Level 3. 70 beds. We had someone celebrate their 1st birthday in our unit. Our docs will NOT transfer them out. When we are full we are continually transferring babies to nursery.
I work in a level III NICU. The only thing we don't do is ECMO. I'm guessing that the only thing that makes somewhere a level 4. I don't think your transition is going to be hard, since you have already had critical babies. You should pretty much ...
Our policy is that you HAVE to scan the patient. Every bedside has a computer and scanner. We have to scan the baby, then the med. Our ID bands are these little labels that look laminated. We usually get 2, so we wrap one around the ankle, then s...
We will tape our feedings like others have mentioned if it's under 10ml. We use 4fr, 6fr, and 8fr feeding tubes. We don't use the 8fr that much. I don't think it's unsafe like mentioned above. It goes pretty slow. I personally think it's a waste...
I only pop the top when necessary. It depends on what I'm doing and the babies size. If they are a micro-preemie I'd only open for an intubation or re-taping the ETT. I see a lot of newer nurses that open it all the time. We don't really have a p...
We also never help lock a line. Any kind of central line will have KVO fluids running, it's usually D5w with 1:1 hep, going at 0.3 or 0.5 ml/hr. Our PIVs are saline locked.
First congrats on your pregnancy. Where I work its very hard to hide it. You may tell one person but what if you don't work the same schedule as them?Besides, the minute I see another nurse always doing someone's X-rays we all know what that means. I...
I have both of the main ones. They each have their pros and cons. The big difference for me is that one is outline format and the other is like a textbook with paragraphs.
How about a family nurse practitioner. That way you can do adults or children. You can work in a pediatricians office or even a Walgreens 1 minute clinic- that would have nice hours. I agree with previous posters- get a degree in something you can ac...
That's how I always thought it was too, and that's how our unit has always been. Since people have complained about having their assignment being switched(especially when they work 3 in a row) when I primary nurse works, our unit manager decided the ...
How does your unit handle assigning nurses their primary? Will a nurse have their primary every day they work- regardless if the nurse who worked yesterday( and had that baby) is back today- but the primary nurse is working too?
Surgeons and docs assess our babies when they can. I won't really say it's at their convenience. Our docs are extremely busy. They are gentle with our kids. After they assess, I just re-wrap them and they go to sleep. Our level 2 kids are usually...
It's going to be stressful, especially since this a lot of this is new to you. Honestly, I don't see how someone can expect you to just stroll on in and NOT be stressed. You just need to take it day by day. Maybe you should look at level III NICU'...