TinyHineyRN

TinyHineyRN

Peds and PICU

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All Content by TinyHineyRN

  1. Mandated Flu vaccine?

    I get the flu shot annually for two reasons: 1. I work in the Peds ICU and not only come into contact with the flu a lot, but my patient population is particularly susceptible. 2. I can't afford to...
  2. NICU nurse making the jump to PICU!

    The sheer fluid volumes alone will be a huge change! Yes, you can really give that whole liter bag AND 500ml of albumin AND a unit of PRBCs AND
  3. Thoughts on PCMH (now Vidant Medical Center)

    The test they give you is really to guide you through your orientation and is helpful to determine where your strengths and weaknesses are. When I started at PCMH as a new grad, they told us straight...
  4. Question about specialty certifications

    I'm pretty sure you can do a CCRN cert for NICU. Its interesting though how there is no distinction in the actual CCRN cert designation between adults, peds, and neonatal. For instance, I am a...
  5. Nurses can cry too

    Oh yeah I have totally cried, especially over the death of a patient who was very dear to
  6. Nursing as a first degree

    No nursing wasn't my first degree either, but my story is like a big, freaking circle!! I went to a university after high school and was pre-nursing. My sophomore year, I decided I didn't want to be a...
  7. How does a new grad become a CCRN?

    I had a friend a few years ago that couldn't find a job as an RN new grad. She also took a position doing flu shots and, while she didn't get a whole lot of varied experience, she can do one heck of...
  8. fun: what does this photo say to you?

    SOMEONE is about to lose their callbell
  9. What's an IO

    I am never, EVER amazed at the things that come out of people's mouths in
  10. I have an ADN and didn't need stats for nursing school but I did for my other BS. It hasn't changed my nursing practice but I have found it helpful when reading studies. On a different note, I had a...
  11. Heparin flush and blood collection

    The practice in our PICU is to flush the line (PICC, port, art line, whatever) with 10cc NS, waste 10cc blood, then collect the coag. The only time I have had a problem with this is the other day when...
  12. Nervous!

    Congrats on making the decision to go to PCICU! I transferred to PICU from the peds floor about 5 months ago and I definitely KNOW I made the right decision. My last day was a little scary. I remember...
  13. Blood transfusion

    I think another issue is that there isn't a rate in the order, or at least a time frame to
  14. IV and Med HElp

    When you prime the IV line quickly, air will collect in the syringe ports. You have to flick the air out. Otherwise you will always have tiny amounts of air with a push no matter how conscientious you...
  15. Isotonic vs hypotonic vs hypertonic

    I had a teacher in nursing school that taught us this: Water is stupid and will follow sodium (salt, solute, whatever you choose) wherever it goes. Best rule on osmosis I have heard in a long
  16. Do Adn/Rn's ever get to be a charge nurse?

    In my hospital, new Nurse Managers must have an MSN. The current NM's are grandfathered in, but must have at least an Associates Degree. My old NM was a diploma RN so she has been upset about the fact...
  17. Can the PICU ever be fun?

    Love it! Yesterday I took the most adorable 2 month old with old and new SDHs for a skeletal survey. While waiting for the radiologist to OK our films, I had the most major cuddle session! It was...
  18. Can the PICU ever be fun?

    It can DEFINITELY be fun!! The other day, I got to cuddle the sweetest little 2 week old baby boy. Cuddle time is something I miss a lot from working on the peds floor so when there is a baby that is...
  19. Was this a HIPAA violation?

    I was actually diagnosed myself with ADHD about a year ago and it is the most life-changing revelation I have ever experienced! I know it is a controversial subject and it is so hard to put what goes...
  20. PICC Lines And TPN

    Its a rare day that I have a triple lumen CVL that I'm not using all the ports
  21. Why am I now the enemy?

    I'm with you. As a floor nurse, I understand that the "fluffy" stuff isn't what the ED is all about. I'll do the clean up stuff, no problem. And most of the ED nurses I have received pts from are...
  22. PICC Lines And TPN

    I'm not sure what best practice is but, in my own practice, if the only access they have is a central line, you have to kinda make do with what you have! Often times, our practitioners/attendings will...
  23. Pediatric advice, please! Love kids, scared to death! Help!

    The practitioners I work with are all PNP-ACs, but I work in a Peds ICU so its a little bit different. When I worked on the peds floor, there were two practitioners, one was a PNP and one was an FNP....
  24. HATE my job!!!

    I hope I'm not supposed to like fluffing pillows either....because I don't! I made the transition from peds floor to peds ICU because I wanted to take a more critical patient load. I love the...
  25. Pediatric advice, please! Love kids, scared to death! Help!

    But you had PEDS experience. I never said anything about needing peds inpatient