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iHeartNICU

iHeartNICU

NICU

Content by iHeartNICU

  1. iHeartNICU

    Thank you NICU Nurses

    This is why I went into NICU. I love it and can't imagine doing anything else. Good luck to little Patrick and your family :)
  2. iHeartNICU

    Enteral feeding pumps

    We also use the medfusion pumps for our feedings and medications. We do use different tubing though for our feedings and our meds. The tubing for the feeding is orange.
  3. iHeartNICU

    saunders latest edition??

    Is the latest edition of Saunders Comprehensive Review for the NCLEX-RN Examination the 3rd edition? I just bought it yesterday but then thought because of the new format of the NCLEX, that possibly there is a new edition. Someone please enlighten me. Thanks.
  4. iHeartNICU

    Help! I am starting my internship in the NICU on Tuesday.

    HEY! I would say one of the most important things is be willing to learn everything. Ask questions, don't ever feel like it's a stupid questions. Yes, you may get an eye roll or something every once and a while (hopefully not) but don't let that bother you. I know that if I were a patient I would much rather a nurse ask a questions to somebody if they don't know something rather than not asking the question for fear of looking stupid and then doing something wrong. Also, everybody does everything differently so if you have more than one preceptor just be prepared for that. Hopefully it won't be much of a problem but I know there were some things I learned by my first preceptor and then when I switched, my new preceptor had quite a few choice words for the way I did things....they weren't being done incorrectly, or unsafefely, they just weren't her way of doing things. So, try not to let that bother you too much. Just go with the flow and find your own safe and correct way of doing things. Your preceptor is so important. They have all of this knowledge to get to you and so little time to do it....listen and learn from them. If for some reason you and your preceptor don't mesh well, talk to him/her about it, try to understand what they need/want from you. Communication is huge. If after you talk to them and things still aren't working and you feel like you're loosing out on this important time, I would talk to whoever is in charge of placing preceptors so that you can get the experience you need....some people just don't work well together for whatever reason and at this point you absolutely need to be with someone you can learn from. I don't have any cheat sheets really. I know I wrote a ton of things down during orientation but I don't lug all of it around with me anymore. I now know that there are always other nurses around me who I can go to for help during the shift if I need it and I do keep a neonatal nursing book in my locker just in case. Then if I ever get home and want to learn more about something, I look through my book and all of my orientation stuff to refresh my memory. And after working hard, asking questions, learning everything you can, find time to love what you're doing. The NICU is really an amazing and unique place and it seems like the majority of nurse who work there really enjoy it. Good luck with your internship!!
  5. iHeartNICU

    Our NICU needs a new Kardex/report system

    Wow, I can't even imagine not having a kardex that is not up to date. We get an order and while we still have the chart open we update the kardex (the kardex is kept at the bedside of each baby along with their chart). We also put in our own orders so we are really the only one to see their chart which usually means that nothing gets missed because we are't relying solely on the secretaries to put things in. Our kardex has everything on it. It starts with the baby's birth info, then has a running history of their stay thus far, then it goes through all the systems, lines, feedings, labs/xrays. We give report from our kardexes since they are always correct up to the minute.
  6. iHeartNICU

    "What's with all the men in the NICU lately?"

    I don't think it's weird at all. We have around 100 nurses on staff and have 5-10 men. They all do a great job and the parents seems to love them. We have one man in particular who is FANTASTIC with breast feeding and the moms are so thankful when he's around to help them out. I think it shouldn't matter one way or another....as long as you enjoy it and take care of the patients. I wouldn't let their comments effect you too much. People are people and they will always talk...apparently that's how it works :) Good luck!
  7. iHeartNICU

    Would you want to be your own nurse? Your own patient?

    I would say yes to both! Being a kidney transplant patient for 20 of my 25 years of life and now being a nurse myself, I have learned things from both perspectives and can appreciate both being a patient and being frustrated with a nurse and also being a nurse and being frustrated with the patients. I would love to be my own nurse because I'm compassionate & caring but also I'm very thourough & meticulous and stay on top of everything. I'm a patient advocate, & when I don't know something I'm not afraid to ask others to make sure the patient gets the best care possible. I know I would be well taken care of. I would definitely be my own patient as well because I know nurses have a job to do that does not include running to get my family & friends food, drinks, blankets, fixing tvs and all that frivolous stuff....they have much more importnat things going on that patients who have no background in health care never seem to understand. If I'm well enough you better believe I'm doing those things myself because I want to get out of the hospital ASAP and get back to normal. Also, I know enough that I don't ask all those incredibly stupid questions that just makes your jaw drops when a patient asks it. I do question lots of things such as what drugs they nurse is hanging or pushing, what labs have been ordered, etc but that comes from 25 years of being a kidney transplant patient and wanting to stay on top of my health....not so much to check up on the nurse although I definitely want to make sure things are being done correctly :)
  8. iHeartNICU

    baby sitting primary after discharge

    Hey guys, I have a questions. I have a primary, former 25 weeker who is looking at discharge around Christmas. The parents asked me the other day if I would be willing to baby sit their daughter every once and a while. Mom will not be working so she said it would only be so her and dad can get out of the house every so often. They said they felt more comfortable with somebody who had been around her and knew her rather than a baby sitter that they just hire. Honestly I would love to be able to see her and take care of her outside of the hospital but at the same time it scares me. I told the parents that I would think about it and talk to them next week. I know there are other people in my unit who do it but just wanted to get some opinions. Thanks in advance for any information!
  9. iHeartNICU

    Who loves their job?

    I LOVE my job in NICU. I love getting to see a baby who started out so sick/premature needing every intervention we can offer, then growing bigger, getting stronger, learning how to PO feed and breathe on their own and finally going home. I love getting to go through these stages with the family and all the teaching that comes along with each stage. I love getting updates on how the kids are doing post discharge. I love that we have a great team environemnt, and good patient assignments. I like most everyone I work with. I feel very spoiled to have the job I do. This is my first RN job, it's been 2 years now, and I will be so sad when/if I have to leave. Not sure I could ever work in another area :)
  10. iHeartNICU

    To my future patients

    Kudos to you all who deal with this every day, I certainly couldn't keep my cool in those situations. That's one reason I work NICU :)
  11. iHeartNICU

    Promoting Team Bonding/Spirit on a Unit/Floor

    Same here! Normally if you need help, there's people around who don't even wait to be asked....they just jump in and do whatever needs doing and then they get the same in return from me. We have great teamwork the majority of the time. Even on really busy days we seems to have a good time, laughing and joking with one another. We have pot lucks and parties as well at every holiday plus just random ones. I don't know how you start it all once you have a set group of people but I was hired 2 years ago and pretty much from day one felt included, not shunned for being a newbie. Because of the teamwork environment and the people we have, it seems we have an extremely low turnover rate and everyone stays forever. Which I guess is one reason why everyone works well together...we have just gotten to know each other. Maybe it just stems from hiring a great group of people from the very beginning. Oh and we have cards we give out when someone helps or goes above and beyond and you can turn them in for movies tickets, massages and such so that's definitely an incentive for people to pitch in and help :)
  12. iHeartNICU

    The Beginning to an End

    Totally normal! I felt like I learned close to nothing about how to actually care for patients while in school. I learned lots of things but the physical, taking care of people, didn't seem to be one of those things, despite skills labs and clinicals. Until you get to the real world and see how things work on real people it makes almost no sense. I know for us, we had one patient for a whole clinical day. It's hard to do that just one day a week for 8 hours only. How many times can you take vitals and give pills...that's what I felt like I was doing...not actually taking care of people. it wasn't until my orientation that things started clicking and I could use all of that knowledge that I cactually learned. So, participate in everything and learn everything you can but I think the most important thing is making sure your first job is one with a great orientation program! That is so super important! keep your head up, the way you are feeling is normal. Ha, sounds kinda weird that normal is feeling like you know nothing but that's just how it is it seems :) Good luck in your last semester!!
  13. iHeartNICU

    Shower question about Canadian hospitals.

    Hey! I'm not from Canada so I can't really speak on that behalf but I seriously wouldn't worry about it too much....especially not let it be a deciding factor of what field to go into. I know lots and lots of nurses that don't strip before going in their house, I know I don't. I do take my shoes off right inside the door as to not drag all of that filth around my house but that's the extent of it. I have been working in a hospital now for 3 years and haven't once gotten sick so I'm thinking I'm doing just fine :) But, to answer your question, lots of hospitals do have showers where you can shower and change and lots of hospitals require you wear their specific scrubs and take them off before leaving but that you probably won't know until you talk to people in that specific hospital or that specific unit in the hospital. Good luck deciding which career to go into!
  14. iHeartNICU

    Funny Names

    They pronounce that as Ashley?? That poor child, nobody is ever going to guess that I took care of a 6 year old in clinical and his name was spelled Jonathan. I walked in the room, where he and his mom were, and said "Hi, Jonathan, I'm going to be your nurse today," etc. His mom crossed her arms and said "HIS NAME IS Joe Nathan not Jonathan!" Poor kiddo. I don't understand why she couldn't have just named & spelled his name Joe Nathan. Who would assume a name spelled like that is anything other than Jonathan?
  15. iHeartNICU

    baby sitting primary after discharge

    Definitely not going to be their maid! They asked me to baby sit every once and a while, that's it. I'm not a pushover.....just someone who cares about a family and their situation. As far as them paying me my per diem amount, absolutely not. I wouldn't imagine of even asking to be payed at all. I would do it because I care about this child and her family....it's hard not to when you have taken care of someone's child for 3 months and cried with them, laughed with them, etc. I do understand the liability issues since I am a RN in the NICU but does this mean I can never babysit another child in my life even if it's not a patient. I would imagine if anything happened to any baby I baby sat for the NICU RN card would be played. So, thinking of it that way, why does it matter if she was a patient of mine or my niece or a next door neighbor? I'm thinking I will just tell them that while I would, I don't think it would be in their best interest. That they should find somebody else who they trust to care for her but that I would still love to get updates, pictures, maybe come to her b-day party if they would like. Thanks again for the differening opinions, just wanted to see how everybody felt.
  16. iHeartNICU

    nurse hydration

    Hmmm, well we don't label anything at our computer workspaces normally. We use bedside tables to keep our flowsheets on and we usually have all of our pateint's papers there and we usually label there too. So, that being said, it seems like at our computer stations there is not a reasonably likelihood of occupational exposure. I'm a kidney transplant patient and need to have access to water and it would waste a lot of my time to have to walk all the way to our breakroom and back every time I wanted a sip of water. Not only that but the nurses that watch my babies while I am gone probably wouldn't be thrilled that I'm leaving the area 100 times a night. If our breastfeeding mom's can keep water at the bs and somebody tells me I may not, I would most definitely have a problem with that. Yes they are breastfeeding and need to be hydrated but my kidney needs to stay hydrated too. It's weird to me how we are in a profession to care for people (or babies) yet a lot of times it seems like we are prevented from taking care of ourself.......
  17. iHeartNICU

    nurse hydration

    Well, I worked last night and I found out we actually do have a policy that states no drinks at the BS. However I never knew this....most likely because I'm newish and EVERYONE, yes everyone, has a water bottle or a covered drink at their bs so I just never really thought about it. Oh but the breastfeeding moms can have water. Like someone earlier said....if one person can have it and it's allowed, then why shouldn't everyone be able to have it. That doesn't make much sense to me. Hmmmmm.
  18. iHeartNICU

    nurse hydration

    c c l l B l B l ---------------- l B l B l l l c c c c l l B l B l ---------------- l B l B l l c c Ok so this is my wonderful drawing of how our pods are set up. Each straight line is the wall (they are half walls) the B is the baby, and the C is the computer. Basically at the end of each wall we have a desk with 2 computers on it, one for each baby. The distance from the computer to the baby is about 8 ish feet. We keep covered drinks at the computer only. Sometimes we just keep our drinks in our bag in a cabinet and grab a drink whenever we want it. Ok so after I posted this I realized I couldn't center anything. There should be a bed and a computer on each side of the wall and the bed is centered in between the 2 walls. Hope this helps you get a mental picture of what I was talking about :)
  19. iHeartNICU

    Jobs for new Grads in San Antonio TX

    Hey! I could be mistaken but I'm pretty sure that the main Methodist hospital in the medical center has internships for new grads every semester in lots of different areas. Actually this website has all of the methodist system that you can search through. http://careers.sahealth.com/ Good luck!
  20. iHeartNICU

    nurse hydration

    We don't really have a nurses station, we have pods with a computer at each bedside and I would say almost all of us keep a drink at our computer.
  21. Like RainDreamer, we have a great Kardex. It has every single thing all lined out by system and we also keep a running history. It starts off with dob, gestation, birth weight. Then we have the running history of which we generally hit the highlights of or what is happening at the moment. Next list things that are needing to be done or on hold like PKU, hep B, car seat study, hearing screen, eye exam...on that we just mention what has been done and if anything needs to be done that shift. Then you open it up and you have all of what labs and x-rays the baby had that day or needs to have. Then we have current respiratory & cardiac, then we have lines & fluids, then feedings, and finally at the bottom we have any special notes like 10/1 discard all residuals unless bilious, or NNP plans to put in pick 9P on 10/3. This systmen works really well because all reports no matter who gives it is very consistent and of course if there's more complex things that need discussing you can still discuss that. Plus, you don't have to use extra time writing everything down because it's all on the kardex already. We update it as the orders are written so it's always up to date.
  22. iHeartNICU

    What do you do with your dogs during 3 7a-7p shifts???

    My greyhound would throw a fit if I left him in the yard for even 20 minutes. Haha, maybe it's just him but he has a totall attitude when it comes to being too hot, too cold, not enough cushion to lay on, etc, etc :) I guess if you put a comfy bed out there your two may not make too big of a fuss. Do you have a local greyhound rescue group in your area? They may have good & reputable pet sitters, or someone who can just take them to/from the kennel, or come to your house at lunchtime and let them out & give them some love? Best of luck, hope you find the perfect situation for you and your greys!
  23. iHeartNICU

    Calling all Nurses

    1. NICU 2. no, just time consuming 3. just one 4. 1.5 years
  24. iHeartNICU

    Do you love nursing or hate it???

    I have been a nurse for a year and a half now. I have only worked NICU and LOVE it. I would never choose to do anything else....not right now anyways. That's one of the awesome things about nursing, there's so many areas to chose from. I have had a few people say that NICU has the highest nursing satisfaction rate and I would agree with that based on what I see/hear. I don't know if it's that it's ICU, or that we deal with tiny/sick infants, or it's just my unit but we normally have good assignments, help when needed, and it's really not all that often that I get yelled at or talked down to. In fact it has only happened maybe once or twice since I have been here. Oh, and if I'm sick, I call in, no questions asked. We have an in house neonatologist on call as well as a neonatal nurse practioner every night if you need something. It seems that the majority of the time everyone works well together and doesn't let anyone drown in stuff that needs to get done. Overall I'm very happy with where I'm at. I am 25 and this was my first career choice. I had zero nursing expeience other than spent a great deal of time living in the hospital as a patient when I was younger. I would say that if you really want to help people and make a difference, then nursing is great. My favorite part of my job is seeing a family member smile when they hold their baby for the first time, or get to give a bath, or when I teach them something about the infant's disease process and they don't feel so out of the loop....all of that far outweighs the negatives for me. Sorry for the super long posting but I love what I do and hope that you are happy and enjoy whatever you end up doing!
  25. iHeartNICU

    Funny things you have said but wish you didn't

    I work NICU and was taking care of a baby under phototherapy lights. She had the mask on covering & protecting her eyes. Dad comes in and asks if he can hold her. I say "Ok, lets get her wrapped up and I'll take her eyes off so you can see her pretty face." At this point I hadn't realized what I had said but noticed that dad's face had this completely freaked out look all of the sudden. I asked him if he was ok and he says, "I thought she was just here for jaundice, why do her eyes need to come out and how do you get them out?" I just started laughing as I explained to him I meant I was going to take off her mask covering her eyes....not literally her eyes....words just came out wrong. He laughed after I explained but I still felt bad for making him all nervous. Seriously though, why would I be taking his daughter's eyeballs out. It made me laugh.
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