ac3070

ac3070

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All Content by ac3070

  1. Pedi ED vs. PICU

    Hm, I guess the major differences comes in patient population (really sick vs the spectrum of sick and not sick), continuity of care (do you like having the same patient for a whole shift or do you like to do your thing and send them away?), and your...
  2. Standard concentrations and frequency of infusate changes

    I must've copied the rate wrong off our board-it is 2.3/1000 days.
  3. Standard concentrations and frequency of infusate changes

    It sounds terribly frustrating. I have less than 6 months experience in the picu so this is the only way I know, but I can't imagine mixing drips on top of everything else-especially in the super sick kids on pressors! Our clabsi rate is 1.3/1000 lin...
  4. Standard concentrations and frequency of infusate changes

    Also--I will check our CLABSI rate when I get to work tonight.
  5. Standard concentrations and frequency of infusate changes

    Replying from my phone-thanks for clarifying about the bigger solutions being drawn into syringes, that makes more sense. Our pharmacy would still say no way to us doing it ourselves though as I understand that's how it used to be done, many moons ag...
  6. Standard concentrations and frequency of infusate changes

    1) Do you prepare your drug infusions or does pharmacy prepare them for you? If pharmacy prepares them for you, you may or may not have responses for the remaining questions. Pharmacy prepares all our infusions. 2) If you prepare your own, how ofte...
  7. Piggy Back IV order with no fluid order?

    Was this med to be given on an Iv pump? If so you aren't really giving fluids...the tubing is there, primed with NS, and I always thought of the NS as a kind of insurance to keep the tubing from running dry and forcing me to need to waste meds/fluids...
  8. Pedi and NICU the same???

    I am still orienting in my picu but will be pulled to float to peds, peds hem onc, nicu, nursery, peds ed. Day shift nurses also go to peds same day surgery/recovery. It's a lot but not unusual, I think. Just make sure to protect your license and tak...
  9. Being a NP and Chiropractor

    There are some nursing schools that will grant an associates in nursing and allow you to apply for state licensure with an almost totally distance-learning curriculum (for medically-trained people-Lpn, medic, rrt, maybe dc?) I hold a non-nursing bac...
  10. Sheath Pulls

    Love a radial Cath! My favorite!
  11. Sheath Pulls

    In my hospital (a bigger, 600-bed academic center) nurses from one cardiac floor are certified to pull and handle the pulls on the rest of the floors. That nurse is a resource nurse on her/his floor when not traveling around to pull.
  12. Securing ET's

    Why aren't tube holders widely used? Is it a cost issue?
  13. Can I join you? New PICU hire

    Hi everyone, I'm having a good time reading tons of old threads and wanted to introduce myself before I start actively participating! I've been hired into the PICU at the hospital where I currently work in adult tele/intermediate care. I've been on...
  14. Pediatric BMT

    Texas children's?
  15. Can I join you? New PICU hire

    Thankfully I have two young'uns at home (1 year and 4.5 years old) to keep me up to speed...it's the slightly older ones I have to research a bit more for! LOL
  16. Shift Assessment, Preceptor Questions, etc

    I'm new too, and I definitely look at other nurses' assessments--I think it's helpful to see how the patient has changed in the last twelve hours. Obviously if something is super different than what I've found, I check again and/or ask my preceptor ...
  17. new nurse medication errors

    Agreed, Ruby--this individual left an odd reply to one of my posts as well including the "trust no one" line. Looked at all his recent posts and they make me wonder why he continues to nurse if nobody can be trusted and the other things he says of h...
  18. Hi everyone, I have been reading the forums for a while now and I was hoping you could share some of your experience with me. I am a new grad RN, transitioning from life as a paramedic. I have a job offer and am supposed to begin orientation in the...
  19. Feel like an idiot

    My advice comes with the disclaimer that I haven't started my RN job yet, but... Can you ask for some help re: computer charting? You be the big one, mention that you've had some problems, this is the problem you were having, do they have any tips t...
  20. anyone? I'm leaning towards taking the nights position. It's totally new to me, I may love it, and if I do it would help me be "that mom" who can always pick her kid and friends up from school, chauffer the really cool field trips, etc etc etc. If ...
  21. New Grad released during orientation, HR uncooperative

    Just wanted to say I'm sorry things didn't work out and that you're getting the runaround from HR. Be persistent and hopefully you can get the answers you need. Good luck!
  22. How does this situation make one look???

    Personally I think if he does not want to take the job, he should gracefully back out. Contact the person who he spoke with when he verbally accepted, explain that due to personal circumstances, or a change in ________, or whatever, he does not belie...
  23. What does "divided doses" mean?

    Yes, 1 tablet (6mg) per dose. 6mg/dose x 4 doses/day = 24 mg/day which is what you were ordered.
  24. Book recommendations

    What did you read, or wish you had read, before you started your first nursing job? I see a lot of books on Amazon about your first year but did anyone find interesting/helpful info in them? I will be starting a position on a cardiac floor next mon...
  25. Licensure Time Line

    Happy to report that I am officially an RN! Sent application in August 2. Fingerprinting paperwork received on August 23 and completed September 6. ATT issued on 10/5. NCLEX on 10/19. License issued (BON website) 10/31. Almost three months from star...