MGMR

MGMR has 3 years experience and specializes in Pediatric Cardiac ICU.

Latest Activity

1. POST OP CARDIAC Filters on INFUSIONS?

   MGMR replied to bame rn's topic in PICU

   We also use filters at the end of each line, using Alaris pumps. The infusion pump lines don't have them, so we add a small one on at the end, but the syringe pump tubing automatically has the filter in the line. The only thing we don't filter that I...

2. Open visitation in the ICU

   MGMR replied to Mini2544's topic in Critical

   I work in peds cardiac ICU, so the environment is obviously different than with adults. But we have open visitation 24/7. Technically only two family members are allowed into the room at a given time, no children under 7(?) are allowed without showin...

3. CNS or NP

   MGMR replied to PICCRN79's topic in NP Students

   I completely agree. I think that one of the main downfalls of the CNS profession was that it tried to be too "flexible" as a general APRN able to perform in many roles, including provider. I think the CNS degree in itself is a flexible APRN role, and...

4. CNS or NP

   MGMR replied to PICCRN79's topic in NP Students

   I have this same problem in terms of choosing between the two degrees, except I still do want to perform patient care at the bedside. Without a doubt, there are many more job opportunities for Nurse Practitioners than for Clinical Nurse Specialists. ...

5. What subspecialty will accomplish my goals?

   MGMR replied to PICCRN79's topic in CNS

   If you're interested in CLABSI/CAUTI prevention and best practice implementation, CNS would be a great choice for your APRN degree. You can get your Adult/Geriatric, Pediatric, or Neonatal CNS degree, but you don't sub-specialize further than that at...

6. Nicu nurse trying to decide between nnp and pnp

   MGMR replied to Rncally2007's topic in NP Students

   You also have to think about the type of lifestyle and environment you want to work in. Do you want to do ICU or acute care? Inpatient or outpatient? With your NNP, you'll almost always be working in hospitals in some type of ICU or step down environ...

7. CNS or NP Degree in California

   MGMR replied to Merchantj90's topic in Advanced

   I hope that the CNS role is making a comeback because it is probably the route I will take for my advanced degree in the future. It seems like in NYC (where I'm located) it is getting more popular, but slowly. If you are set on not going the NP rout...

8. Not cut out for the PICU

   MGMR replied to laneybug6592's topic in PICU

   Sorry to hear PICU isn't working out, but better to try and find out than to never know! I think you should talk to your ANM even if she isn't approachable, or maybe your ANM along with your NM together. At my institution, they usually help the nurs...

9. Do I have critical care experience?

   MGMR replied to pepino23's topic in Critical

   I would say your PCU deals with more acuity than many units that are considered intensive care. I'd say to put "yes." You can elaborate more about your experience during the actual face to face interview.

10. How does your unit incentivize obtaining your NICU certification (RNC-NIC)?

    MGMR replied to jdubs99's topic in NICU

    My hospital will reimburse your exam fee, and then you get a $2000/year bonus put into your normal paycheck in December.

11. In need of a confidence boost!

    MGMR replied to Emm_RN's topic in PICU

    It's pretty common, at least for my unit, to get a relatively inexperienced nurse for your night shift preceptor. Unfortunately there's not enough of a balance of experienced nurses on night shift to give all the incoming nurses on orientation, so th...

12. Giving small volumes of IV meds

    MGMR replied to LittleMermaidRN's topic in PICU

    You can see the actual amount each medline tubing is on the package before you open it. The ones we use are about 0.8cc, plus the very small amounts in the back check valves on either end (each being about 0.05cc maybe). So, if the medication is 1cc ...

13. Perinatal CNS No Certification??

    MGMR replied to MikeR26's topic in CNS

    At this moment, I don't think there actually is a certification exam for a CNS in Women's Health. I think that the Association of Women's Health Obstetric & Neonatal Nurses have proposed that curriculum for a hopeful certification exam, but have ...

14. No autonomy or critical thinking as a nicu nurse. What is your unit like?

    MGMR replied to SCRUBS.RN's topic in NICU

    While I agree about the huge difference in turning an intubated preemie and adult, that still doesn't explain the rest of the OP's situation: not being able to start a peripheral IV, titrate Dopamine, or check a blood sugar on your own is extremely r...

15. No autonomy or critical thinking as a nicu nurse. What is your unit like?

    MGMR replied to SCRUBS.RN's topic in NICU

    I've only worked peds cardiac ICU, but from talking to many of the nurses who have come to my unit from adult ICU, it appears that there is huge difference in nursing autonomy in pediatric versus adult ICUs. I think the NICU has the least autonomy ou...