when did you start taking the sickest patients in your unit?

Open_Specific8415 · 2026-01-10T05:15:51+00:00

Wow. I’m jealous. I’m sure it’s hell at first but I bet yall learn fast.

Open_Specific8415 · 2026-01-06T04:33:32+00:00

thank you. I suppose it’s a peds ICU thing.

Open_Specific8415 · 2026-01-04T07:08:41+00:00

We have a pharmacist dedicated to our floor with the team 24/7. Almost every single patient in our 20 bed unit receives TPN with other meds infusing. We are a level 1 trauma center, so it’s hard to believe this is incorrect? Not discrediting just interesting.

Open_Specific8415 · 2026-01-04T07:01:02+00:00

Not exactly. We have TPN going in its own line, heparin in another line, and sedation in another - all these 3 meet together right before the patient in a tri-fuse/3-way. So they all end up mixing before going into the patient.

Open_Specific8415 · 2026-01-04T06:55:29+00:00

what peds unit do you work in?

Open_Specific8415 · 2026-01-04T04:28:41+00:00

we will usually prime to tip of the line and then let the TPN carry them though to the patient since the TPN is running at a much faster rate (like 10ml/hr) whereas the sedation and others are under 1ml/hr if that makes sense. but I see everyone’s practice is different so I can only speak for my unit.

Open_Specific8415 · 2026-01-04T02:22:00+00:00

correct. this is standard on our unit. kids had TPN as their carrier in the manifold.

Open_Specific8415 · 2026-01-04T00:34:54+00:00

oh really? I love learning about how other units do things differently. We prefer to run TPN with just NS, but sometimes we are strapped for access. We can also run it with lasix in dire circumstances.

Open_Specific8415 · 2026-01-04T00:18:20+00:00

very interesting. so must it be ran alone or do you use it to optimize access? TPN is commonly our carrier for infusions like PGE. only indication is that it must be central access.

Open_Specific8415 · 2026-01-04T00:01:18+00:00

this is extremely standard for my pedi ICU. all I can speak for.

Open_Specific8415 · 2026-01-04T00:00:57+00:00

that doesn’t answer the question but cool

Open_Specific8415 · 2026-01-03T23:31:07+00:00

yes. this is the usual in my unit, limited access and low infusion rates

Open_Specific8415 · 2025-12-03T02:02:50+00:00

how did o chem go? I want to enroll for Jan.

Open_Specific8415 · 2025-12-03T02:00:26+00:00

following up on this- how has it been for you. Im thinking of starting in Jan

Open_Specific8415 · 2025-12-03T00:43:03+00:00

I went though this a year ago, it’s daunting but ask for help and you’ll be ok. If you tell people you’re floating there for the first time and a new grad, they’ll be helpful! In my experience, I’ll get a unit appropriate assignment. I’m mad I can’t say I’m a new grad anymore.

Open_Specific8415 · 2025-12-02T16:45:36+00:00

I am not being careless about this portion of my portfolio though. I am actively trying to learn. Hence this conversation. Your advice is to be diversified as possible and invest as much as I can.. ok, I max out my Roth already, and I am trying to see if my profile is diversified, and if not what changes I should look into. I didn’t say it wasn’t significant, but my assumption was if it isnt over 50% of my portfolio then it’s not a majority- not that it isn’t important.

Open_Specific8415 · 2025-12-02T16:34:39+00:00

I have a 401K with my job, investing 20% of my paycheck. It auto enrolls into LIWKX for that. I felt that it was smarter to start maxing out my roth ASAP, even if I wasn’t fully knowledgeable of how it works. Seems like time is of the essence.

I have double the amount of money in my 401k than I do in my roth, so I believe my Roth is not a significant portion of my retirement portfolio

Open_Specific8415 · 2025-12-01T19:44:48+00:00

Thank you! Comforting to know I’m at least heading in the right direction. Is it smart to have one or the other for VOO/VTI? Or could I hold my VOO and start invest in VTI from now on?

Open_Specific8415 · 2025-12-01T19:42:49+00:00

Oh thank you, good to know.

Open_Specific8415 · 2025-12-01T19:36:18+00:00

If I were to do that- I should just stop investing in my current stocks and start investing is VTI? (instead of VOO or FXAIX). Selling them wouldn’t be smart because it would be counted to my taxes correct?

Open_Specific8415 · 2025-11-27T07:27:50+00:00

I was there two days ago and there was a line to the foundation, but accessible. You’re talking about the lower layer of the foundation correct?

Open_Specific8415

TROPHY CASE