annabananaNICU

Hi everyone! I work in a level 3 where we don't have good support when it comes to NICU education. I feel like I need to better understand NICU concepts and I need help developing my critical thinking in NICU. I am open to your favorite books, but I learn best watching videos and taking quizzes where I can pick the best answer and if wrong it is accompanied by a rationale. Also, are there any NICU apps you recommend? I am also willing to pay for a service to further my knowledge. Thank you for any recommendations!

I had a patient with tremors that were witnessed by the NICU doctor and the NICU doctor stated if you touch the area that has a termor and it stops it's not a termor. He and I both touched the affected limb at different times and the patient would stop having a termors. I worry that what he stated is not true. I heard the patient had also been shipped out to a different NICU for seizures.

I work in NICU and here people mention that the patient is riding the vent while looking at the screen? What do they mean by this and what are they looking at?

Hello I work in a level III NICU and I basically work on "the toxic weekend" as others like to call it. The 4 most senior nurses there are very unwilling to teach and like to trash talk often. Basically, I have overheard one nurse "Sandy" talking crap about everyone in the unit with "Daisy" who is often the charge nurse. "Daisy" and "Banksy" are best buds who also often trash talk people and are very reluctant to train new nurses including myself. "Banksy" is often on his phone and when he breaks you is almost always unwilling to help you or pick up where youre leaving off. He will not feed your baby or anything. If you need your baby fed, he will tell you to feed your baby and he will be back to break you after, which I find absolutely ridiculous. There's also "Bella" who has attempted to throw assignments at people who haven't been trained for certain things. For instance, one baby had a UVC, a UAC, and NAVA. The nurse she attempted to give the patient to had one day training for NAVA and did not feel ready and had never trained on UVC or UAC. "Bella" got really irritated and essentially yelled at her and told her a UVC is just like an IV if not more secure. Luckily that nurse firmly told her she would file an ADO if given that assignment and she eventually gave it to another nurse who had the training technically but had just gotten off orientation recently. The other weekend I have heard is super helpful and supportive of one another, there is no toxic vibe, or crap talking, and when you get your break the break nurse picks up right where you left off. I am thinking about asking my manager that when a spot opens on the opposite weekend I could be switched over. These 4 nurses are very reluctant to teach and I feel that I have had to do a lot of self teaching which I find unacceptable. A lot of people don't like my manager for various reasons, but she has a soft spot for me do to recent hardships shes aware I have faced. I also don't want to deal with telling my manager all the problems that are occurring because I don't want to be in the middle of any drama. I'm not certain that positive change would result as these are the 4 most senior nurses I am referring to and I'm not sure how deep their connections run. I was just going to say, " Hello, I was hoping that when a position opens up on the other weekend I could be switched as it would work better with my husband's schedule. I understand that our weekend is short-staffed at the moment and just was hoping you would think of me when an opening becomes available." If she agrees to this, I'm sure my current weekend will be unhappy about this, but I really don't care. I love my job and all my other coworkers, but the 4 at the top are making my shifts not as enjoyable. What do you think I should do?