kessadawn BSN, RN

pediatric critical care

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All Content by kessadawn

  1. kessadawn

    bagging in treatments

    kessadawn replied to sjc02's topic in General Nursing

    we never change a kid to a cuffed trach for the purpose of treatments, just bag them in as
  2. kessadawn

    PSA: When weighing kids be careful about what you chart.

    kessadawn replied to MIcrunchyRN's topic in Pediatric

    this happened in our local hospital as well. my niece was visiting from out of state and i took her to the local ed with an ear infection. the nurse had recorded her weight wrong and she was nearly...
  3. kessadawn

    Question

    kessadawn replied to kidsarespecial2's topic in PICU, Pediatric

    our picu is set up as many private rooms as opposed to a large ward with multiple beds. we have a cart at the outside of the door to each room needing isolation supplies that contains isolation...
  4. kessadawn

    Nurse to patient ratios and acuity in YOUR PICU

    kessadawn replied to NotReady4PrimeTime's topic in PICU, Pediatric

    glad your meetings turned out well, jan. maybe things will finally turn around for you and your co-workers. good
  5. kessadawn

    Pediatric Head Injuries

    kessadawn replied to Mistify's topic in Emergency

    my patients can't help but to fall asleep sometimes, and i let them. try explaining to a 2 year old he's got to stay awake. impossible. if i can't wake them up for the next neuro check, that's when...
  6. kessadawn

    The Patient I Failed

    kessadawn replied to nerdtonurse?'s topic in Patient, Colleague Relations

    what a sad story. you didn't fail her, her physician and her daughter failed her. you took good care of her, and gave her some dignity in her dying days. nice
  7. kessadawn

    Pediatric Rapid Response Team in a Community Based Hospital

    kessadawn replied to guardwife's topic in General Nursing

    our rrt consists of picu rn, respiratory therapist, and picu np or resident (we don't always have nps at night). i work in a pediatric hospital , so there isn't any training required for the rrt that...
  8. kessadawn

    Nurse to patient ratios and acuity in YOUR PICU

    kessadawn replied to NotReady4PrimeTime's topic in PICU, Pediatric

    jan, so sorry you have to work under those conditions! thank god we have a few attendings who will put a stop to that type of stuff. but every once and a while we still have it happen. it's so hard...
  9. kessadawn

    Nurse to patient ratios and acuity in YOUR PICU

    kessadawn replied to NotReady4PrimeTime's topic in PICU, Pediatric

  10. kessadawn

    Nurse to patient ratios and acuity in YOUR PICU

    kessadawn replied to NotReady4PrimeTime's topic in PICU, Pediatric

    oh. my. gosh. jan, that is the most ridiculus thing i have ever heard. only once have i known about us taking one of our kiddos out of the unit, and he was cardiac patient that we could do nothing...
  11. kessadawn

    I think I crossed the line

    kessadawn replied to beachbum3's topic in General Nursing

    i don't think your out of line at all. techs have no business informing patients about test results or flushing ivs, and my pt had a bs in the 50s and i wasn't informed, i'd be livid! they have...
  12. kessadawn

    You Know You're a NICU Nurse When...

    kessadawn replied to SteveNNP's topic in NICU, Neonatal

    you know you you're a nicu nurse when you find it hilarious to watch the picu nurse who floated down to you (a.k.a. myself) freak out when her pt occasionally has a brief a/b episode and she's...
  13. kessadawn

    Nurse to patient ratios and acuity in YOUR PICU

    kessadawn replied to NotReady4PrimeTime's topic in PICU, Pediatric

    We've got a number of chronics now, too, although we're not equipped (or staffed) in any sense to care for chronic patients. Our docs are stuck in the past where the kids in PICU were ALL critically...
  14. kessadawn

    Nurse to patient ratios and acuity in YOUR PICU

    kessadawn replied to NotReady4PrimeTime's topic in PICU, Pediatric

    What exactly does your unit secretary do, Jan? Ours are wonderful, a godsend. The enter all orders into the computer, take care of consults, put together the chart, there really isn't much to file...
  15. kessadawn

    Nurse to patient ratios and acuity in YOUR PICU

    kessadawn replied to NotReady4PrimeTime's topic in PICU, Pediatric

    I forgot to add, our transport team is a completely SEPARATE department, staffed with RNs, Respiratory therapists and paramedics. We also have docs at night, always one attending and one resident,...
  16. kessadawn

    Nurse to patient ratios and acuity in YOUR PICU

    kessadawn replied to NotReady4PrimeTime's topic in PICU, Pediatric

    okay, here goes. hope this helps! 1. we have a cardiothoracic surgery program, with many of them sicker than snot post-op. we don't do transplants or ecmo, we do use crrt, traumas, complex ent,...
  17. kessadawn

    insulin for non diabetic

    kessadawn replied to rmaziona's topic in PICU, Pediatric

    just so you guys know, the night after i posted this i came in to a non-diabetic pt with an insulin gtt, unstable glucose results with every tiny titration, and man, do i wish we had a policy! i...
  18. kessadawn

    What i love about pediatric nursing

    kessadawn replied to deepurple's topic in Pediatric

    i am a picu nurse and i work nights. i'll tell you what i love the most: when that little baby you have spent weeks caring for, fighting to keep this little guy alive, is finally recovered enough to...
  19. kessadawn

    Rapid Assessment Teams

    kessadawn replied to mark2climb's topic in PICU, Pediatric

    we have been using what we call mrt (medical response team) at our children's hospital, and i really believe we have averted some serious problems lately. although, i am pretty sure families aren't...
  20. kessadawn

    New and Drowning

    kessadawn replied to Sunbird21's topic in PICU, Pediatric

    well said, jan! this new nurse absolutely needs a new
  21. kessadawn

    New Nurse...

    kessadawn replied to gab.rielle's topic in PICU, Pediatric

    my picu hires plenty of new grads, and their success depends on the quality of orientation. 99% of our new grad hires do great in the long run, and the 1% that don't aren't bad nurses, just more...
  22. kessadawn

    Any Peds cardiac intensive care nurses out there?

    kessadawn replied to jent_rn's topic in PICU, Pediatric

    as usual, jan is ready with great advice!!:yeah::yeah:also remember this, you can have 5 different kids with the same cardiac defect and repair, and you'll see 5 different roads to recovery. these...
  23. kessadawn

    insulin for non diabetic

    kessadawn replied to rmaziona's topic in PICU, Pediatric

    our picu doesn't have a written policy, but we will titrate the dextrose in our ivf first, if we can't control normal glucose levels with ivf, then we add an insulin gtt. our regular insulin is...
  24. kessadawn

    Prereq's for Kent state

    kessadawn replied to WingsEarned21's topic in Ohio Nursing

    i graduated from a kent branch in 2004, and i also had prereq's from 10 yrs prior when i started up again. any credit you earned cannot be taken away from you, regardless the length of time. they...
  25. kessadawn

    I have had it!!

    kessadawn posted a topic in PICU, Pediatric

    okay, just to start off, i need to tell you that this is a complain, moan and whine, sick-of-everything thread. proceed with caution! i watched yet another abused child come into our unit last...