tomahawk

I just went to a lecture on positional plagiocephaly from a neurosurgeon at Barrows Neurological Center. I can't find my notes but his take on positional was that the brain will grow and push the skull out. The only "therapy" was to position the bed so the baby had to look or lay in a different position. If the sutures are still open, the head will round out. Brachycephaly has a suture fused and then there are 2 theories. One that the patient with one suture fused will be fine. The other is that there could be increased intracranial pressure and have knowledge deficit in the future. Some institutions were advocating cranial remodeling. The helmet was not for fused sutures but positional and he stressed that it wasn't necessary. Hope this helps. I wish I could have found my notes to get a name for you.

If you decide to work in the PICU you will not be bored for many years. The other nurses that have replied have it right. Some PICU are low accuity and some are high. The one I work in caters to ER and OR in a moments notice. The beds change over quickly. Another thought is to look how the nurses work together as a team, what kind of education is offered to the new grad, what kind of ongoing education is available? Do the doctors get along with the nurses? What is their turn over rate? What are some examples of evidence based education? Is there an educator? Talk to some of the nurses away from the management.