BittyBabyGrower 11,521 Views
Joined: Feb 9, '04;
Posts: 1,838 (19% Liked)
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Nurse of course!
30+ year(s) of experience in NICU, PICU, educator
Not quite the same but we get some super chubby babies and we order the Bivona Flex for them. It is longer and flexible so you have room for tubing and such.
Must have posted the same time as above lol And I have seen them in older kids in PICU.
When the nurse you are following just starts laughing before report and ends the manic laughter with Oh ****
They can garnish your last paycheck, take any PTO you are owed and turn you into a collection agency. CCF doesn't screw around when it comes to their money.
Chest tube set up and care, external shunts (ventriculostomy), golden hour care.
Here is my take just from her post, and as a former charge nurse and manager in a high acuity NICU:
You seem to be over confident, that may give your charge nurse a reason to not give you sicker
kids. Over cofidence can lead to errors or not asking for help when you start sinking, especially if you want to prove something.
Being a mom of NICU babies is very very different than nursing care of them.
10 years experience, not in NICU or peds doesn't really mean a whole lot to us. Some adult ICU or ER is good, but even those peeps will tell you how different it is.
Cool your jets, ask for more experiences that work up to the sicker kids. Ask if you can take admits, start IVs, calculate meds and drips, little steps to
move up. And don't cop an attitude.
On babies, even chubsters, the saphenous ia usually pretty juicy. Put a tourniquet about midway on the calf and it should pop. Once you get the landmarks for it, it is a great blind stick spot.
Scalps are are awesome also, but make sure to mitt them!
Yes, if you let it be known that you keep personal journals about work, they can be subpoenaed if there is a suit filed and you are called to give a deposition.
"Oh, I don't really recall but I probably have something in my journal"
Prosecuting attorney loves this,
"oh, you have a journal, did your defense team know this? No, oh goody, we are going to subpoena your journal!"
defense/hospital attorney will want to strangle you.
Everything in said journal is now an open book. You might even get to read some excerpts from it for a jury. Could even get you fired if there is any violation of HIPAA.
Keep it in the down low and lock and key.
Way to tackle the argument.
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?
So then you should be able to see why they would want you to have experience before hand.
A neonate is classified as 30 days and under. An NNP trains to work in a NICU, so not much market to see an NNP versus a peds person. Why not just be a peds practitioner if you don't want to work NICU? Most don't carry a dual license.
Never heard of it and it is way off base. Is this a nurse? Skin to skin is NOT part of our job!
Was hired into Mother/Baby with a promise of transfer to L&D which did not materialize for 6 years due to "lack of training resources". It is almost always impossible to move up. It is easier to move down the level of acuity.
If you are interested in any kind of ICU, get into an ICU first, then move horizontally.
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
Our attendings and nutritionists don't feel they are necessary. You know there is insensible loss and we give increased daily fluids to compensate for this and follow labs every 12 hours. And you use their dry weight for calculations anyways, so they are happy with leaving them alone.
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