mslema

Latest Activity

1. Wanting to go to level IV from level III NICU

   mslema replied to mslema's topic in NICU

   I work at a level III but the facility I mentioned above is actually a higher level III as you mentioned. They have body cooling and surgeries (non cardiac). Thank you so much for your response and input.

2. Wanting to go to level IV from level III NICU

   mslema replied to mslema's topic in NICU

   You are correct. Thank you.

3. Wanting to go to level IV from level III NICU

   mslema replied to mslema's topic in NICU

   The regional NICUs in CA such as UCSF, CPMC and a Kaiser which I know for sure. These are the only ones that I'm able to travel to. Everything else is a pretty far commute. One hospital didn't state that surgical experience was required, but the ma...

4. Wanting to go to level IV from level III NICU

   mslema posted a topic in NICU

   I work at a smaller 20 bed community level III NICU. I have 7 years experience. We care for micropremies and sick neonates, but our facility transfers out patients who require body cooling and surgery. I would really like to work in a higher acuity...

5. Going from Level III to Level IV

   mslema replied to HyperSaurus, RN's topic in NICU

   Sorry I have no advice but I am also wanting to work in a level IV NICU. My issue is that most places won't hire unless you already have the experience. Was the level IV position a training position when you applied?

6. Tips on Drawing from Arterial Line

   mslema replied to mslema's topic in NICU

   Yes, I've tried wasting more than 3 drops with no change. Jory- yes, we use this system with our radial art lines and I do keep the arm down to increase flow. I think I have my syringe ready fairly quickly, but maybe the air is affecting results.

7. Tips on Drawing from Arterial Line

   mslema replied to mslema's topic in NICU

   I forgot to mention that I'm talking about a peripheral art line where it has a port very close to the insertion site. You clamp the line, put a cannula through the port, waste 3 or so drops, and collect specimen. Other nurses do it without a problem...

8. Tips on Drawing from Arterial Line

   mslema posted a topic in NICU

   I think it's just me, but a lot of the times it appears my samples get hemodiluted. I have asked others and they explain what to do and it seems that I'm doing it the same way, but the results are always off. I do clamp off the line and "waste" a few...

9. another question about vaginal exams in labor

   mslema posted a topic in Ob/Gyn

   Ok. I think I'm okay at vaginal exams when patients are under 6cm dilated. Above that, I think I'm supposed to go by how much cervix I feel, correct? I had a patient where I found her cervix and I felt there to be

10. Midwife Salary in Bay Area

    mslema posted a topic in CNM

    Just curious if anyone knows the starting salary of a Certified Nurse Midwife in the bay area, California.

11. Vag Exams & Dilation

    mslema replied to mslema's topic in Ob/Gyn

    Thanks for your replies!:wink2: Maybe I'm thinking too hard about this but if 10cm or complete is when there is no cervix, how can someone be 100% effaced (cervix thinned out) and still be 6cm dilated? That's the part that's confusing me. Doesn't 10...

12. Vag Exams & Dilation

    mslema replied to mslema's topic in Ob/Gyn

    Just to clarify, position them on the side where there is still cervix?

13. Vag Exams & Dilation

    mslema posted a topic in Ob/Gyn

    I'm a new grad RN in L&D. I seem to have more difficulty determining cervical dilation when the pt is 8cm or more. How can you tell the difference between 9cm and 10cm. How do you know when a patient's complete? When I feel I can't even tell th...

14. How Kaiser hire entry level nurses (foreign or local)

    mslema replied to clinique's topic in California

    It all depends. You should start speaking to recruiters now. This is the time when they will be hiring for new grad programs beginning January or February of next year. Some kaisers will hire you with an RN IP while you wait for your results, but ...

15. Washington Hospital Fremont pay?

    mslema posted a topic in California

    Does anyone know how much Washington Hospital in Fremont pays New Grad RNs or a Staff Nurse I? I heard that they pay their nurses really well. One experienced per diem nurse said she gets about $85/hr or something base (day shift, I believe). I als...