SprightlySparrow

SprightlySparrow BSN, RN

MICU-PedsCardsStepdown-PCICU-PICU-Onco Infusion RN

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All Content by SprightlySparrow

  1. June 2013 Caption Contest: Win $100!

    1.) This obesity epidemic has brought a whole new set of occupational hazards... 2.) This is nothing...you should've been there for the rectal exam! 3.) "Be a veterinarian," they said..."specialize in exotic animals," they said...
  2. Low blood pressure great neurological status?

    Whoa!!! Keep us updated for sure!! I am so curious!
  3. Low blood pressure great neurological status?

    Gosh these cases sound crazy. Were thyroid levels checked? Cort stim? That's all I've got! ?
  4. 2013 Nashville Area New Grad Pay

    I PROMISE you Vandy will NOT pay a new grad anywhere near $24 an hour. You may get $18-21. They have good shift differentials though, and good insurance. And another poster mistakenly said they require one OT shift each six weeks, which is slightly ...
  5. TN Nurses - Any input on Schools?!

    I went to Belmont, and while it was a fabulous institution, I am now deeply in debt. From experience I can tell you that both universities are wonderful and are highly respected. What school you attended doesn't really matter as much as you might th...
  6. Best Websites/Apps for Travel RNs?

    Hey everybody! This is my first travel assignment, and I've gotten a TON of helpful information from my fellow travelers thus far during orientation. I'm hoping to add this post in an attempt to get some additional helpful info for not only myself, ...
  7. Continuity of care/Routines

    That is so disheartening that your Child Life Specialist isn't doing what she should be doing. Both peds ICUs I've worked in have had amazing CLS and social workers. I was going to suggest your CLS coming up with a schedule (with the parents) and t...
  8. Awake, alert, oriented & non ventilated...on ECMO??

    I know the original post here is a little old, but I just stumbled across it. At my center, we actually had our first pediatric ECMO patient to be extubated not too long ego (VA ECMO). I'm not sure whether this has been done before in the US on a p...
  9. daily weights in your unit?

    I'm not sure that it would matter much one way or another if the child was eating/drinking (unless you are thinking about it from the standpoint of interrupting the child's dinner, in that case, maybe that child could be done last in line). Otherwis...
  10. daily weights in your unit?

    Our stepdown unit weighs every patient every night around 2000. (Actually, it's part of the nurse tech's responsibility, but the nurses assist when they are able). Though this makes the beginning of the night kind of busy, the parents are awake as w...
  11. daily weights in your unit?

    I was not under the impression you were speaking about larger children. That is why I used the phrase "I may be missing something". Clearly I was...one would never expect the nurse to lift a patient that large in the manner I was speaking about. Mos...
  12. daily weights in your unit?

    I forgot to say I was appalled when I read the original post about using sling scales! I am SO sorry you guys have to do that...it seems absurd to do that on a postop. Dangerous! Our kids are weighed/measured immediately prior to surgery and are no...
  13. daily weights in your unit?

    I may be totally missing something here, but can y'all not just lift the patient, zero the bed w/everything on it, then weigh the patient after he/she has been placed back in the bed? Our Panda beds as well as some of our cribs have built in scales, ...
  14. You know you're an ICU nurse when...

    When it's no biggie for your patient to have an open chest and be on 12 different drips takin' up 10 lines of space on your monitor, but the thought of a patient alone in a room on absolutely no continuous monitoring absolutely FREAKS you out!!
  15. Travel companies for a PCICU Nurse?

    I am looking into traveling, and I have only found one company thus far (Cross Country Travel Corps) who seems to have job availabilities for my speciality which is Pediatric Cardiac Critical Care. Every other company website has Peds or PICU listed...
  16. fun: what does this photo say to you?

    "I just changed out ALL my drips and NOW the MD is ordering to concentrate all my drips?!" -or- "I just spent 30 minutes getting blood off that poor cardiac baby with NO veins and a helicopter mom, and the doctor just ordered a lab he/she forgot to o...
  17. What should I do?

    Most of the time in an adult patient, one should not exceed 5L NC. Also, the fact that this lady is on two different delivery systems for her O2 is a little nuts if you ask me. This should most definitely be clarified...especially if her nose if bl...
  18. Overstimulated and man problems but I am a good nurse

    Completely agree 100% with "Been There, Done That"
  19. Overstimulated and man problems but I am a good nurse

    Sweetie, life is about balance, and it sounds like you're a tad off. I understand having to work overtime to make ends meet (I too must work hectic hours), but if you don't take a break from your crazy work schedule, you'll burn out and soon won't e...
  20. What's the weirdest baby name?

    "Amiracle" (pronounced Uh-Miracle) ..and... "La-A" (pronounced Luh-DASH-Uh) Seriously people???
  21. PICC Lines - To clamp or not.

    I'm not entirely sure what kind of adaptor to which you are referring, but in my clinical practice I clamp all my central lines (PICCs included, of course). I have asked our PICC team RNs, and they have told me to clamp related to the risk of exsang...