New Nurse, need advice

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Hello,

I am a brand new Lvn. I landed a job as a pediatric home health nurse. I will be getting my first baby soon. She was born at 32 weeks, was in NICU for 2 months. She was back at the hospital 3 days later for hypoglycemia and hypotension. She is now 3 months. I was given VS parameters except for her bp. Since she is a premie her bp is a little lower than a full term baby right? what would be consider normal for her...less than 50?

Thanks in advance!!

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Specializes in Case mgmt., rehab, (CRRN), LTC & psych.

Welcome! We moved your thread to our Private Duty Nursing forum.

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Specializes in Complex pedi to LTC/SA & now a manager.

90% of pediatric home care clients do not have blood pressure ordered. Most are T/P/R and only SpO2 if they happen to have an order for oxygen. A brand new grad being sent to a NICU discharge please tell me you have at least 3-5 8hr shifts with an experienced preceptor! You have no idea what you don't know. What does the plan of care state? This is highly specialized care often left to the most experienced nurses often ex NICU nurses.

Either way you need to ask your clinical supervisor if BP is even assessed on this infant and if so what are the provider ordered parameters. Then review the plan of care in detail with your clinical preceptor

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Specializes in Emergency Nursing, Pediatrics.

Always go by your care plan...

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Specializes in Peds(PICU, NICU float), PDN, ICU.

New grads don't belong in private duty.

Ask your supervisor. Your supervisor should be aware of the areas that you need more training in.

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