Preemienurse23

Preemienurse23

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All Content by Preemienurse23

  1. Doctors getting angry??

    Preemienurse23 replied to emtj's topic in Patient, Colleague Relations

    Only one of our docs can get kinda snappy in an emergency situation. Its one of our practitioners who nobody wants to call, even in an emergency! The night nurses have even heard him throw the phone...

  2. NICU Pet Peeves

    Preemienurse23 replied to heartwort's topic in NICU, Neonatal

    Those parents make me want to quit breathing!!! Its even worse when its the nurses who smell like an ash

  3. calling all NICU nurses.....

    Preemienurse23 replied to uscstu4lfe's topic in NICU, Neonatal

    WOW a HFNC a 2:1?!?!? I have had 3 kids on 2-5LPM before. I had a kid on the Jet ventilator, with 2 other babies one with a HFNC and one who had his dc'd, all 3 with TPN, and PICC/UVCs and all 3 under...

  4. New pink tissue over wound is called...

    Preemienurse23 replied to lazy_prodigy's topic in General Nursing

    Tissue can be classified as sloughing off, its dead tissue that sloughs off. Granulation tissue is pink/red and usually bumpy

  5. needing advice on how to reach my goal

    Preemienurse23 replied to futurenicunurse2008's topic in NICU, Neonatal

    I had the same question as I was coming out of school. This is what several nurses told me, Including my mentor who is the director of education: It was the norm at one time to have med/surge, and...

  6. Things that make an ER nurse go hmmm...

    Preemienurse23 replied to AnnieOaklyRN's topic in NICU, Neonatal

    I agree with everyone else, it sounds cardiac or neuro related. Its hard to imagine that a nurse, esp a NICU nurse would not take a apnea spell seriously. I would have at least had mom call me prior...

  7. Can PICC line be delegated? What's the rationale behind it?

    Preemienurse23 replied to DaisyChains's topic in General Nursing

    I know in Texas LVNs can give certain IV meds, (No Cardiac pushes, I don't think they can give blood, at my hosptial, they can't change our TPN,) But they have to take and pass an IV competency

  8. Burned out traveler - need a home base - any recommendations on a great ED?

    Preemienurse23 replied to ItsTime's topic in Emergency

    Dallas/Fort Worth has several good ER's: Parkland, Baylor. I don't know if it matches all your other requirements though. But there is a little of something to do

  9. NICU Pet Peeves

    Preemienurse23 replied to heartwort's topic in NICU, Neonatal

    Nurses who think they are the best. That only THEY can take care of the sicker/smaller ones. Or the ones who must have a certian baby back, even though you have been taking care of it for the last 4...

  10. Working in new NICU unit

    Preemienurse23 replied to Mithrah's topic in NICU, Neonatal

    The unit I'm in still uses triple dye. Most of the kidos that have it are from post partum or L&D. We don't put a lot of it on ours. I think in the year and a half I have been here, I have put it...

  11. NICU Pet Peeves

    Preemienurse23 replied to heartwort's topic in NICU, Neonatal

    Our lab is great at calling and saying that your CBC clotted, you didn't send enough. Most of the time I would love to send a very full diaper though the tube

  12. NICU Pet Peeves

    Preemienurse23 replied to heartwort's topic in NICU, Neonatal

    As far as supplies go, I figure, you use it, replace

  13. NICU Pet Peeves

    Preemienurse23 replied to heartwort's topic in NICU, Neonatal

    I had that the other day. I was in isolation, and my other kid had a HR drop. The only other nurse on that side was just sitting at the computer. They are not yours or mine, they are

  14. NICU Pet Peeves

    Preemienurse23 replied to heartwort's topic in NICU, Neonatal

    Thank you. The smell of old EBM or Pregestimil in the beds is

  15. VENT.....this really sucks

    Preemienurse23 replied to WildcatFanRN's topic in NICU, Neonatal

    Congrats on passing

  16. Tie a knot on pt's bed keeps them alive for your shift??

    Preemienurse23 replied to LrElizabeth7's topic in General Nursing

    We had one of our rooms blessed because he had several deaths in a row. Ironically, after the last one, the window was leaking and they had to remove it (ours don't open), so maybe the spirits were...

  17. NICU Pet Peeves

    Preemienurse23 replied to heartwort's topic in NICU, Neonatal

    Exactly, esp when the care is EMPTY and they have done nothing but sit on their rear ends all shift. Mine is those nurses who have "easy assignments" and do their hands on and then sit and surf the...

  18. How do you mark the length of the feeding tube

    Preemienurse23 replied to chescat58, RNC-NIC's topic in NICU, Neonatal

    our feeding tubes have cm marks on them. Our sumps dont, and some nurses measure them and mark them with tape or a sharpie, or you get a nurse who dosent mark

  19. Harlequin sign

    Preemienurse23 replied to prmenrs's topic in NICU, Neonatal

    http://www.tclong.net/journal/?p=39 http://www.adhb.govt.nz/newborn/TeachingResources/Dermatology/HarlequinColour/Harlequin.jpg\ I know I have seen a really good one, But I dont know where I saw it...

  20. VENT.....this really sucks

    Preemienurse23 replied to WildcatFanRN's topic in NICU, Neonatal

    I found waiting was almost worse than taking the NCLEX!! I wanted to know right after I finished

  21. Anyone use meditech in NICU, or at least chart by exception

    Preemienurse23 replied to iHeartNICU's topic in NICU, Neonatal

    We do assessment q shift, either 8/12. If I have a stable baby, I dont mind doing one. If I have a sick baby or big changes I will do 2 if I'm working a 12. I chart enough so that in 15-20 years...

  22. HFOV vs Jet

    Preemienurse23 replied to Preemienurse23's topic in NICU, Neonatal

    Some kids the docs ask us to give sedation round the clock. These are usually the sicker kids who need it. If I have a kid who is climbing out of his isolette, pulling at tubes and lines, I'm sedating...

  23. HFOV vs Jet

    Preemienurse23 posted a topic in NICU, Neonatal

    When it comes to the oscillators, which vent do you prefer/like better the high frequency or the jet. I know they are both oscillators, but the way they work are different. I've been caring for my...

  24. HFOV vs Jet

    Preemienurse23 replied to Preemienurse23's topic in NICU, Neonatal

    Ativan? I don't think we use that. We use Fentynl and Versed as first line, usually ordered prn q2-6hrs depending on docs, kids. Occasionally we will use morphine on a surgery kid of the other two are...

  25. Why still IV gtt rates on exams?

    Preemienurse23 replied to FireStarterRN's topic in General Nursing

    Thank you. I do have to agree with the gtts rate being one of the hardest. The unit conversions are harder, esp between the different measurement systems. Being in the NICU, we regualry convert...