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Joined Feb 9, '04. BittyBabyGrower is a Nurse of course!. He has '30+' year(s) of experience and specializes in 'NICU, PICU, educator'. Posts: 1,838 (19% Liked) Likes: 1,115

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  • Jan 27

    We had some good changes when we first were given Magnet, BUT we also had a stellar VP of Nursing....very involved, vocal, visible and a wonderful advocate. Enter the good old boy club who drove her out and we got the yes lady. Things that were out into place were discarded, we lost nursing positions and our Nurse Senate lost their say in a lot of things. Renewal comes up and the show begins again. This time, to impress, they tossed all nurses that didn't have BSNs off of committees that they have sat on and/or developed years prior. We had rally after rally, made a
    video with nurses singing and dancing, resumed a few things that had gone to the back burner, hand picked the people to
    go tobreakfast and lunch with surveyors. It is a huge show. Been thru it 3 times and plan on retiring before the next time!

  • Nov 6 '17

    Quote from GeneralistRN
    You can become a neonatal PA without working as an RN first, so why is it so scandalous to ask it you could become a neonatal NP without working first? PAs just have to do a one year residency in neonates where they are paid. Why shouldn't it be the same for NPs? Are nurses not as smart or something?
    Really? You are such a troll. Lol Are you even a nurse because you just cut yourself down also. The only program I know of is in PA and only accepts 2 per year, and you have to have PA experience. You start in a level 2 for
    the first half and then move to CHOP I believe for the rest. It's pretty intensive. I asked one of our attendings about it ( he is from there) and he said they take ones with ICU or peds experience only. And several of them were NICU nurses who went back to PA school, have their Masters and then applied for this. So it still isn't like you can just apply and do it. You are totally missing the point.

  • Nov 6 '17

    To become a neonatologist you have to do a 3 year fellowship, same for any speciality. It is on the same line. Do you think someone could walk in and be a neonatologist without ever working with this population? So I wouldn't say it is really too
    much different.

  • Apr 21 '17

    I was a student in a diploma
    program in early 80's.
    --No gloves, it was considered degrading to your patient and would make them feel bad.
    --Every patient got a bath and linen change every single day come hell or high water.
    --We had a bottle of whiskey locked in the Med cabinet for the alcoholics so they wouldn't go thru DTs....the docs had to order it.
    --We actually had orders that it was okay for our patients to go to the Solarium and smoke.
    --Most patients were in the hospital for at least a week.
    --We mixed our own meds in glass bottles.
    --We practiced team
    nursing. You would have 15 patients with an LPN and aide to help you. You did the assessment, the LPN did the vitals and we all helped with ADLs.
    --Everyone did get their lunch, and the doctors had their own cafeteria and dining room.
    --Our secretary would take off all
    the orders and leave us little "treatment" and med cards hanging on the desk for us.
    --We made coffee and toast on
    the floor for the patients.
    --In the evening we would do cares, help the patients wash up and give them a back rub before they went to bed. I can still smell the hospital lotion!
    --You could smoke at the nurses desk, the conference room and
    lunch room. Patients smoked while in bed.

    Then I was a new nurse in the NICU from mid80's on. I'll just say, thank goodness for EBP!
    --We suctioned all intubated kids every 2 hours whether they needed it or not. We also turned them every time.
    --We used dopamine and donut amine like a vitamin.
    --Every single admission got a full septic work up including an LP.
    --We weighed every single kid every single night no matter what, even if they had 6 chest tubes, intubated and on vasopressors.
    --We would hand bag kids for hours or days until an ECMO bed became available. We only had one hospital in our city with 4 beds, other wise they went out
    of state by helicopter.
    --All kids got a full bath before being put to bed after admission.
    --we made all our own meds and drips.
    --We rarely have pain medications...premie babies didn't feel pain.
    --Along the same line, premies were only paralyzed for surgery, no anesthesia or pain meds.
    --Comfort care wasn't offered, it was all or nothing.

    Thank goodness for progress!