Burnvegas

Latest Activity

1. Fluid Bolus question

   Burnvegas replied to Maria1308's topic in General Nursing

   Run in a fluid bolus over fifteen minutes, regardless of the volume. the rate will change depending on the volume, so the lower the volume, the lower rate will actually be.

2. Insuflon help

   Burnvegas replied to ericagrace1101's topic in PICU

   We use them, but not for any heparins. But that's mostly because we don't use heparins very often (no cardiac in our unit) and pharmacy got annoyed folk weren't rotating the site so it was a bit outlawed by them. There does exist insulin needles wit...

3. Icu opportunity

   Burnvegas replied to montov's topic in Critical

   Take ICU. Gen paeds is nothing like nicu. Nicu is very niche, and more like ICU then it is a paediatric floor, and experience with vents and lines/monitoring will be more valuable to them.

4. Efficient shift report

   Burnvegas replied to HannahMarine30's topic in Critical

   We have some nurses like that too, who want to know every minute detail down to the total number of poops this eight week admission, and what drugs they had in theatre 4 weeks ago... Some are genuinely interested in such matters, others are just bein...

5. Culture of blame in the UK

   Burnvegas replied to babyNP.'s topic in UK

   I wonder if mum gave it too. I've had parents give meds before without our knowledge when they shouldn't have had them. I've had a baby double dosed with domperidone because the mum didn't believe we had given it... We ultimately got the blame when ...

6. New PICU RN - Feeling discouraged

   Burnvegas replied to bran_muffin's topic in PICU

   the vast majority of people who go to any icu hate it for a good length of time. some people stick it out and finally "get" it, others leave within the first year. you have to make that decision on your own because there isn't a right answer. just b...

7. Permanent contract or full time bank nurse?

   Burnvegas replied to rosmbre's topic in UK

   I also did this for a few years, and I really enjoyed it. I agree with phil pretty much entirely and had a similar experience. Just want to say though... You absolutely can't just work in one area and refuse all others, especially if you're limiting ...

8. Going from Level III to Level IV

   Burnvegas replied to HyperSaurus, RN's topic in NICU

   I think a lot of us have survived the transition to higher acuity. Lots of learning curves, but if you know your basic vent and inotropes and stuff, everything else will come to you in time. Don't forget your basics and assessment skills, cause the...

9. Newly qualified - first band 5 (community) interview, please help!

   Burnvegas replied to Rosie89's topic in UK

   Congratulations!

10. Neobar use in the NICU

    Burnvegas replied to lmse's topic in NICU

    Yeah, it was the same story in my old unit as well. It was put down to the nurses not strapping the tube correctly (surprise surprise, nurses blamed). I argued at the time (2009) that there was no evidence that preferred one over the other, and we we...

11. Help

    Burnvegas replied to Ladypink-37's topic in General Nursing

    My understanding of dial a flo was they were set to certain drop factors, so using one for a gtt of 60 wouldn't work on an infusion set with a calibration of 20... My understanding is also it doesn't eliminate the need to count the drops all together...

12. Level 3...not good enough?

    Burnvegas replied to ThePrincessBride's topic in NICU

    In the UK, I've known people that have become an nnp who worked in a level 3 centre, even one that had predominantly worked in a level 1. So it is possible here at least.

13. Injection Missed

    Burnvegas replied to Nrose6's topic in Medications

    It's fine. Human error happens to everyone. What's important is you did the right thing.

14. Best Job For a New Grad

    Burnvegas replied to NatalieSN's topic in General Students

    Go where you want to be, is my opinion. But you'll get a mixed response. Some people value general experience before specialising, some don't see the point. All depends on you or who you ask - up to you to decide.

15. What is your "pearl of wisdom"? Tips & Tricks!

    Burnvegas replied to nursejaxn's topic in NICU

    Stimulating a baby at delivery with a hand under the towel and rubbing up and down the back of the baby. If that doesn't work, the baby has 100% of the time always needed tubed. Always shocked at the amount of l&d staff who don't know this trick.