Travis, CPNP-AC, FNP-BC

Dual certified Family and Acute Care Pediatric Nurse Practitioner working in Pediatric Critical Care.

[Travis, CPNP-AC, FNP-BC @NP_Travis]

@nursekelsey Avoid administering it with dairy, it will decrease the absorption. I’ve had several patients with failed outpatient courses of doxy because they were taking it with milk.

[Travis, CPNP-AC, FNP-BC @NP_Travis]

Working in pediatric critical care means you might be the provider who writes both a patients H&P at birth and also their summary of life at death. (I refuse to say expiration summary.)

[Travis, CPNP-AC, FNP-BC @NP_Travis]

@emily_fri For PFFCS at WVU Children’s we do two days in person. In morning we do lecture then do sims in the afternoon. Sims usually include ventilation, transport, sedation, shock and a mix of others.

[Travis, CPNP-AC, FNP-BC @NP_Travis]

@RNSuperHero When I worked in the adult ICU we did this all the time. I was super surprised as a new grade to see beer in the med fridge or have whiskey delivered by pharmacy but quickly got used to it.

[Travis, CPNP-AC, FNP-BC @NP_Travis]

You know you take care of pediatric CICU patients when you see this and think “oh I don’t like how HIGH those sats are”.

[Travis, CPNP-AC, FNP-BC @NP_Travis]

@RNSuperHero Well go up to D 12.5 for PIV.

[Travis, CPNP-AC, FNP-BC @NP_Travis]

@thatnrselife Only in patient rooms

[Travis, CPNP-AC, FNP-BC @NP_Travis]

@emily_fri Thank you! I love a great physician & APP working relationship. I happen to know one of those Pulm/crit trainees from WVU.

[Travis, CPNP-AC, FNP-BC @NP_Travis]

@emily_fri I stand on the patients left (stick right handed), I’m also in the PICU so I imagine line placement is a bit different in adults.

[Travis, CPNP-AC, FNP-BC @NP_Travis]

@PhoebeButler97 Alfredo

[Travis, CPNP-AC, FNP-BC @NP_Travis]

@crabby30somthng In PICU absolutely!

[Chris Carroll MD @ChrisCarrollMD]

When adult ICUs and hospitals were overwhelmed with COVID, we pulled out all the stops to help.

Now when pediatric ICUs and hospitals are overwhelmed with RSV and other viruses, where is the response?

[Stone @StoneAgeRadio13]

Who came up with Snickers Minis?
Why do we need 1/16th of a Snickers bar? These aren’t even bite sized. I have to take em 4 at a time like ibuprofen.

[Travis, CPNP-AC, FNP-BC @NP_Travis]

@emily_fri BUT how many people said “oh look it’s Zelda” ?

[Shunichi Nakagawa @snakagawa_md]

The purpose of treating the disease NEVER should be treating the disease.

Always, it should be to help the patient.

If it doesn't help the patient, don't treat the disease.

[Dr. Glaucomflecken @DGlaucomflecken]

Pediatrics faculty meeting

[Travis, CPNP-AC, FNP-BC @NP_Travis]

It just amazes me how upset so many people are that the live action little mermaid is black. Like it’s so outlandish that A FICTIONAL CREATURE could be black.

[Travis, CPNP-AC, FNP-BC @NP_Travis]

Yes, I am an adult who will proudly display this succulent Lego in my office.

[Travis, CPNP-AC, FNP-BC @NP_Travis]

Compassionate extubation, comfort centered care, etc. If I hear you say “we’re going to unplug them” we will absolutely have an exchange of dialogue that will not be pleasant.

[Travis, CPNP-AC, FNP-BC @NP_Travis]

Please STOP using the term “withdrawing care” because that’s not what’s happening. The goals of care might be changing but care continues to be provided. Might I suggest others phrases such as directing goals of care towards comfort, comfort measures only,