Latest Comments by BittyBabyGrower

Latest Comments by BittyBabyGrower

BittyBabyGrower 8,169 Views

Joined Feb 9, '04 - from 'Somewhere in the midwest'. BittyBabyGrower is a Nurse of course!. He has '30+' year(s) of experience and specializes in 'NICU, PICU, educator'. Posts: 1,840 (19% Liked) Likes: 1,063

Sorted By Last Comment (Past 5 Years)
  • 0

    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.

  • 0

    Chest tube set up and care, external shunts (ventriculostomy), golden hour care.

  • 9

    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.

  • 0

    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!

  • 1
    SmilingBluEyes likes this.

    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.

  • 0

    Quote from GeneralistRN
    Way to tackle the argument.
    So, what is your response to my reply?

  • 1
    meanmaryjean likes this.

    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.

  • 3

    So then you should be able to see why they would want you to have experience before hand.

  • 1
    Sour Lemon likes this.

    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.

  • 2

    Never heard of it and it is way off base. Is this a nurse? Skin to skin is NOT part of our job!

  • 0

    Quote from feelix
    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.
    This may be true in the adult world but not really in NICU. Neonate are very different than adults. Nursery will give you a leg up in assessments, seeing the normal and picking up abnormal in neonates. Working with BFing moms is a plus also.

    sorry this happened to you, but how could they not have enough help to orient someone? Sounds fishy.

  • 3

    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.

  • 0

    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.

  • 2
    poppycat and meanmaryjean like this.

    We only do daily weights on gainers/growers, kids on diuretics, heart kids. Any kid under a kilo gets weighed every 3rd day unless otherwise ordered. Some kids don't get weighed until stable such as oscillator, cooling, nitric. It really kind of relies on unit preference. And we do have bed Scales in all beds and warmers.

    I have to disagree about fresh micronates needing weighed every 12 hours. Research has shown that the less you bother these kids, the better the outcome, especially in the first 72-96 hours.

  • 1
    rnkaytee likes this.

    We asked about the lipids also. As long as you flush the connector, it is fine, they won't be sitting stagnant for long. We use a trifurcated filter so we just flush that Y when it is done.


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