TinyHineyRN

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 be out sick with the flu when all 12 of our beds ar...

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 FFP!!!

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 out that most new grads will not pass the exam bec...

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 Certified Pediatric Nurse. The letters behind my name are...

Oh yeah I have totally cried, especially over the death of a patient who was very dear to me!

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 nurse, so I changed my major. My junior year, I d...

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 an IM! Also, I think you may be a little misguided ...

SOMEONE is about to lose their callbell privileges!

I am never, EVER amazed at the things that come out of people's mouths in PALS!

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 health ed professor tell us that statistics are to ...

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 I was drawing a coag from an arterial sheath whic...

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 thinking the same thing, "do I know what I am get...

I think another issue is that there isn't a rate in the order, or at least a time frame to infuse!

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 are of air in your syringe.

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 time!

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 that she will have to get a new degree when she i...

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 fabulous! He nuzzled his little head right into my sho...

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 able to be cuddled, we ALL take advantage! Little ...

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 on in my head into words, but being treated has he...

Its a rare day that I have a triple lumen CVL that I'm not using all the ports of!

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 fabulous. What drives me nuts about a few of the nurse...

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 put in triple lumen lines. If I have TPN/lipids r...

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. Both were on equal footing and performed the same ...

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 pathophysiology of health and medicine and I am definitely...

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