WSU_Ally_RN BSN, RN

MICU for 4 years, now PICU for 3 years!

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All Content by WSU_Ally_RN

  1. So I am here at work attempting to give my pt IV Valium, but everytime I go to dilute it down so I have a workable amount to push, it precipitates! I have tried to dilute in NS and sterile water both,...
  2. WSU_Ally_RN

    cardioplegia leak??

    The funny thing is, this particular pt was an adult! They were in their 20's and never had the ASD closed as a kid... Thats kind of what I was thinking too, but not finding any literature or articles...
  3. WSU_Ally_RN

    Night shifters who flip

    I don't flip shifts at work, I am straight nights, but I do flip to a "normal" schedule on my days off. What works for me, as I have no kids or family to worry about, is that the night before my first...
  4. WSU_Ally_RN

    3/4 sleeve Tee/Undershirts

    Women's Lightweight Boat-Neck Tees | Old Navy A while ago there was a thread on here on these tops... many people seemed to like
  5. WSU_Ally_RN

    Recs for NON-Littmann stethoscopes...?

    I have both a Littmann Cardiology and a peds sized ultrascope. I absolutely love my ultrascope! I can hear just as well with it as with my Littmann Cardiology, but I work in a pretty quit PICU... not...
  6. WSU_Ally_RN

    Best book for cardiac defects??

    In the PICU I work in we have a cardiac program that certain nurses go through and then they are the ones to take care of the fresh post op and certain pre op cardiac kiddos... I have accepted one of...
  7. I bet it had a fibrin clot on the end of the distal lumen... At my hospital we would TPA just that
  8. WSU_Ally_RN

    insulin help!!

    The before meal coverage is to cover the carbs for that meal. If I knew the pt was a good eater and would eat their whole meal, I wouldn't hesitate to give it. If I was unsure, I probably would wait...
  9. WSU_Ally_RN

    Thank You for Nothing

    Ashley, that was amazing. I myself am a newer PICU nurse. In my adult career, I had my fair share of patient deaths. Just last month I lost my first kiddo. I completely agree and understand everything...
  10. WSU_Ally_RN

    What does "Ao" stand for?

    At my hospital, we use the Ao pressure line for our abdominal pressures... not sure what it would mean in relation to your vent,
  11. WSU_Ally_RN

    NICU Apps?? What are your favorites?

    I think my favorite for when I float to our NICU is simply the weight converter. I can never find the little charts, so this is quick and easy when parents want the latest weight in a number they...
  12. WSU_Ally_RN

    Dankso/Sanita Break in period?

    since these shoes are all hand made, each shoe could be a little different. they do eventually stretch. I think all my pairs were a little tight at first. Just keep trying to wear them, maybe with...
  13. WSU_Ally_RN

    Was I right for questioning this order?

    Were these the pt's home meds?? Or a totally new order? Being liquid G-tube meds to me sounds like it may be the pt's home regime, maybe it's what works for them?? I'd probably look for the home med...
  14. WSU_Ally_RN

    Central line dressing changes

    CLABSI= Central Line Associated Blood Stream Infection... not sure about the other
  15. WSU_Ally_RN

    Central line dressing changes

    We use clean gloves to remove the old dressing. Put on a face mask, sterile gloves, and use a sterile dressing change kit with chlorhexadine scrub. Scrub for 30 sec, let dry for 30 sec (without...
  16. WSU_Ally_RN

    Question About Ventriculostomies

    we use a 20cc syringe filled with preservative free NS attached to the top of our
  17. WSU_Ally_RN

    Stethoscope does not seem loud enough

    do you have the ear pieces in correct?? they angle forward, which I know seems kind of backwards, but thats the way they go. that would be my first
  18. WSU_Ally_RN

    Why???

    I think a big issue in the Cleveland area right now is that Huron Hospital is closing. A lot of the jobs posted on the Clinic's website are now internal applicant's only, since so many nurses are...
  19. WSU_Ally_RN

    How to Hang a Tube Feeding in a Crib?

    in the nicu i float to, they just tape the syringe to the shelf above the crib... it might not be perfect, but it
  20. WSU_Ally_RN

    nurse mates anyone?

    I wore nurse mates for the first year or so of my career... I went through probably 4 or 5 pairs in that year... the support just was not there after wearing them for 12 hour shifts 3 days a week...
  21. WSU_Ally_RN

    blood products

    Could you have placed each unit on a pressure bag?? When I was in the adult world, I routinely did this to get my FFP's in
  22. WSU_Ally_RN

    flag outside room door so staff can be found

    Everyone has great suggestions, but couldn't you just overhead page with your call light system and ask for "nurse Susie, please put on your call light?" You know immediately where she is and can talk...
  23. WSU_Ally_RN

    Staffing ratios in isolation units

    Oh my goodness, NO! I work in a PICU at my hospital, and we only have 1 or 2 kiddo's, depending on how sick they are. When I have floated to the general care floors, they try to keep it to 3 or 4 pt's...
  24. WSU_Ally_RN

    Mixing Breast Milk with Formula

    In the hospital I work at, we make fortified BM all the time by adding similac with iron concentrate to it... I wouldn't see why combining the two would
  25. WSU_Ally_RN

    Pediatric Littman?

    The sound quality is about the same between my 2 scopes... I can hear murmers with no problem with either one. I absolutely love my