texas2007

texas2007 BSN, RN

NICU

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All Content by texas2007

  1. What do level III RNs think of level II?

    texas2007 replied to Peanut_RN's topic in NICU, Neonatal

    Well excuse me for giving my honest opinion. There is a difference between being on your game like the OP's post, and not being on your game like my post. I don't care where you work as long as you...

  2. What do level III RNs think of level II?

    texas2007 replied to Peanut_RN's topic in NICU, Neonatal

    I will bite, please nobody take personal offense... I have a somewhat negative view of level II nurses. ONLY because I have had some not so good occurances involving them. My unit has a pretty strict...

  3. What are the smallest diapers available?

    texas2007 replied to HealthShepherd's topic in NICU, Neonatal

    We use the P XS from pampers as well. I like them for the most part but...maybe it's just me.. they seem a bit wide in between the kid's legs. When I try to position the kids on their sides, their top...

  4. micro preemie trophic feeds

    texas2007 replied to kangarooyou's topic in NICU, Neonatal

    That's because our docs like to feed. We already feed more often than other hospitals do (q3 or npo vs q6 or q12). If they're tolerating q3, then they'll come and advance feeds almost daily so that...

  5. Do You Go To The Funeral?

    texas2007 replied to mauigal's topic in NICU, Neonatal

    I've never been. It seems that we are rarely even notified of funerals/memorials unless the family personally invites specific nurses. I would probably only go if I had cared for the child often as a...

  6. micro preemie trophic feeds

    texas2007 replied to kangarooyou's topic in NICU, Neonatal

    Before last week, it had been a really long time since I'd had a fresh micro...well i had a 26 and change weeker on cpap eating 2 ml q 3 hrs and doing great. Twin had some green residuals so was NPO....

  7. $8000.00 Penalty for Quiting Critical Care Nurse Residency Program Before 3 Years

    texas2007 replied to krazykev's topic in General Nursing

    When I took my job a year ago, I signed one of these contracts to remain at the facility for 18 months after orientation was over or I would have to pay max $3000, prorated for my time. At the time, I...

  8. ATTN: To those whose census is down: Free babies!!!

    texas2007 replied to SteveNNP's topic in NICU, Neonatal

    We have some extra too...our census has consistantly been 20 higher than normal since July, with no end in

  9. Platelet Transfusion

    texas2007 replied to NICU Mama's topic in NICU, Neonatal

    I may be confusing this with FFP but I believe our platelets come up with a big bag filter that we do when we are ready to give them, then we draw that up in a syringe. Sometimes they come already...

  10. scared of being in a code

    texas2007 replied to futurenicunurse2008's topic in First Year After Licensure

    I work in the nicu so it may be a little different...In my experience, if it's a code where the patient is trying to die, the patient is already headed south and the MD's and other experienced nurses...

  11. Talking to your neonate patients

    texas2007 replied to Journey_On's topic in NICU, Neonatal

    Last night I had a 7 mo old Vec'd out chronic who has been doing very poorly for a while now and most likely will never make it out of the hospital. At one point during the night, I was telling him...

  12. How do you sanitize your hands?

    texas2007 replied to NeoNurseTX's topic in NICU, Neonatal

    I do the avagard thing up to the elbows when I come in and then purell during the shift. Have to wonder how well that is working however when 4 out of 7 babies in the pod have gotten sepsis workups in...

  13. Central Line Tubing Change

    texas2007 replied to jack4408's topic in NICU, Neonatal

    One person gets sterile, one non-sterile helper to open supplies, unwrap baby, hold and put the fluids in the pump. Both wear hat/mask. Do a complete line change (tubing, triple connector, hub caps)...

  14. what are 10 drugs any novice nurse should know?

    texas2007 replied to newstudent2006's topic in First Year After Licensure

    in my area i see these the most in no specific order: ampicillian gentimycin vancomycin tobramycin lasix hydrocortisone dopamine dobutamine heparin phenobarbital versed morphine ativan vecuronium...

  15. Can't sleep the night before I go into work

    texas2007 replied to marilynmom's topic in First Year After Licensure

    Do you like your job? Like deep down like it? The reason I am asking is while I was in nursing school I had anxiety much like the kid you described, maybe even worse. And I think it was because I...

  16. I want your favorite

    texas2007 replied to UTVOL3's topic in NICU, Neonatal

    I say a quick prayer to

  17. Ethical question

    texas2007 replied to AmericanChai's topic in NICU, Neonatal

    :yeahthat: There's worse things than death!!! Nothing like seeing the old chronics paralyzed for months with tears rolling down their cheeks. I will have been a NICU nurse for 1 yr in January....

  18. Starting in a different NICU with about 1 year exp

    texas2007 replied to NeoNurseTX's topic in NICU, Neonatal

    With 10 weeks orientation on the unit, you'll be FINE! I think orienting on days will actually be easier for you because you will get to hear the plan of care during rounds. A lot of times you can...

  19. Methadone withdrawal

    texas2007 replied to elizabells's topic in NICU, Neonatal

    Withdrawal scale...

  20. Question about your unit

    texas2007 replied to EarlyAdditionRN's topic in NICU, Neonatal

    In my unit, there are 4 teams. I have trouble remembering specifically how many staff each team during the day but generally, the least sick have PA's and pediatricians (level II), then the next...

  21. Newborn Nursery to prepare for NICU?

    texas2007 replied to Bortaz's topic in NICU, Neonatal

    I think the first question to ask would be if you would rather be in a level II or level III nicu? I think it would be much more beneficial if you want to do level II (feeders/growers) because you'll...

  22. When to job hunt?

    texas2007 replied to Nrsstudent09's topic in NICU, Neonatal

    Depends on the hospital...I think I applied too early and got lost in the crowd at one hospital. I graduated in December and both of my interviews weren't until late Oct/early Nov. for a January...

  23. IV rates

    texas2007 replied to lvnurs9's topic in NICU, Neonatal

    Our med pumps won't let us run anything less than 0.1 ml/hr. As for meds, I will "push" anything less than .5 cc since that is the length of the medline. Then run the flush for however long the med...

  24. Conroe Regional / Womans Hospital of Texas Conroe

    texas2007 replied to texancanadian's topic in Texas Nursing

    I know this isn't much help but about the only thing I know of this hospital is that they like to keep their sick kids. If we get a transfer from them, we know it must be really

  25. NICU Pet Peeves

    texas2007 replied to heartwort's topic in NICU, Neonatal

    interesting how its different from place to place. our crp's are 1 tube as well (used to be 2) but the PT,PTT etc (DIC panel) is 1 blue vaccutainer that takes