oopsididitagain

We use these for our art lines. It's a closed system and it allows us to give back the waste. VAMP Jr. System

I'm a very difficult stick myself and can tell you from experience that people fishing for my vein HURTS SO MUCH. I'm always sitting there thinking JUST GO IN MY HANDS AND STICK ME TWICE @%@% DAMMIT AND I TOLD YOU TO USE A 23G WTEGHGHEIHIPWGH!!!!!

I work in a PCICU and never heard of epi spritzers before. I guess it's a unit to unit difference. We do stock in our omnicell an epi drip in case of emergencies. Oh also, cardiologists don't like NaHCO3. During codes with severe acidosis we do use it but in non codes we very rarely give bicarb. Fluid boluses are preferred. I believe NaHCO3 can lower intracellular pH. Bicarbonate therapy and intracellular acidosis. - PubMed - NCBI We give Calcium chloride in codes and calcium gluc for regular replacements. I think it just depends on practice.

I remember being in your shoes not too long ago (I've been a PICU nurse for almost 4 years now. Started out as a new grad as well). I had numerous preceptors before I ended up with my main one. It took a lot of trial and error before I clicked with my main one and to get to the level of being safe on my own. I remember feeling overwhelmed all the time and being a nervous wreck, constantly scared that I'm going to get fired or that I'll hurt a patient really bad or that I'll do something wrong in my preceptor's eyes. There's plenty of good advice here so I won't go on and on. If I could go back in time I'd tell myself to be less nervous, because I'm smarter than I think I am and I'm only hurting my chances by being a nervous mess. I'd say don't be scared about getting fired, because it's not in your or the hospital's interest to fire you. They've already invested a lot of time and money by hiring you and paying you for 10+ shifts. They want you to succeed. I'm constantly amazed that I've made it this far in my unit. I'm a charge nurse now, precepting other new nurses occasionally. Try to get organized and find what works for you. Reflect on your shift. I'm not trying to be mean or be judgy or anything but why do you think you were behind on the most stable patients on the unit even though you've had them the night before? Ask yourself questions and try to reflect what could've gone better. We all make mistakes. Much bigger ones than you made. For example, I think I pushed heparin instead of running it on the pump (most of it was still sitting in the tubing thank GOD). I remember my preceptor yelling NOOOOOO very vividly lol. Did I get fired? I did not. Will I ever push heparin ever again? NOPE NOPE NOPE