picurn1972

picurn1972 RN

PICU, SICU

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All Content by picurn1972

  1. MD vs NP in the picu setting

    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 must realize that as a resident you do 70 hours a...
  2. Drip line change policies??

    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 simultaneously. This prevents really sick babies, unde...
  3. NICU nurse making the jump to PICU!

    Get ready for resuscitaton on a whole new level, when your 16 yo is bleeding out from GI bleed!
  4. MD vs NP in the picu setting

    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 in top teaching facilities where these fellows nee...
  5. 75 Questions on NCLEX, pass or fail?

    i know 5 that passed in 75 in my class
  6. Are some people just not cut out for ICU?

    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 should be pulling at least 500 to keep alveoli open ...
  7. New to the 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 seperate cardiac icu? Then you will have a better ide...
  8. 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 bolus, but in adults you chart the score of the sca...
  9. What would you do? ...stop TPN or not

    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 with pharmacy and you might be surprised, however ...
  10. Any good rules of thumb r/t IV compatibility? & your preferences?

    dont forget Protonix!!
  11. Legal question?/ What would you do?

    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 state. Yes the dnr includes any medications that are ...
  12. 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 is VERY variable on why you are there ie transpla...
  13. Question about the HESI test I took tonight

    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 required to pass hesi to graduate it was only for informa...
  14. Low Censused while on Orientation

    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 them, if not it wouldbe a great project for the future...
  15. Personal Info in Cover Letter?

    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 saw from a stack of similar resumes sent from HR....
  16. New grad Suggestions on IV therapy class and ACLS

    dont waste your money
  17. Is this right for me?

    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 better than nursing school, my clinicals were noth...
  18. Is this right for me?

    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 is a lot of variety then you can move to educatio...
  19. Just curious- When pt's are drug tested..

    reported in mine worked trauma ICU all admits tested. Had a pt read miranda rights ? on spelling, while intubated and on propofol
  20. Which temp is more accurate Oral vs Tympanic??

    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. Rectal is 1 degree warmer than axillary, theyre are...
  21. Is this a strange way of viewing your co-workers?

    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 different things. The goal is always interventions ...
  22. NELRP 2011

    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 eventually but if you read blogs from prior years youll...
  23. NELRP 2011

    By the way who does the email come from does it say NELRP, or what?
  24. NELRP 2011

    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 money.
  25. NELRP 2011

    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 numbers, which I'm sure many of us did they only need ou...