Just had a horrible day at work and needed to get something off my chest......... We had a terribly abused little kid that came into out ER today. I wont go into any details, but to say that she will...
I worked for about 8 years in a PICU and finally left about 2 years ago. I have been working in a small community hospital since. The reason I left was due to the large amount of non-accidental head...
Super RT replied to OkieICU_RN's topic in MICU, SICU
If your patient is soon to be extubated, why not wait the 30 min or so until the tube is out? Use your toothettes until they can protect their airway on their own, since they have the same amount of...
Super RT replied to OkieICU_RN's topic in MICU, SICU
As an RT, allow me to comment on this topic. I am reading a lot of different arguments from various posters about this, so let me clear up a few things. 1. VAP happens to patients ON the vent (hence...
Don't smoke 4 packs of cigs a day for 35 years and then get mad at us when the doc suggests that lump on you chest xray is probably cancer. Do not then threaten to sue us because we can't fix it....
Working in 2 major Trauma centers, I have seen way too many beaten up kids! It seems to be worse at the first of the year and half way through summer break. I just think there are some parents who...
I'm so very sorry to hear about your loss. I think the way I get through it is that while at work, I try not to linger in the room after the crisis and let the parents mourn. I go for a walk or try to...
I recently witnessed a nurse knocking on the outside of an isolette when a baby was having an apnea/brady spell. She did this multiple times durring the shift. This was a very small preemie. Wouldn't...
That was my thought! They always tell you not to tap on the glass of a fish tank bacause it stresses the fish. I would imagine that the baby was even more stressed than the fish would be! The problem...
I work exclusively in Peds and spend the winter every year coughing and sneezing. I get sick every year! If being a pediatric nurse is what you want to do, the colds are just a small downside. In...
I think it depends on the nature of the patient and their problem. We had a 27 year old once, but he was severely delayed and still saw a pediatrician. I think that the patients that have been in and...
Super RT replied to canuckeh!'s topic in Pediatric
We have seen a huge increase in MDI/spacer use in our hospital recently. If she is relatively well and not in acute distress, she should do just fine with the spacer. We recommend the patient take 6...
We have always tried to teach our children to call body parts by their proper names. You wouldn't call your arm a ding-dong, right? So when my son was very small, 3ish, when we gave him a bath we...
I also hope to clear up something. RN's don't always get the "easiest" patients and the RT's don't always get the hardest patients. As an RT, I sometimes get the less sick patients in my assignment,...
We have seen an increased use of NIMV in our unit and I just worry about the physiologic trauma associated with slamming pressure into the vocal cords like that. I worry about swelling and malcias in...
Usually starts with low settings, but I've seen the pressures get up pretty high. We also have seen a higher rate of NEC. I imagine the increased amount of air/pressure in the gut could lead to this....
I work in a teaching hospital where we get the sick babies (ECMO, MAS, etc) The nurses just don't have the time or the expertise to ru the vent along with all the meds, weighings, baths, feedings,...
We actually had a baby cannulated twice due to Diaphragmatic hernia that went home. The baby had a g-tube, but from what I understand, the baby is doing
It depends on where you work. Yes I get exposed to some really scary stuff, but I'm at less risk for a needle stick. Depends on what scares you more: inhaled disease, or stuck with scarey needle. I...
As a Respiratory Therapist, I'm a little biased, but let me put in my 2 cents on this. I work in a major trauma center with a high level NICU. All of my experiance in at that hospital mostly in the...
You find yourself trimming the flower bed with surgical scissors. You can't find any gardening clippers, but you do happen to have 48 pairs of surgical
Super RT replied to KrisRNwannabe's topic in General Nursing
I'm more of yes and no. I think that it doesn't matter who is present for a delivery as long as they are a good nurse, but I think that the patient should have an option. My first delivery, I was not...