kessadawn BSN, RN

pediatric critical care

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All Content by kessadawn

  1. kessadawn

    help... making mistakes

    kessadawn replied to seaglass123's topic in Pediatric

    you are not incompetent, you are new, and the difference is is that with time things will get easier for you. keep double and triple checking things as you have been, that's always a great start. it...
  2. kessadawn

    How often do RNs clean up poop? (thinking about majoring in nursing)

    kessadawn replied to gwchem's topic in General Nursing

    i think that the amount of poo you have to clean also depends on your nursing specialty. you're not going to see as much need for bed and diaper changes in a doctor's office or clinic as you will in...
  3. kessadawn

    Pediatrics Question

    kessadawn replied to Lily C.'s topic in Pediatric

    i am a pediatric icu nurse, and kid ivs are something that takes practice. the veins are smaller, and the patient is much less apt to be agreeable to what you're doing. my best advice is do it and...
  4. kessadawn

    Happy holidays!

    kessadawn posted a topic in PICU, Pediatric

    merry christmas, happy hannakuh, happy kwanza, and happy anything else i may have missed, to all my fellow picu warriors and their families! as i wade through the piles of discarded wrapping paper,...
  5. kessadawn

    HELP with IV starts

    kessadawn replied to DoniaRN's topic in Pediatric

    :yeahthat:
  6. kessadawn

    HATE Peds Nursing??

    kessadawn replied to ArtisticAthlete's topic in Pediatric

    i think co-worker issues are everywhere. in my picu, you have a large group of strong and assertive personalities, so there's bound to be tension at times. luckily, my unit is a good work...
  7. kessadawn

    really vague pediatric nursing questions

    kessadawn replied to T123G123's topic in Pediatric

  8. kessadawn

    really vague pediatric nursing questions

    kessadawn replied to T123G123's topic in Pediatric

    the more help you have, the better. sometimes you can papoose a small child with a blanket, leaving free the extremity your going use for the injection or iv start. occasionally you can talk an...
  9. kessadawn

    Peds Psych Med Q

    kessadawn replied to KD CVICU-RN's topic in Pediatric

    we rarely use benedryl for agitation on my unit, but being that i work in picu, many of our patients recieve ativan or versed iv instead. our child/adolescent inpatient psych unit does utilize...
  10. kessadawn

    HATE Peds Nursing??

    kessadawn replied to ArtisticAthlete's topic in Pediatric

    i agree with jan, it's not the patient, it's the work environment. of the people who are unhappy in our picu, i believe their unhappiness stems from co-worker issues, or management, but not the...
  11. kessadawn

    Wearing Cologne to work Yes Or No

    kessadawn replied to KarmaWiseRaven's topic in General Nursing

    I'm sorry, I have to disagree with you. While the odor of urine and stool can be very offensive, the patient cannot always help that, and if asked many are probably just as offended by the odor...
  12. kessadawn

    Wearing Cologne to work Yes Or No

    kessadawn replied to KarmaWiseRaven's topic in General Nursing

    oh, please don't wear cologne! even the good stuff in moderation can send someone like me down to ed with respiratory issues! and i'm healthy...imagine what it can do to your respiratory compromised...
  13. kessadawn

    suctioning the intubated pt...1 nurse/RT, or 2?

    kessadawn posted a topic in PICU, Pediatric

    recent topic of discussion in my picu... when you have an intubated patient, regardless of level of sedation, ease of the intubation, vent settings, etc., what is your picu's policy on suctioning,...
  14. kessadawn

    share your touching moments

    kessadawn replied to AliRae's topic in PICU, Pediatric

  15. kessadawn

    share your touching moments

    kessadawn replied to AliRae's topic in PICU, Pediatric

    last week i helped another nurse obtain iv access on a tiny 2 year old with sad blue eyes. she had been abused and removed from her family. she was horrible to access, i must have tried several...
  16. kessadawn

    New to the PICU world...so many ?'s!!!

    kessadawn replied to LittleWing21's topic in PICU, Pediatric

    1) What is the most common type of diagnosis? My PICU sees a lot of cardiac surgeries, DKA, rare genetic stuff, oncology, respiratory infections, we don't do ECMO or transplant, however 2) How...
  17. kessadawn

    advice requested= track to PICU

    kessadawn replied to jopadeevra's topic in PICU, Pediatric

    i went right into pediatrics after graduation, knew that was what i wanted when i applied for school, and had been inspired by some amazing nurses. i spent the first year in the float pool working on...
  18. kessadawn

    suctioning the intubated patient...1 nurse/RT or 2?

    kessadawn posted a topic in MICU, SICU

    i am a picu rn, and i know that things are hugely different in the icu world of adults (no pun intended;)), but i'd like your input please. recently i have been told by some of our traveling rns...
  19. kessadawn

    suctioning the intubated pt...1 nurse/RT, or 2?

    kessadawn replied to kessadawn's topic in PICU, Pediatric

    our policies are a little vauge, but tradition is always 2man, for all intubated kiddos. i was just curious as to what the rest of the planet does, as 1 man suctioning just seems dangerous...we don't...
  20. kessadawn

    suctioning the intubated patient...1 nurse/RT or 2?

    kessadawn replied to kessadawn's topic in MICU, SICU

    our picu very rarely uses inline suction set-ups, meaning they aren't even there as an option. only if the pt is requiring very high support from the vent, or on a kiddo who needs suctioned a ton....
  21. kessadawn

    suctioning the intubated pt...1 nurse/RT, or 2?

    kessadawn replied to kessadawn's topic in PICU, Pediatric

    [/size] we do use inline suction set ups, usually on our trached kiddos, but not on everyone. i'm just talking about when you don't have inline suction as an option, and the nurses i spoke with...
  22. kessadawn

    what is the layout of your unit

    kessadawn replied to kidsccrn's topic in PICU, Pediatric

    rmh is a beautiful thing, isn't it? i have gotten to the point where as soon as i get report, i give the family a little report of my own, telling them what i expect of them and what they should...
  23. kessadawn

    PICU RN and a parent?

    kessadawn replied to MommyandRN's topic in PICU, Pediatric

    i was a mom before i was a nurse, and i've always worked peds, mostly and most recently picu. yes, i am a paranoid mom, if it weren't for my husband, my poor kids would never ride bikes, sled,...
  24. kessadawn

    what is the layout of your unit

    kessadawn replied to kidsccrn's topic in PICU, Pediatric

    we have 23 beds, all are private rooms. every other wall between the rooms has a small window in it, with drapes to pull for privacy. the unit is shaped like a horseshoe with 4 nurse's stations, one...
  25. kessadawn

    HIT in Pediatric Patients

    kessadawn replied to mabell52's topic in PICU, Pediatric

    we still use heparin as well, pretty much the way jan does in her unit, except that we always have it in saline, never a dextrose solution. i will say, however, that we rarely have la or pa lines,...