MGMR

MGMR

Pediatric Cardiac ICU

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All Content by MGMR

  1. POST OP CARDIAC Filters on INFUSIONS?

    MGMR replied to bame rn's topic in PICU, Pediatric

    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...

  2. Open visitation in the ICU

    MGMR replied to Mini2544's topic in Critical Care

    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,...

  3. CNS or NP

    MGMR replied to PICCRN79's topic in Student Nurse Practitioner

    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...

  4. CNS or NP

    MGMR replied to PICCRN79's topic in Student Nurse Practitioner

    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...

  5. What subspecialty will accomplish my goals?

    MGMR replied to PICCRN79's topic in Clinical Nurse Specialists, 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,...

  6. Nicu nurse trying to decide between nnp and pnp

    MGMR replied to Rncally2007's topic in Student Nurse Practitioner

    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...

  7. CNS or NP Degree in California

    MGMR replied to Merchantj90's topic in Advanced Practice

    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,...

  8. Not cut out for the PICU

    MGMR replied to laneybug6592's topic in PICU, Pediatric

    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...

  9. Do I have critical care experience?

    MGMR replied to pepino23's topic in Critical Care

    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...

  10. General peds or NICU opportunity

    MGMR posted a topic in NICU, Neonatal

    I'm extremely fortunate to be given an opportunity to work at an amazing magnet hospital in a new nurse residency program that lasts 10 months to 1 year on a general (med-surg) pediatric floor. It's...

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

    MGMR replied to jdubs99's topic in NICU, Neonatal

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

  12. In need of a confidence boost!

    MGMR replied to Emm_RN's topic in PICU, Pediatric

    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...

  13. Giving small volumes of IV meds

    MGMR replied to LittleMermaidRN's topic in PICU, Pediatric

    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...

  14. Perinatal CNS No Certification??

    MGMR replied to MikeR26's topic in Clinical Nurse Specialists, 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...

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

    MGMR replied to SCRUBS.RN's topic in NICU, Neonatal

    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,...

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

    MGMR replied to SCRUBS.RN's topic in NICU, Neonatal

    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...

  17. STAFFING SURVEY

    MGMR replied to pedinurse12's topic in PICU, Pediatric

    Our pediatric floor is 4:1, very very rarely 5:1 and mostly at night if ever that high. PCTs do vitals, I/Os, cares, and some help with labs. Our PICU and PCICU has a max of

  18. What do you prefer to be called?

    MGMR replied to Alexxoxox's topic in Doctoral Nursing Degrees

    In a clinical setting (unlike in academia), calling yourself Dr. ___ is misleading to the general public - or anyone for that matter. Unless you are a physician (MD/DO), it isn't appropriate to...

  19. Non-Prescribing CNS-What's Your Role?

    MGMR replied to MurseJJ's topic in Clinical Nurse Specialists, CNS

    I saw that too MurseJJ. I actually am interested in going per diem in their new cardiac NICU - seems right up my alley and a great learning experience. They said they only wanted full time staff at...

  20. Non-Prescribing CNS-What's Your Role?

    MGMR replied to MurseJJ's topic in Clinical Nurse Specialists, CNS

    Really interesting/good discussion. I've been having a hard time deciding what I want to do for the future as well regarding the CNS vs NP routes. I work in a pediatric cardiac ICU, and I honestly...

  21. Floating from the NICU

    MGMR replied to sfk26's topic in NICU, Neonatal

    Age does not determine acuity here, and I think that if you were given the teenager, that was their most stable, appropriate patient. It may make you uncomfortable, but you're always going to be...

  22. PVCs on monitor

    MGMR replied to Matt8700's topic in CCU, Coronary, Cardiac

    Monitors are not perfect, so sometimes the patient's rhythm will register as a PVC or Vtach, etc. to the monitor when that's not the case. Always look back to make sure and assess the patient of...

  23. CNS in PICU/NICU

    MGMR posted a topic in PICU, Pediatric

    Hey all, Just wondering what your experiences have been with clinical nurse specialists working in your PICU/PCICU/NICU. We currently do not use any in my PCICU, but the NICU just hired a neonatal CNS...

  24. CNS in PICU/NICU

    MGMR replied to MGMR's topic in PICU, Pediatric

    Hm, that's a real shame. And definitely not the role I envision myself doing in the future. The neonatal CNS in our hospital's NICU does a lot more patient care at the bedside. She helps insert lines...

  25. Carriers for drips

    MGMR posted a topic in PICU, Pediatric

    I just had a topic I need clarification on. I work in a peds cardiac ICU where we use "carriers" of a patient's maintenance fluid at rates of mostly 1cc/hr (sometimes 3-5cc/hr for non-neonates or for...