umcRN BSN, RN

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All Content by umcRN

  1. umcRN

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

    umcRN replied to umcRN's topic in PICU, Pediatric

    Thank you for your experiences! I work in a pedi CICU and unfortunately our medical director dislikes the palliative care team and has essentially banned them from our unit. I don't know the details...
  2. umcRN

    Temp question

    umcRN replied to RosaleiMae's topic in Pediatric

    In my experience there is no different "type" of thermometer. A thermometer is a thermometer is a thermometer. Now some hospitals (mine included) will designate "rectal" and "oral" thermometers but I...
  3. umcRN

    Pros and Cons of Adult vs Pediatric Critical Care Nursing

    umcRN replied to meraki86's topic in Critical Care

    I had to throw this in, my patient today: Heterotaxy (RAI - two, three lobed lungs, all abdominal organs flipped, no spleen), dextrocardia, d-transposition of the great arteries, unbalanced AV canal,...
  4. umcRN

    Ethical Question About Pacemaker

    umcRN replied to Nursingbride12's topic in CCU, Coronary, Cardiac

    YES to this! My first code in my pedi cardiac ICU was a kiddo who was being internally paced, luckily (?) he was going down hill and I had the docs in my room already, one was already listening to him...
  5. umcRN

    NRP outside of deliveries

    umcRN replied to LittleFeet:RN's topic in NICU, Neonatal

    Non Intubated Patient: Check airway, increase O's, blow by if not on oxygen at baseline. If no response can you do CPAP with your bags? That would be my next option but only flow inflating bags have...
  6. umcRN

    Ethical Question About Pacemaker

    umcRN replied to Nursingbride12's topic in CCU, Coronary, Cardiac

    Agree with what the other posters have stated. It is very similar to extubating or withdrawing other kids of external support. A place I worked at a few years ago had a patient who was the very first...
  7. umcRN

    Pros and Cons of Adult vs Pediatric Critical Care Nursing

    umcRN replied to meraki86's topic in Critical Care

    True. All the adult patients I have cared for have whined WAY more than any 2 or three year old I've taken care of. Watch out though, those little ones can go through drug withdrawals hard and can be...
  8. umcRN

    CPR question

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

    We use something quite similar, I don't know the brand name, blanketrol? I think. Anyways, rectal probe and a cooling blanket they lay on that circulates the water and keeps their temp
  9. umcRN

    Pros and Cons of Adult vs Pediatric Critical Care Nursing

    umcRN replied to meraki86's topic in Critical Care

    haha I wondered the same thing :-) but these kids do and some do it well! The 52 year old I mentioned sated low 70's her whole life and had Eisenmengers syndrome which is the result of that. One of...
  10. umcRN

    Pros and Cons of Adult vs Pediatric Critical Care Nursing

    umcRN replied to meraki86's topic in Critical Care

    I LOVE my pedi cardiac ICU but you know when the doctor stops to say, wait...where does their blood flow again? It's almost never good. It really is amazing the ways the body puts itself together...
  11. umcRN

    Pros and Cons of Adult vs Pediatric Critical Care Nursing

    umcRN replied to meraki86's topic in Critical Care

    You need to consider your feelings towards each age group. You can become a clinical instructor in any of the units though I would say more likely so from Adult icu or picu. Having worked in both NICU...
  12. umcRN

    CPR question

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

    Our hospital is currently conducting a study for therapeutic hypothermia after cardiac arrest. Any patient who receives greater than 2 minutes of chest compressions is eligible All patients have...
  13. umcRN

    CPR question

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

    So interesting. I work in peds and I certainly have seen physicians do compressions. When the code is going we get "compressiors" lined up ready to go. We have two docs "running" it - usually the ICU...
  14. umcRN

    Pod leader model?

    umcRN replied to Kamaulie's topic in NICU, Neonatal

    We don't have pods, we have 56 private rooms and the charge nurse makes the assignments. No
  15. umcRN

    Continuity of care/Routines

    umcRN replied to umcRN's topic in PICU, Pediatric

    I have tried so hard to get mom to make a schedule. I even made one for her to look at and edit to her liking. Nothing! They let him do whatever he wants. Lets talk about the past 24 hours for...
  16. umcRN

    beanie babies

    umcRN replied to anon456's topic in Pediatric

    We have this same problem with parents. Unfortunately we can't guarantee their
  17. umcRN

    Anyone with experience in travel to only one specific area?

    umcRN replied to BuckRN's topic in Travel

    I haven't but a friend of mine did. She relocated home to plan her wedding, her and her fiance were planning on moving out of the country for his job right after getting married so she didn't want to...
  18. umcRN

    Continuity of care/Routines

    umcRN replied to umcRN's topic in PICU, Pediatric

    So sad
  19. umcRN

    Continuity of care/Routines

    umcRN replied to umcRN's topic in PICU, Pediatric

    I wish since your program seems so much more advanced with your cardiacs! Haha but no I am down here in the USA still :) Its unfortunate that this seems to be a common trend though. our picu child...
  20. umcRN

    Continuity of care/Routines

    umcRN replied to umcRN's topic in PICU, Pediatric

    We have a child life therapist but to be honest she's pretty useless. When we call her she basically just co es and drops off toys and leaves. She never spends much time with the kiddos, so...
  21. umcRN

    ACLS? Pedi CVICU

    umcRN replied to Julia77063's topic in PICU, Pediatric

    We don't take ACLS or need to have it in my unit. We have asked but the hospital won't pay for it. That being said we have adult education incorporated into our yearly education, we also have adult...
  22. umcRN

    Sometimes it hits you...

    umcRN replied to umcRN's topic in PICU, Pediatric

    I haven't been at work since that night. I go back tomorrow. If she is ok she has a long long road ahead of her, but she sure is
  23. umcRN

    What is the Best way to get a job in another state?

    umcRN replied to lumbarpain's topic in General Nursing

    My very first job was out of state. I hadn't even graduated yet when I was offered and accepted the position. You certainly shouldn't move somewhere solely for the job if you don't have one lined up...
  24. umcRN

    Thoracentesis collection bottle shortage

    umcRN replied to bwadds's topic in Critical Care

    Sigh. I hate that question. What can you do for them? Mostly we try to wait it out, see if it will resolve on its own which can take weeks to months. You can change to a no-fat diet, for babies that...
  25. umcRN

    Sometimes it hits you...

    umcRN replied to umcRN's topic in PICU, Pediatric

    Thank you for the wonderful comments. Some days these situations just hit harder than others. The PICU & CICU in my hospital have done a wonderful job training family presence facilitators...