Is it me, or am I being given unrealistic assignments in the NICU? - page 2

Hey guys I just have to get this off my chest. Yesterday I had an assignment with 3 babies. #1: PICC scalp, meningitis, 2 broad spectrum abx Both were twice my shift... she had bath/weight, ng... Read More

  1. by   Altalorraine
    It does sound heavy to me. After all Nicu is an *ICU* which should mean a limited patient load for each nurse.
  2. by   Miiki
    Quote from Altalorraine
    It does sound heavy to me. After all Nicu is an *ICU* which should mean a limited patient load for each nurse.

    Not all NICU babies really need intensive care. Unless there is a separate "special care" or "Level II" nursery, the NICU will have a mix of patients. I like to simplify it and say that Level III babies are ICU, and Level II babies are like med/surg.
  3. by   ThePrincessBride
    Why are all babies fed on the same schedule? We have two feeding schedules : 8, 11, 2, 5 and 9, 12, 3, 6. Also, feeds do not have to last thirty minutes. In fact, if a baby is a poor feeder, it is best to limit feeds to even shorter intervals as at some point they just start burning calories trying to learn how to coordinate suck/swallow.

    Very doable assignment, though your night/day would have flown by!
  4. by   ThePrincessBride
    Quote from Altalorraine
    It does sound heavy to me. After all Nicu is an *ICU* which should mean a limited patient load for each nurse.
    Depending on the unit. The vast majority of NICU (Level III and below) consists of feeder-growers and babies on CPAP or NC. Very few are extremely sick and usually they end up being a 1:1 assignment.
  5. by   ThePrincessBride
    Quote from Leader25
    Very busy assignment,I would not po feed longer than 20 mins,that's our standard,three slow feeders is too much,not having a decent meal break is unacceptable,you are NOT paid for your lunch hour,you are working for free.Unless you know you will get back your time somehow when it is slow stop working for free.There is a value to your knowledge and experience.
    Actually it is pretty standard on my unit to have three feeder-growers who suck at sucking and it is the case in many lower lower NICUs.
  6. by   essT
    Quote from ThePrincessBride
    Actually it is pretty standard on my unit to have three feeder-growers who suck at sucking and it is the case in many lower lower NICUs.
    The pod system level II-III NICUs I've been in will do 4-5 crummy feeders together, provided they don't have a ton else going on. Not a fun assignment, and not fair to the babies.

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