umcRN BSN, RN

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All Content by umcRN

  1. umcRN

    Pediatric rating scales

    umcRN replied to MasonCarbo's topic in Pediatric

    Yes I can definitely see the importance of it...interesting. I'm on my units practice council. Maybe something to be brought up. That's pretty impressive you can always guarantee a parent at the...
  2. umcRN

    Best training ground for PICU wannabe

    umcRN replied to Summers_Off's topic in PICU, Pediatric

    I worked NICU for two years then transferred to the peds CICU at my hospital. It was a very smooth transition. I already knew ICU stuff (and there is so much ICU stuff), how to think critically and...
  3. umcRN

    Pediatric rating scales

    umcRN replied to MasonCarbo's topic in Pediatric

    So a 13 month old with 5 continuous IV's, continuous g-tube feeds and continuous tele/sat monitoring would be pretty high risk haha stopped that kid from hanging himself a few times. Unfortunately we...
  4. umcRN

    Tips on Drawing from Arterial Line

    umcRN replied to mslema's topic in NICU, Neonatal

    Yes! Show them the info from the company! The system is so easy to use! I love it more than what we used in the NICU...I wish I remembered the brand of that but it was also pretty easy. Definitely...
  5. umcRN

    Pediatric rating scales

    umcRN replied to MasonCarbo's topic in Pediatric

    Entanglement? That sounds interesting! What do you do for a high score? I work ICU so don't have this problem too often but occasionally we get those movers who I'm worried are going to be strangled...
  6. umcRN

    Tips on Drawing from Arterial Line

    umcRN replied to mslema's topic in NICU, Neonatal

    We use the same closed system for both UAC's & periperals. I worked two years in NICU and now two years in peds CICU (still mostly infants, even the I'm a little confused about mslema's system....
  7. umcRN

    Tips on Drawing from Arterial Line

    umcRN replied to mslema's topic in NICU, Neonatal

    What is your a-line set up like? Is it a closed system? Wasting a "few drops" isn't going to be enough. We use a closed system that pulls off 3cc's of waste, then we take our sample and are able to...
  8. umcRN

    Pediatric Cardiac ICU Travel Nurse- Options?

    umcRN replied to CardiacRN415's topic in Travel

    Not very helpful about companies or how to get started but if you have any interest in DC we have quite a few travelers on board at the moment. We moved to a larger unit last year without expecting to...
  9. umcRN

    "Baby Friendly"

    umcRN replied to aerorunner80's topic in NICU, Neonatal

    I would talk to your unit manager and your educator if possible. I don't work at a birthing hospital so we get out of the baby friendly thing but that just sounds dangerous. You should not be...
  10. umcRN

    Shift change and visitation in ICU/stepdown

    umcRN replied to opossum's topic in MICU, SICU

    I work PEDs but we have open visitation for parents and others may come during visiting hours 10a-8 p. We rarely have issues. We only allow two visitors at the bedside and that includes the parents so...
  11. umcRN

    24/7 Video Cameras in ICU rooms

    umcRN replied to umcRN's topic in Critical Care

    Good point. I work in peds though so...no we don't really get any kind of consent, and our cameras are almost useless as the only thing you can see is the patient and SOMETIMES the monitor (which...
  12. umcRN

    24/7 Video Cameras in ICU rooms

    umcRN posted a topic in Critical Care

    So I have a question for ya'll. I work in a large pedi cardiac ICU. Being cards a majority of our patients are newborn-toddler however we also have a population of 20-40 year olds (those hypoplasts...
  13. umcRN

    Call to organ donation center post pt death

    umcRN replied to LogCabinMom's topic in General Nursing

    Yes. We always call. Even in the NICU with the 23-24 week preemies (who are never
  14. umcRN

    Do children's hospitals hire?

    umcRN posted a topic in Travel

    Hello all, I am considering traveling, probably starting next year. I was wondering how many children's hospitals hire travelers these days? I know the children's hospital I work in now does but not...
  15. umcRN

    heart defects in neonates, HELP!!!!

    umcRN replied to ashleynicole0590's topic in NICU, Neonatal

    Well that's kind of a loaded question. First does your NICU keep the cardiac kids? Do they send them off to a cardiac ICU or keep them until surgery or after surgery? There are HUNDREDS of cardiac...
  16. umcRN

    Delayed Sternal Closure?

    umcRN replied to TX911's topic in CCU, Coronary, Cardiac

    ours too. Now the next question. Whose seen a SUSPENDED chest? Almost fell over first time I saw that on orientation! (luckily it's
  17. umcRN

    Delayed Sternal Closure?

    umcRN replied to TX911's topic in CCU, Coronary, Cardiac

    I also work in a peds cardiac ICU so we have many open chests, and usually if the kids code after surgery (and their chest is closed) the surgeons will come open it right at the bedside to put them on...
  18. umcRN

    Nursing Care in the Psychiatric Intensive Care Unit

    umcRN replied to katej326's topic in Psychiatric

    Are you looking for a psychiatric intensive care unit? If that's the case I don't think that exists (though others can correct me if I am wrong). This forum however is for pediatric intensive care and...
  19. umcRN

    Pain medication dosing

    umcRN replied to LeenaJoseph's topic in Critical Care

    we primarily start with morphine and add versed if necessary. We start low, like 0.02mg/kg/hr and increase as necessary. If more than 6 PRNs are needed in a 12 hour period we go up by 20% the original...
  20. umcRN

    Question about secretions

    umcRN replied to nurse4sale's topic in Pediatric

    yup. transmitted upper airway congestion is what we chart at my facility. Regarding his gas/emesis, have you tried venting his tube pre/post feeding? After feeding you can attach an empty 60cc syringe...
  21. umcRN

    Do you provide palliative-type care to children awaiting transplant?

    umcRN posted a topic in PICU, Pediatric

    This question came up recently at work with one of our "chronically critically ill" children. The patient is waiting for a heart transplant and is in severe heart failure. The patient has been on our...
  22. umcRN

    Breast milk storage in NICU

    umcRN replied to catlover314's topic in NICU, Neonatal

    hmm we have two HUGE (floor to ceiling) freezers. Organized alphabetically, each kid has a page in the log book and we write down when we add or take out bottles and how much is left in the freezer....
  23. umcRN

    Do you provide palliative-type care to children awaiting transplant?

    umcRN replied to umcRN's topic in PICU, Pediatric

    Interesting point of view. I am going to go out on a limb and say I don't think my hospital is there yet. We are a relatively new program, in fact at this point our surgeons are still sending out...
  24. umcRN

    CCU or PCU?

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

    I worked in both the cardiac icu and their step down when I was in nursing school. I learned a lot from both units but to be completely honest I spent more time in the ICU stocking carts than any kind...
  25. umcRN

    Post surgery acute kidney injury

    umcRN replied to edwin_silva's topic in Critical Care

    Per our terms of service we are not allowed to disclose medical advice. You will have to talk with his medical team. Hope he starts to improve