Humbled_Nurse

Please look into these hospitals yourself. Go and look around and try to get an interview and get a feel for it. Don't go by just what people say. Yes, HCA facilities generally don't have the best reputation but many of the HCA facilities have cha...

We are sooooo slow right now. It's ridiculous. I am getting cancelled at least once a week. We will pick up a little then we are right back down. It's driving me nuts. Where are all the babies? Our delivery service is unchanged and busy as ever...

Abruption can possibly be a result of drug abuse in the mother so Narcan would not be indicated.

I would check into your local church daycares as well. I am not saying that because it is a "church daycare" that it is perfect but in my experience the church daycares do a very good job. Most church daycares are open to the public and many of the...

You would probably be better off with the Women's health experience so at least you would have some exposure to neonates. With a census that low and the fact that it is level II you won't really be getting a true NICU experience. If in 2 years you ...

Congrats Steve! This is quite an accomplishment. I would love to go to school for NNP for the knowledge, but the thought of everyone looking to me when the 24 weeker drop in has just delivered and they are waiting for me to intubate just doesn't so...

Just curious what kinda of census your unit has and how many deliveries a year you have and if your unit does transport. My unit is in another slump. We have 4,000 deliveries a year, but we do not do transport. We are a level III with oscillator c...

I'll give it a shot! 1. Possible cyclops, inability to regulate body temperature, increased sodium levels. Can cleft lip/palate be a feature? 2. Status epilepticus, SIADH. Betsey

Usually the proximal obstructions present with bilious vomiting, but the distal obstructions such as hirschsprungs, meconium ileus, and meconium plug syndrome do not present with bilious vomiting. Am I on the right track?

Well you have several to choose from. I will list the bigger Level III NICU's: Presbyterian Dallas Baylor Dallas Methodist Medical Center Parkland Memorial Childrens Medical Center Medical City Childrens There are also several smaller NICUs in the s...

Thanks for taking the hint and starting this thread. Love it!

The baby has decreased blood flow from the umbilical cord. The baby may be IUGR. I would just be prepared as I would with any preterm delivery. How are the fetal heart tones? What does the strip look like? The baby may come out ok or need full r...

She sounds septic.

I think the head injury is more than a concussion. He could possible have a significant intracranial bleed. Not sure about the pneumothorax but definitely possible. Betsey

janfrn: Cool thread! I am not a PICU nurse so I have no idea what the answer is, but I enjoy reading the PICU forum because I find it very intellectually stimulating. I am a NICU nurse so I can relate to some of the topics. I would love it the NIC...

Thanks for the responses.

I passed my RNC last year, and I need to keep up with the necessary CEUs to maintain my certification. I currently use Pediatrix, NICU University, my neonatal related journals for CEUs, but most of them are only worth 1 hour of CEUs. Those work wel...

We use a lot of Bubble CPAP in our unit. It's rare that we have a ventilated baby. Prevention is key. We just try to be diligent on keeping the prongs off of the septum and making sure they fit appropriately. Our RT's are awesome with our Bubble ...

Hello everyone: I was wondering exactly how the telephone triage works when you work from home. Are you at your computer the whole time or are you able to walk around the house? I currently work 2 days a week in the NICU which I enjoy very much. ...

Methodist Dallas and Methodist Charlton are not part of HCA. They are part of the Methodist healthcare system. I work for an HCA hospital, and I am very happy there.

Forgot to add that at this point I wouldn't worry about what college to get your Master's in. Before you get into an NNP program or a WHNP you will need nursing experience. If you want to pursue NNP you will need at least a couple of years of RN ex...

Well it really all depends on what interests you more and where your passion is. There are many differences between a Neonatal Nurse Practioner and a Women's Health Nurse Practioner. As a WHNP the patient will obviously be the women and as an NNP y...

I thought it would be cool if we all listed some good neonatal websites and make it a sticky. Not sure how to make a sticky, but I'm sure someone does. I noticed that the ICU forum has a sticky of ICU websites and I thought it was a good idea: Here...

Pass around a micro-preemie diaper and a size 2 blood pressure cuff.

Children's Medical Center in Dallas hires new grads in PICU