About the Unit
PICU is a 20-bed unit, located in the Bristol-Myers Squibb Children’s Hospital on the third floor. The unit is open 24-hours- a-day, 7-days-a-week.
Nursing Director: Linda Palkoski, MPH, RN, CCRN, NE-BC
Head Nurse: Toni Manfre, BSN, RN, CCRN
Head Nurse: Alison Kegelman, RN Head Nurse: Joy Hultman, MSN, RN
Head Nurse: Nona Schrum, BSN, RN
Case Manager: Pat Evans, RN
Social Worker: Elaine Downes
There is one pediatric care technician each shift who assists with basic patient care. There is a unit secretary on each shift to perform data entry and secretarial duties. There are EMT’s on each shift who assist with patient care and support families when not out on transport.
The PICU nursing staff care for pediatric critically ill patients from infancy up to 21 years of age or as appropriate. Older patients may be admitted to the PICU with the approval of the PICU Medical Director or his/her designee.
Patient Care Needs
Patients in the PICU require 1:1 to 1:2 nursing care. Promoting family centered care is a top priority.In PICU patients are provided with continuous cardiac monitoring and interpretation, intermittent 12-lead EKG performance, non-invasive and invasive hemodynamic monitoring, continuous pulse oximetry, ventilator management, continuous renal dialysis/ hemofiltration, laboratory analysis and pharmacological management. Intravenous pharmacological agents utilized include but are not limited to: dobutamine, dopamine, heparin, lidocaine, milirinone, nitroglycerin, pronestyl, cardizem, adenosine, amiodarone, lasix, epinephrine, norepinephrine, nitroprusside and phenylephrine.
Teaching is provided or reinforced to patients and /or significant others regarding the patient’s condition, equipment, specific procedures and disease entity.
About Our Nurses
Nursing care is provided by professional registered nurses competent in the care of critically ill pediatric patients. Competencies include, but are not limited to:
- Telemetry EKG certification
- Managing arterial and venous pressure lines
- Managing pulmonary artery catheters
- Managing mechanical ventilators
- Pediatric Advanced Life Support (PALS) certification
- Providing appropriate assessments and managing patients receiving continuous infusions
- Basic Cardiac Life Support (BCLS)
- Utilizing train-of-four monitoring
- Pediatric transport
- Managing a temporary transvenous pacemaker
- Managing end-tidal carbon dioxide (CO2) monitoring
- Performing cardioversion and defibrillation
- Continuous renal replacement therapy (for specific RN staff)
- Managing a patient receiving conscious sedation
- Intracranial pressure (ICP) monitoring
- Managing the recovery of a post-operative patient