busy or slow

Posted
by nicu4me nicu4me Member

Just wondering if anyone is seeing a downward trend in the number of mulitiples or just a general census decline? If so for how long in your NICU?

TiffyRN, ADN, BSN, PhD

Specializes in NICU. Has 29 years experience. 2,309 Posts

Haven't noticed a slowdown around here, tons of twins, several triplets, sometimes more. . . Could be in your area some of the infertility specialists are doing things differently?

Mimi2RN

Mimi2RN, ASN, RN

Specializes in NICU. Has 27 years experience. 1,142 Posts

We are not slow, no really sick ones, but we are way overbabied! We have had a run of 30-35 weekers, if they've been on vents, it's not been for long. Some have just been in-and-out Curosurfed. We have a good set of triplets, a couple of sets of twins, a couple of twins whose sibs already went home. And a whole bunch of singleton grower-feeders! It's more than job security. If you want overtime, we can use you! But there is a hiring freeze.....

BittyBabyGrower

BittyBabyGrower, MSN, RN

Specializes in NICU, PICU, educator. 1,823 Posts

We're busy...not so many multiples right now. We go in spurts. Haven't seen as many infertility ones since the economy went belly up!

We don't have a lot of vents, but the ones we have are doozies! Lots of kids that have just decided that eating is very overrated lol

Sweeper933

Specializes in NICU. 409 Posts

We (finally) slowed back down to normal after being crazy/busy all year. Our census is back to normal, but our acuity is still really high. A few really sick kids and a few really time-intensive chronics do wonders for staffing...

littleneoRN

littleneoRN

Specializes in NICU. Has 6 years experience. 459 Posts

BUSY BUSY BUSY here all summer. And there's been a run on higher order multiples.

ScammRNC

ScammRNC

Specializes in Level 3 NICU 17 yrs, Neo transport 13 yr. Has 21 years experience. 88 Posts

It has been busy here all year long except for a minor lull the end of May/first of June. Multiples are hit and miss and seem to go in spurts. We had an influx of 23-26 weekers the beginning of August that have been very chanllenging. 5 sets of twins over the past 6 weeks with the last set getting ready to go home withing a week.

babiesRmylife

babiesRmylife

Specializes in NICU level III. Has 9 years experience. 125 Posts

We've been REALLY busy! Haven't had many multiples, lots of twins with fetal demise recently (seems odd). And we've had lots of tiny ones 23-24wks

Sweeper933

Specializes in NICU. 409 Posts

This whole week we've gotten nothing but sick term kids. Which is always a nice surprise addition to the census. At least with the preterms, you have somewhat of a warning as to their admission. And all of these term kids have been really sick. A few bad mec aspirates, an unknown cardiac / other anomolies, and an unknown diaphragmatic hernia (that was fun....)

Love_2_Learn

Love_2_Learn

Specializes in Level II & III NICU, Mother-Baby Unit. Has 21 years experience. 223 Posts

We have been kicking a$$ since around July 4th and haven't slowed down except for about 5 days at the end of August. Crazy busy with multiples and lots of 30-36 weekers and a sprinkling of 26-28 weekers. There is no end in sight right now. All this happened after a very long, very dry stretch for the previous 6-8 months.

Sweeper933

Specializes in NICU. 409 Posts

Evidently the fun on my unit is continuing. I just got a call from one of the managers to see if I could come in to work tonight at 11pm. Evidently in the last 18 or so hours, they've gotten 35 wk twins, 27wk triplets, a kid with skeletal anomolies / hypoplastic lungs... and a giant omphalocele. Yikes...

dawngloves

dawngloves, BSN, RN

2,399 Posts

BIZZZZ AYYYYY! Mostly late preterm 30 ish weekers. Acuity is still low. Haven't had a 24 weeker in months. 25 weekers are rare, too.

We get the smattering of twins, again 30 ish weeks.Can't remember the last time I saw triplets. A year? Seems like the OBs are doing a heck of a job!

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