rnkaytee

Latest Activity

1. Nicu nurse trying to decide between nnp and pnp

   rnkaytee replied to Rncally2007's topic in NP Students

   I thought briefly about PNP but didn't think my NICU experience really prepared me for it (I'm of the mind that NP students should have several years experience in the field before school; I know there are different opinions on that). In some respec...

2. NICU Parent ID and Access

   rnkaytee replied to NICUnurseHannah's topic in NICU

   We have access badges so parents can let themselves in. We give out 2 at the beginning (not to anyone that may have CPS involvement); any shenanigans and they get them taken away. I was against it at first, wanting "more control" over the door but ...

3. Covered Up a Narcotic Med Error

   rnkaytee replied to Nurse Beth's topic in Nurse Beth

   I read that as "I figured it out before making a 2nd error," but yes, I was unclear on that too.

4. NPI number

   rnkaytee replied to brista's topic in NP

   I just used the hospital's address - I will say it took me 3-4 weeks to get it when I applied 1 1/2 years ago - hope yours is faster!

5. Umbilical Cord Cutting

   rnkaytee replied to Nursenotslave's topic in Ob/Gyn

   I can understand why you'd be stressed out but it doesn't sound like there were any ill effects, even if there was some small blood loss (I'm assuming you grabbed the stump quickly?). In memory of Tom Petty I'll quote you one of my favorite songs "C...

6. Need some insight...

   rnkaytee replied to NICURNMB's topic in NICU

   1. Do you have access to a PT/OT that can assess his nippling? 2. When I was a bedside RN and needed a response, I would phrase it "I am concerned about x, y, z. Help me understand why you're not concerned." Sometimes it takes a direct challeng...

7. I feel so stupid in the NICU, will I ever be good enough?

   rnkaytee replied to tmjwe3's topic in NICU

   First of all - I'm kind of glad you're scared and worried, it lets me know you realize what is at stake! I felt the exact same way - I remember going home one morning just thinking I would never get it, I was in over my head, etc, etc. Now I'm an N...

8. IUGR and SUA at 37 weeks

   rnkaytee replied to silhouettedreams's topic in NICU

   Per TOS we can't give any advice -- these are all great questions and I'd encourage you to speak with your OB (maybe they could arrange a NICU consult?) Hope all will be well with your daughter, I'm sorry you're going through this!

9. No autonomy or critical thinking as a nicu nurse. What is your unit like?

   rnkaytee replied to SCRUBS.RN's topic in NICU

   I agree, some of the policies are not ones I'm familiar with or have a real rationale for, but the OP did state they had a high infection rate with IV starts/administration. I can't begin to guess the "why" behind these policies, but if OP did a lit...

10. No autonomy or critical thinking as a nicu nurse. What is your unit like?

    rnkaytee replied to SCRUBS.RN's topic in NICU

    A 1-2 cm displacement can cause a preemie to not be ventilated, for a micro-preemie it could be .5 cm. ^^ This -- could it be your unit had a history of unplanned extubations and this 2-person turns was part of a new protocol to avoid them? I would ...

11. Recommended NICUs?

    rnkaytee replied to adventure_rn's topic in NICU

    I worked at OHSU in Portland and loved it. A good mix of deliveries and high acuity. You could also cross train into the PICU for more cardiac.

12. Skin care in the NICU

    rnkaytee replied to Pajefferson16's topic in NICU

    We use a combo of all that has been mentioned, but I will usually order time open to air - it helps immensely!

13. How long til you felt comfortable attending high risk deliveries?

    rnkaytee replied to tinybbynurse's topic in NICU

    It was 8-12 months for me, now that I'm the NNP and am at the "head of the bed" it's another learning curve. I was lucky that I did have extensive nursing/delivery experience before I became an NNP so I feel fairly comfortable already. It definitel...

14. What time do you do vitals at night on mother baby

    rnkaytee replied to BSNbeauty's topic in Ob/Gyn

    Can you share what are 'meconium vitals'? We do vitals on babies whose mom's were + for GBS.

15. Moved to New York...trouble with online dnp

    rnkaytee replied to LookForward's topic in Doctoral

    I hope others have some words of wisdom - I had to really be careful of the same thing in my state. You can ask if your state would consider accepting your program, but it's somewhat of a long process and the program has to be willing to put in the ...