umcRN BSN, RN

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All Content by umcRN

  1. umcRN

    Transplant Coordinator?

    umcRN posted a topic in Dialysis, Renal, Urology

    I was wondering if there were any transplant coordinators around here? I work in a pedi CICU and recently thought this might be something I'd be interested...many years from now I think as I am still...
  2. umcRN

    Peds CVICU vs NICU

    umcRN replied to MGMR's topic in PICU, Pediatric

    We teach our new grads to not get too hung up on the cardiac defects during the first weeks of orientation. Better to get your "normal" cardiac anatomy down and focus on getting solid assessment,...
  3. umcRN

    Head walls or booms??

    umcRN replied to NotReady4PrimeTime's topic in PICU, Pediatric

    Our unit was recently built and opened a little over 3 years ago. We have booms and 99% of the time I love them. The only part I do not like is that only one boom has the necessary oxygen/medical air...
  4. umcRN

    Long term care in PICU

    umcRN replied to nurseiam's topic in PICU, Pediatric

    We don't have a vent unit so all our long term kids (who usually are trached/vented) stay with us. We just celebrated two first birthday's back to back actually. Now assessments and monitoring are pt...
  5. umcRN

    Peds CVICU vs NICU

    umcRN replied to MGMR's topic in PICU, Pediatric

    I made the switch from NICU to CICU for several reasons. One; my original "5 year plan" was (like many new grads) to get my two years experience and move on. I am not from the state where I work and I...
  6. umcRN

    Peds CVICU vs NICU

    umcRN replied to MGMR's topic in PICU, Pediatric

    I have done both and prefer CICU which is where I work now. While there is a MAJOR focus on the heart you also have to remember that the heart effects every organ system, and many kids with congenital...
  7. umcRN

    Parents required at bedside?

    umcRN replied to Nepenthe Sea's topic in PICU, Pediatric

    I work in a peds CICU but also float to the picu and nicu (and used to work there). No where in my hospital are parents required to stay, even on the floors where nurses have much less visibility of...
  8. umcRN

    Berlin's and toddlers

    umcRN posted a topic in PICU, Pediatric

    Hello all! My units been doing Berlins only for about a year now and our previous patients have all been babies. Our current patient is two. Our unit does not send vads to step down and this pt is a...
  9. umcRN

    Code Cart/Box

    umcRN replied to morgan_porgan's topic in NICU, Neonatal

    same code cart used throughout the hospital (children's hospital). Top drawer has meds, each subsequent drawer is organized by weight with each weight being a different color drawer, I'm not sure the...
  10. umcRN

    Patient age limit?

    umcRN replied to VintageSwagger's topic in NICU, Neonatal

    We don't transfer out often, I've seen a few instances: 1. chronic ex preemie with pulmonary hypertension being followed by the PH docs in house, they will often transfer to the cardiac icu somewhere...
  11. umcRN

    Housing near MedStar Washington Hospital Cente

    umcRN replied to VickiZRN's topic in General Nursing

    There isn't much I would consider "safe" right around WHC, as others have said most people
  12. umcRN

    Berlin's and toddlers

    umcRN replied to umcRN's topic in PICU, Pediatric

    I wish. And for the record we're not frustrated with her, she is exceptionally well loved by our unit, very cute and a delightful little girl, we are frustrated with the situation. She needs...
  13. umcRN

    Berlin's and toddlers

    umcRN replied to umcRN's topic in PICU, Pediatric

    We're going on four months...O
  14. umcRN

    Berlin's and toddlers

    umcRN replied to umcRN's topic in PICU, Pediatric

    It takes us FOUR people to hold this two year old down and sans sedation she screams bloody murder and shoots her heart rate up to 230+, even though her sites are completely healed. Our child life and...
  15. umcRN

    Berlin's and toddlers

    umcRN replied to umcRN's topic in PICU, Pediatric

    Well our hospital will definitely not be sending them to the floor anytime soon...years maybe, our "stepdown" is a bit of a joke. (" oh we have to wean your milrinone by 0.2? Back to icu for you, home...
  16. umcRN

    Neonatal dialysis?!

    umcRN replied to Ack_RN's topic in NICU, Neonatal

    We use regular crrt (as in the same machine the picu uses) in our cardiac icu neonates all the time with or without ecmo. Smallest i've seen was 3kg. I'll have to read that article at some
  17. umcRN

    Pediatric Chest Tube Securement Devices

    umcRN replied to nterenzoni's topic in PICU, Pediatric

    Interesting. We don't use and securing devices nor do we safety pin and I've never seen one come out. They are sutured in and dressed with an occlusive dressing. If kids are getting up and walking...
  18. umcRN

    Already licensed in DC, VA wants me to retake NCLEX?

    umcRN posted a topic in Virginia Nursing

    Hoping someone can point me in the right direction here. I have an active license in DC and I work in DC. I am currently trying to get a PRN position in Virginia (I also live in Virginia). When I go...
  19. umcRN

    Puplic transportation Washington D.C.

    umcRN replied to 88nurse2010's topic in Travel

    The shuttles are typically for hospital staff and you might not find out info about them on general transportation websites, more likely you might find info about them on hospital websites. Where I...
  20. umcRN

    Puplic transportation Washington D.C.

    umcRN replied to 88nurse2010's topic in Travel

    There is no metro in or near georgetown, there are shuttles that run from the metro to the hospital. There is a metro right next to george washington hospital, there is no metro near washington...
  21. umcRN

    do you mask/bag during DNI

    umcRN replied to SarahT1974's topic in CCU, Coronary, Cardiac

    Our unit uses the term "limited code" which has advantages and disadvantages. Often times I think it makes things confusing for the parents (this is peds). They are basically given a list of things we...
  22. umcRN

    Family zone in PICU pt rooms

    umcRN replied to bame rn's topic in PICU, Pediatric

    At my hospital all three ICU's (picu/cicu/nicu) have parent sleep areas. In the picu/cicu (where the rooms are bigger for bigger patients) they have their whole own area in the back of the room...
  23. umcRN

    Consolidation on Peds CCCU

    umcRN replied to justgowiththeflo's topic in PICU, Pediatric

    Check out this website for help with defects: Home Page | Congenital Heart Disease - Cove Point Foundation | Johns Hopkins Children's Hospital Most patients will be less than a year old (many infants...
  24. umcRN

    conscious pt terminal wean

    umcRN replied to taylynnfree's topic in MICU, SICU

    I know this topic has already been extensively discussed but someone posted an article recently written by an ICU nurse and I thought it gave a great POV from the nurse in these situations daily. A...
  25. umcRN

    Code rolee

    umcRN replied to NurseYe's topic in Critical Care

    I don't think I would record until you've been in a few codes, recorder has to be loud, in charge, ok with reminding the docs how long its been since last epi, compressor switch etc. Get meds...