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EricJRN 26,173 Views

Joined Nov 25, '05. EricJRN is a Nurse Educator. He has '10' year(s) of experience and specializes in 'NICU'. Posts: 8,741 (11% Liked) Likes: 1,687

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  • Jan 9

    You may want to pose this question in your state's forum as well. Each state's board of nursing is involved in scope of practice/delegation issues.

  • Jan 9

    I think everyone has slightly different ideas on what those descriptors mean. While I would agree with you, it's probably better to stick to more objective stuff, like GCS as Gwenith suggests. If you tell us that the pt withdraws an extremity with painful stimuli, then we're all pretty much on the same page.

  • Jan 7

    EC grads,

    Post your year of graduation and your specialty/specialties. I'll go first:

    I've been a Level II/III Neonatal ICU nurse since graduation in January '06.


    Update 10/2015: I've worked for a large Level IV NICU since 2009, where I've had both bedside and staff development educator roles. Although I just finished a master's degree in nursing education (from EC), I am currently enjoying a role as a bedside nurse. I'm considering more school - trying to decide between the nurse practitioner route or the Ph.D./tenure-track faculty route.

  • Dec 4 '17

    I moved your post to the Nursing Career Advice Forum for more responses. You're right that the first step is to complete a nursing program. After that, you would apply for jobs on a mother/baby unit (also known as a postpartum unit).

    Most specialty certification exams require at least one year of full-time practice in a given area, so that usually isn't part of acquiring your first job.

  • Aug 1 '17

    I wish I could remember what I got on the self-assessment, but it was over a year ago. I'll tell you that I passed the exam without any faculty experience (now I am an adjunct but at the time I wasn't). I didn't think the exam was too bad, but I tend to do okay on tests.

    I remember looking at a detailed test blueprint on the website and then taking the self-assessment. After that, I knew there were some areas that I should go back and study. For example, I knew from the blueprint that there would be some item analysis questions and we had discussed that only briefly in my master's program. I still had access to a lot of my grad school textbooks, so that helped.

    As I understand it, there's no set minimum score on the actual exam because there are multiple versions of the exam in circulation at any one time, so it's a fancy psychometric calculation that determines the passing score for that test form.

    Good luck to you!

  • Jun 22 '17

    It's a good question... for some people, A&O x 3 would indicate a completely normal orientation, while for some A&O x 3 means they aren't oriented to event. Sometimes have to rely on context or, ideally, stop and clarify.

  • Jun 1 '17

    It's two names for the same thing. There are huge variations in acuity and capabilities among NICUs, but the names (NICU, ICN, etc) don't tell you anything about the acuity. I've also worked in a high-risk nursery (HRN), which was yet another name for a NICU. We have to make this stuff as confusing as possible.

    Good luck to you!

  • Apr 14 '17

    Quote from elizabells
    Some combination of precious/unfortunate along with the appropriate pronoun WILL appear in the chart if this guy is on service.
    The neurologist that interprets our EEG's has kind of the same thing going with a couple of phrases: "severely abnormal EEG" is one of them. He's so known for this phrase that it's become something of a joke among the nurses.

    One day we got a progress note/EEG report on a 23 wkr with grade 4 IVH and constant seizing if the phenobarb level went <80. The charge nurse tells me, "Hey look! He doesn't have a 'severely abnormal EEG' after all!" "Really?! What the heck does he have then?"

    "Deeply disturbing EEG," the note said.

  • Mar 18 '17

    I've seen it go both ways, depending on the individual. Some people (even if they are being treated for it) have to be really careful to choose a specialty or setting that doesn't create a lot of distractions. Multitasking can be a really difficult thing to do with ADHD and most jobs are going to require the nurse to keep several balls in the air at once, so to speak.

    On the other hand, plenty of people function well, whether through medication or other means. People with ADHD have definitely been known to seek out novelty, and in my experience, many of them end up in critical care settings.

    I feel like I have been on both sides of the coin here: As a new grad, I had a very hard time with organization, multitasking and prioritization. With time I learned some strategies to deal with those things. Now I think that my curiosity and openness to new experiences are actually benefits when it comes to working in a high-acuity setting.

  • Mar 18 '17
    From nursel56 In ADHD

    I've seen it go both ways, depending on the individual. Some people (even if they are being treated for it) have to be really careful to choose a specialty or setting that doesn't create a lot of distractions. Multitasking can be a really difficult thing to do with ADHD and most jobs are going to require the nurse to keep several balls in the air at once, so to speak.

    On the other hand, plenty of people function well, whether through medication or other means. People with ADHD have definitely been known to seek out novelty, and in my experience, many of them end up in critical care settings.

    I feel like I have been on both sides of the coin here: As a new grad, I had a very hard time with organization, multitasking and prioritization. With time I learned some strategies to deal with those things. Now I think that my curiosity and openness to new experiences are actually benefits when it comes to working in a high-acuity setting.

  • Mar 14 '17

    In the NICU, we use them for warming heels prior to capillary puncture for lab draws.

    In my EMS career (and once in the NICU), I've seen them used to try and make some veins pop up for a patient who is a really tough IV stick. Can't say I've ever seen it work too well...

    For first aid purposes, never used one.



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