatric

    I am looking for information about how other PICU/CICU's manage care for their chronic populations. We are trying to get better at this on my unit but are still struggling to a degree. Have a kiddo...
  4. umcRN

    Continuity of care/Routines

    umcRN replied to umcRN's topic in PICU, Pediatric

    We have tried. Our units CL therapist has been around "forever" and feels she knows "best" how to help our children (which is basically dropping of a pile of toys and leaving). It's very frustrating...
  5. umcRN

    Pulmonary Artery Catheters - Yes or No?

    umcRN replied to NotReady4PrimeTime's topic in PICU, Pediatric

    I don't know why our surgeons put them in. 90% of the time if the number is too high our doctors choose "not to see it" kind of defeats the
  6. umcRN

    Tips on Drawing from Arterial Line

    umcRN replied to mslema's topic in NICU, Neonatal

    The closed system we use we still always pull back on the radial art line, we have to to get the 3cc waste. I guess I just don't understand this system! I'd have to see
  7. umcRN

    New hospital gown design

    umcRN replied to NRSKarenRN's topic in General Nursing

    Wearing a hospital gown was one of the worst things for me being in the hospital, it "marked" me as a patient and I hated it! As soon as I was out of ICU and could get my own clothes on it was off!...
  8. umcRN

    Boston job prospects for new grad

    umcRN replied to bostonRN2013's topic in Massachusetts Nursing

    Well I'm from Massachusetts but moved away 4 years ago when I graduated for work so I don't know about the current situation...hoping to get back there in the next year or two though. About the...
  9. umcRN

    Pseudo Munchausen parents...

    umcRN replied to wooh's topic in Pediatric

    Yes these are popping up everywhere and I can see both sides of it. I do know a family who has a private group. Private groups are invitation only not "likes" and this child's parents said they did...
  10. umcRN

    The most gruesome situation you've encountered?

    umcRN replied to SuzieVN's topic in General Nursing

    For me it was a baby on ECMO, a slightly older machine than we have now, and the roller-head burst...I believe they had to completely repaint the room and replace the tiles in the ceiling after the...
  11. umcRN

    Pulmonary Artery Catheters - Yes or No?

    umcRN replied to NotReady4PrimeTime's topic in PICU, Pediatric

    just happened to have one in our unit today, sutureless repair for pulmonary vein
  12. umcRN

    What can you tell me about NEC?

    umcRN replied to picurn10's topic in NICU, Neonatal

    we wish they could but tpn is just not a nutritious substitute. Like NicuGal said you will destroy their liver - those kids who get bad nec and end up short gut usually end up with pretty bad livers...
  13. umcRN

    Pulmonary Artery Catheters - Yes or No?

    umcRN replied to NotReady4PrimeTime's topic in PICU, Pediatric

    My unit will use them if the kid has a high affinity for severe PH crisis pre-op, and it's usually surgeon dependent. They are usually pulled w/in the first 12 hours (and almost all our post ops...
  14. umcRN

    What can you tell me about NEC?

    umcRN replied to picurn10's topic in NICU, Neonatal

    Sounds about right. I remember I helped admit a baby once from an OSH. Baby was ex 26 wkr but now term, never had any gut issues, was supposed to go home in the next day or two, parents were just...
  15. umcRN

    What is wrong with these kids? (Mystery Diagnosis)

    umcRN replied to Double-Helix's topic in PICU, Pediatric

    That would show up on a resp PCR though, I'm assuming with all the other tests that this was done as
  16. umcRN

    PALS

    umcRN replied to alr25's topic in Pediatric

    Kid was ready to be transferred to the floor when they coded. Had a PIV in the foot that went bad after one dose of epi and a fluid bolus. Placed two IO's. They were being "manned" by the doc who said...
  17. umcRN

    Pseudo Munchausen parents...

    umcRN replied to wooh's topic in Pediatric

    Hey! I had 52 staples...we could compare scars haha Back to topic, luckily I haven't had too may of these types of parents to deal with. Most of the parents I have encountered want to do anything to...
  18. umcRN

    PALS

    umcRN replied to alr25's topic in Pediatric

    My first real life code...ett epi. It was horrid But you're right, not as likely during
  19. umcRN

    Tips on Drawing from Arterial Line

    umcRN replied to mslema's topic in NICU, Neonatal

    I guess I don't understand why you can't use the same system for both your UAC's &
  20. umcRN

    PALS

    umcRN replied to alr25's topic in Pediatric

    We were not allowed to reference anything during the exams (written and skills) but we were all ICU/ER nurses taking the course and familiar with the meds. What kind of experience do you have? You...
  21. umcRN

    You make the decisions on YOUR shift and I'll make the decisions on MINE

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

    I'm great! Been back at work for over a year now. Really, all I needed that night in the ER was 10 mg of decadron...worked like a charm. I had my tumor removed a week later and haven't had a headache...
  22. umcRN

    You make the decisions on YOUR shift and I'll make the decisions on MINE

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

    100% agree with you. I also had to chuckle at this a little, my patient today was two years old, TWO. He is a cardiac kiddo and has had FOUR open heart surgeries in his little life and countless other...
  23. umcRN

    Primary nurses

    umcRN replied to bmsrn's topic in NICU, Neonatal

    Same as above, primary nurses generally always have priority...and yes it can be annoying when you have the kid for three shifts and come in overtime for your fourth and their primary is there...but...
  24. umcRN

    You make the decisions on YOUR shift and I'll make the decisions on MINE

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

    A year and a half ago I walked into an ER with a known brain tumor (diagnosed by MRI and the initial doc I saw thought it was too complex for his system to treat so he sent me to the closest large...
  25. umcRN

    Pediatric rating scales

    umcRN replied to MasonCarbo's topic in Pediatric

    Well I can see that side of it, especially in a cardiac ICU where a child can be sitting up talking to you one minute, and coding the next (exactly how my first code went, came out of nowhere) so...