picurn1972

picurn1972 RN

PICU, SICU

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All Content by picurn1972

  1. MD vs NP in the picu setting

    picurn1972 replied to dyslexicandetermined's topic in PICU, Pediatric

    You must decide for yourself. MD is straight thru with no breaks. My brothernlaw is an MD. I regret very much I didn't stay true to the path of MD in my youth. I am to old to work all night. Also, you...

  2. Drip line change policies??

    picurn1972 replied to LucyDDRN's topic in PICU, Pediatric

    This is PT based. An entire pole change out is required to let drips run thru tubing so it will mimic the same infusion on the other pole. We do this with 2 rn's scrubbing and reconnecting almost...

  3. NICU nurse making the jump to PICU!

    picurn1972 replied to preemieRNkate's topic in PICU, Pediatric

    Get ready for resuscitaton on a whole new level, when your 16 yo is bleeding out from GI

  4. MD vs NP in the picu setting

    picurn1972 replied to dyslexicandetermined's topic in PICU, Pediatric

    I work in a level 1 peds icu and NP's do nothing but round with the fellows/attendings writing their orders. They make no decisions and do NO invasive procedures. Maybe it will change one day but not...

  5. 75 Questions on NCLEX, pass or fail?

    picurn1972 replied to Lurksalot's topic in NCLEX Exam, Programs

    i know 5 that passed in 75 in my

  6. Are some people just not cut out for ICU?

    picurn1972 replied to TigerGalLE's topic in MICU, SICU

    aspiration pneumonia, and no pain at least 2 hour but don't cave b4 1 hr. It is the actual moving in and out that helps the most. Otherwise we,d put all of our beds into chair positions. A teenager...

  7. New to the SICU

    picurn1972 replied to ClaRn's topic in MICU, SICU

    Find out what type of surgeries it is generally based on the level. My sicu was liver txp, kidney, big thoracic sur, and traumas. Call and ask them if they have info/education material. Is there a...

  8. Can I bolus this patient? A legal / practice question about sedatives and narcotics

    picurn1972 replied to simvee's topic in MICU, SICU

    dont you have to do totals every hour? Any doc sees the volume which is off the pump and knows how much the pt got. At least all our SICU attendings did. second in peds yes you chart the time of the...

  9. What would you do? ...stop TPN or not

    picurn1972 replied to IheartICUnursing's topic in MICU, SICU

    we stop tpn occasionaly for access issues your course of action was standard on our unit including the post about the D5 also know how fast you can givethe abx, some can be given in 15 minutes. Check...

  10. Any good rules of thumb r/t IV compatibility? & your preferences?

    picurn1972 replied to IheartICUnursing's topic in MICU, SICU

    dont forget

  11. Legal question?/ What would you do?

    picurn1972 replied to Iseeyou_RN's topic in Critical Care

    In response to post. Husband is first, if no husband and children it is oldest child over 18, then diverts to parent of pt if none of the rest, never made it farther than that it is the law in our...

  12. Does anyone know the average cost per day per patient for ICU?

    picurn1972 replied to pH7.40's topic in Critical Care

    Let's see, crrt is 1250 just for the filter, apheresis tops out around 10,000 and people get it everyday for weeks at a time, yeah BMT docs keep pushing, then add the vent. and all the other costs. It...

  13. Question about the HESI test I took tonight

    picurn1972 replied to macgirl's topic in General Nursing

    Well I have 2 answers. I work with someone who scored that high and passed in 75 question. However certain scores are required to graduate on the hesi where im from. I on the other hand wasn't...

  14. Low Censused while on Orientation

    picurn1972 replied to missbutton's topic in MICU, SICU

    Don't you have a competency checklist of goals /skill that need to be acquired during orientation? Titrating drips, pressors sedation, bedside procedures? If you do tell them you need to focus on...

  15. Personal Info in Cover Letter?

    picurn1972 replied to LoveMyBugs's topic in General Nursing

    I think it depends. In my pursuit to work at one of the best peds facilities in the country I did use some personal and it was then that I got 3 interviews. That little cover letter is all the manager...

  16. New grad Suggestions on IV therapy class and ACLS

    picurn1972 replied to mo2rn's topic in First Year After Licensure

    dont waste your

  17. Is this right for me?

    picurn1972 replied to jdan88's topic in General Nursing

    FYI since your a psych major you will have noticed that most nursing theory is psych theories with a new name yet considered nurses original work LOL sorry RN's but it's true. And real nursing is way...

  18. Is this right for me?

    picurn1972 replied to jdan88's topic in General Nursing

    I have psych BS and ABSN to be Rn, your job will be as challenging as you make it. From adrenaline junkies and resucitating traumas to actually running codes weekly, icu or floor, kids or adults there...

  19. Just curious- When pt's are drug tested..

    picurn1972 replied to Cat_RN's topic in General Nursing

    reported in mine worked trauma ICU all admits tested. Had a pt read miranda rights ? on spelling, while intubated and on

  20. Which temp is more accurate Oral vs Tympanic??

    picurn1972 replied to SonorityGenius's topic in General Nursing

    top them both temporal artery thermometer most accurate, scan the forehead to ear. detects increasing and decreasing temps up to 2 hours faster than either axillary or rectal new data supports this....

  21. Is this a strange way of viewing your co-workers?

    picurn1972 replied to wish_me_luck's topic in Patient, Colleague Relations

    I think everyone brings their past experiences, what matters is they receive competent care. You dont need to cry to be a good nurse. You dont need to be compassionate if you have empathy they are 2...

  22. NELRP 2011

    picurn1972 replied to nurse79's topic in General Students

    considering there are so many of us who have heard nothing,including myself, I would not be concerened if I actually received an email, which I have not. I believe all of you will get your money...

  23. NELRP 2011

    picurn1972 replied to nurse79's topic in General Students

    By the way who does the email come from does it say NELRP, or

  24. NELRP 2011

    picurn1972 replied to nurse79's topic in General Students

    Congrats to all of you! I am in ohio at 108% and have heard nothing been checking this site so it was good to see you guys are finally being awarded!I just might not owe enough

  25. NELRP 2011

    picurn1972 replied to nurse79's topic in General Students

    I don't believe you will know if they contact your lender. All the forms we provided them give them permission to check our accounts which can be done via automatic lines. If you provided these...