kessadawn BSN, RN

pediatric critical care

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All Content by kessadawn

  1. kessadawn

    what are these people thinking???

    kessadawn replied to RNmom08's topic in General Nursing

    absolutely! my friend had 2 small cartons of skim milk in the breakroom community fridge with her name written all over them with a black marker, first and last, mind you. one of the attendings...
  2. kessadawn

    May I have your expert input, please?

    kessadawn posted a topic in Pediatric

    i have just accepted a nursing educator position in pediatrics at our nearby lpn school. i work peds currently, in picu, and as an rn in a children's hospital, i don't have a lot of interaction with...
  3. kessadawn

    May I have your expert input, please?

    kessadawn replied to kessadawn's topic in Pediatric

    thanks! i can't believe i forget about cf. so many of our cf patients are adults and are starting to go to the adult hospitals. i think i could do an entire lecture on milestones and what we do...
  4. kessadawn

    Funny Names

    kessadawn replied to nurserynurse55's topic in NICU, Neonatal

    okay, i must confess, my youngest daughter is named for a character from star trek voyager. the character is named kess, i just added the "a" on the end. i wonder if anyone in the nicu figured me...
  5. kessadawn

    PICU - mcg/kg/min questions

    kessadawn replied to marilynmom's topic in PICU, Pediatric

    i think this is they way we were taught in nursing school, i've done it my way for so long, at first i really had to think about the way you figured it out! can't teach an old dog new tricks, i...
  6. kessadawn

    PICU - mcg/kg/min questions

    kessadawn replied to marilynmom's topic in PICU, Pediatric

    nsunurse, not a dumb question at all! our gtts are figured using a standard concentration book. the concentration of each drug depends on the weight of the patient, 5kg or less, 5- 20 kg, or 20kg...
  7. kessadawn

    PICU - mcg/kg/min questions

    kessadawn replied to marilynmom's topic in PICU, Pediatric

    okay, here's how we do it. although, our iv pumps are smart pumps, and that cuts way back on med errors. let's say you are going to start a dopamine gtt on a 10kg patient. the order reads:...
  8. kessadawn

    PICU - What are your patient staff ratios?

    kessadawn replied to wendyw2's topic in PICU, Pediatric

    i work in akron,
  9. kessadawn

    PICU - What are your patient staff ratios?

    kessadawn replied to wendyw2's topic in PICU, Pediatric

    in my picu, nearly all nonintubated patients are a 2-patient assignment, and that includes stable, established trachs who are vent-dependant. exceptions might be a really sick busy hem-oc kiddo with...
  10. kessadawn

    Float nursing and PICU

    kessadawn posted a topic in PICU, Pediatric

    need some info from all of you picu nurses around the world, please! does your hospital send float pool nurses to your picu, and if so, what kind of orientation do they recieve in comparison to a...
  11. kessadawn

    Float nursing and PICU

    kessadawn replied to kessadawn's topic in PICU, Pediatric

    thanks, jan. that's interesting. i never thought of a separate float pool for icu floors. my hospital is a pediatric hospital, and we also will get pulled to cover the floors. i really feel bad...
  12. kessadawn

    Diagnoses you never thought you'd see?

    kessadawn replied to KarafromPhilly's topic in General Nursing

    STDs in a 2 year
  13. kessadawn

    How to deal with death of toddler death on picu..

    kessadawn replied to nd deb's topic in PICU, Pediatric

    I am so sorry for your family's loss! You are in my prayers! When I took a float position at our local children's hospital, it was with the understanding that I never floated to NICU or PICU. I...
  14. kessadawn

    need help with bereavement committee

    kessadawn replied to oupedsrn's topic in PICU, Pediatric

    This sounds very similar to what our PICU does when a child dies. In addition, I helped initiate a program we call "Huggy Bears." It's to assist siblings in the grief process. When a child passes,...
  15. kessadawn

    Some of our residents scare me. . . . .

    kessadawn replied to kcalohagirl's topic in General Nursing

    A few shifts ago in my PICU the resident ordered SCDs on my 6 week old patient, then looked surprised when I told her we don't have them to
  16. kessadawn

    Night shift question!

    kessadawn replied to jla623's topic in General Nursing

    my hospital does mostly 7 to 7 and a few 3 to 3, but i think our er may have some off time shifts to cover the busy
  17. kessadawn

    How long did it take for you to work in the ICU?

    kessadawn replied to Sassybottom's topic in General Nursing

    i worked in the float pool for about 12 months first, then went to picu. our icus do hire new grads, though. it all depends on how indepth the orientation is for your facility. most of our new...
  18. kessadawn

    do most PICU nurses have their BSN?

    kessadawn replied to EDnurse2009's topic in PICU, Pediatric

    i think it does depend on the hospital. our picu hires bsns and adns, and to tell you the truth other that a few coworkers i am close to, i don't know who has what
  19. kessadawn

    New grad accepted ICU position, some ???

    kessadawn replied to EMERGENCYRNNJ's topic in MICU, SICU

    I'm so glad to hear that you're nervous! Please don't take this the wrong way, but I hope you never feel totally comfortable in any ICU. No matter how much you learn, how many years you practice, my...
  20. kessadawn

    New Grads in PICU

    kessadawn posted a topic in PICU, Pediatric

    How does your PICU handle new grads? Do you hire them at all? If so, do they get a different type of orientation than the new hire with experience? Our PICU has grown in size and acuity over the last...
  21. kessadawn

    New Grads in PICU

    kessadawn replied to kessadawn's topic in PICU, Pediatric

    Great resource! Had to make myself close the window so I can go to bed, very interesting stuff! Amazing! That's the best part of peds...these kids are miracles
  22. kessadawn

    New Grads in PICU

    kessadawn replied to kessadawn's topic in PICU, Pediatric

    I would be very interested to hear the results of that study. I wonder what the results of a similar study would be in my unit... I've really been thinking about this dilemma of minimal nursing...
  23. kessadawn

    New Grads in PICU

    kessadawn replied to kessadawn's topic in PICU, Pediatric

    Thanks for the pep talk! Your right, the "Ideal world" would be so much simpler, wouldn't it? The orientation you described sounds very similar to what we are moving towards, and it is making...
  24. kessadawn

    Brain function sedation monitors.

    kessadawn replied to KsMICT's topic in Certified Registered Nurse Anesthetist, CRNA

    ICU nurses use them with propofol to keep the level of sedation moderate. A reading of 20 is comatose. 50 would be considered moderately sedated. Of course a 50 in one patient doesnt necessarily...
  25. kessadawn

    Pediatric Critical Care courses

    kessadawn replied to warber's topic in PICU, Pediatric

    the critical care classes at our hospital also cover death and dying, and