Bookworm14

Bookworm14

Adult Critical Care/Neonatal ICU

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About Bookworm14

Bookworm14 has 14 years experience and specializes in Adult Critical Care/Neonatal ICU.


Married with three children

Latest Activity

  1. I worked adult critical care for almost 12 years before I switched to the NICU. I was already familiar with many things and just had to "translate" my knowledge to how it applied to the NICU. Of course there are issues that are unique to the NICU, ...
  2. Anyone worked with a clinical ladder? Problems?

    We can go from a Clinical Nurse II to a III or a IV. Each step is worth 5% in pay. It sounds like the work that goes into our clinical ladder for a 10% raise is worth much more than some of you that get a $1 raise. I wouldn't bother with all of th...
  3. May have 2 job offers, please help!! :(

    Congratulations!!!
  4. need vent tips - mainly for flipping / suctioning

    I am lucky to work with people who are more than happy to help. I worked with vented adults for almost 12 years and switched to NICU recently. THE most nerve-wracking thing for me so far has been repositioning babies on vents. It still makes me ne...
  5. 11 Things Your Nurse Thinks (But Will Never Tell You)

    I barely restrained from voicing this one out loud to a patient's girlfriend. He was detoxing, on the vent, wild and combative despite major sedation. "Oh, I am so sorry he can't afford his meds. Perhaps if he didn't drink two CASES of beer a day a...
  6. Adult ICU to NICU

    I know exactly what you mean dawngloves! I recently switched from adult critical care to the NICU (and loving every minute of it). You definitely need to realize that VS for the NICU population are very different than adults. I was laughing the ot...
  7. Interpreting Blood Gases

    I worked adult critical care for almost 12 years and now I am in the NICU. I am very familiar with arterial blood gases but would like to know more about capillary blood gases. How do they correlate with ABG's? What situations or results would lea...
  8. Can I leave the NICU?

    I am making a switch in the opposite direction. I have worked in adult critical care for over 11 years and finally got into the NICU. I can tell you that there are some things that are very similar, but there are also things that are very different...
  9. References for iPod touch....switching from adults to peds

    Thanks for the suggestions. I figured I would probably have to wait until I started orientation and see shat they use but I am just trying to be prepared. Plus my iPod is pretty new and exciting and any excuse to play with it works for me.
  10. After 11 years in adult critical care, I am making the change to peds and nicu. I have wanted to work nicu for YEARS and finally landed a night float job that I will be working nicu, picu and regular peds floor. I am super excited and wanted sugges...
  11. One Wish Granted

    I would wish that they never eliminate weekend only positions.
  12. Put the darn chart back!

    This would be wonderful. We have computer orders but the doctors aren't required to enter their own orders (except the residents) so sometimes they will leave the unit and call from their cell phones to give verbal orders that the nurse now has to e...
  13. Weekenders Working Weekday Holiday?

    I've been on weekends for 6 years and we always just worked the holidays if they fell on the weekends. Now they are trying to have us go on a holiday rotation. There are several problems with this that they haven't clarified with us yet. 1. If I wo...
  14. Vent: CV pt that should have gone back to OR (long)

    Wow! That sounds like a horrible night. It sounds like you rocked and did what you could do. Did he survive and/or go back to surgery? I've been back on nights for 2 years (after 9 years on day shift) and feel that it is very hard to get the doc...
  15. *Weird* Patient Allergies

    I had a patient that told me she was allergic to Lasix. When I asked her what the reaction was, she said it "made her pee". Of course she was admitted with CHF.