Preemienurse23

Preemienurse23

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All Content by Preemienurse23

  1. I need your suggestion...

    Preemienurse23 replied to sessilya's topic in General Nursing

    there is no shortage of topics in the newborn. do as llg suggested. something that might be different is a newborn with a cleft pallet/lip, those can be challenging babies when it comes to feeding...

  2. For all the nurses that want to quit...

    Preemienurse23 replied to HealthyRN's topic in General Nursing

    I vote for this

  3. Drawing Blood

    Preemienurse23 replied to fat cat's topic in General Nursing

    I work in the NICU and the feet/legs are used just as much as the hands/arms are for IV's and if there is nowhere else for cultures (such as the scalp), but for labs, I have seen some of the veins in...

  4. Cycling

    Preemienurse23 posted a topic in NICU, Neonatal

    Do any of your units "cycle" your babies, so they develop/continue to have a circadian cycle? I had my first vent baby who is 70 days old, (lots of issues with him), and I (by suggestion of the NNP)...

  5. Circumcision

    Preemienurse23 replied to RN mom of 2's topic in NICU, Neonatal

    We have a pediatrician or OB come, and they take them off the unit and do it. We play no part in it. Usually they get it the day of or the day before they go

  6. Speaking of Noise In The Nicu....I have a ?

    Preemienurse23 replied to RNwntaB's topic in NICU, Neonatal

    How in the world did you manage 6-8 babies EACH!! On the days I have 4 its usually a living nightmare. 2 hrs of hands on, and then if I'm lucky time to chart. But usually its time to start all over...

  7. Do you put tubbing and connections from central lines outside the incubator?

    Preemienurse23 replied to sofiam's topic in NICU, Neonatal

    We change our HAF daily, but we also have lipids in ours, we don't run it separate. Our PICC lines are supposed to be a sterile change, which doesn't make sense to me because we connect and prime...

  8. 72 INCH long wound!

    Preemienurse23 replied to NurseNature's topic in General Nursing

    I would love to see pics!!! That would really be neat to see! But I know there are probably none to be

  9. Staffing level in NICU?

    Preemienurse23 replied to RNDreamer's topic in NICU, Neonatal

    Ours sounds about the same, the Hifi's and unstable vents 1:1. Sometimes the stable Hifi's are 2:1. the CPAP are usually 2-3:1. It really depends on the staffing and level of the babies we have. We...

  10. Wearing Gloves in the NICU

    Preemienurse23 replied to minky84's topic in NICU, Neonatal

    One of my mentors was telling me about when she started that they didnt use gloves. They also had 2 metal bedpans for the entire unit, cleaned and sterilized them between each pt use.... When we come...

  11. No nurses on floor during report

    Preemienurse23 replied to bethin's topic in Patient Safety Issues

    The hospital I worked at during school, some of the units did group report, where the charge reported to all pts and all the next shift was in there, or it was a one on one between the nurses. There...

  12. How is it possible to be in 5 places at the same time?

    Preemienurse23 replied to SuesquatchRN's topic in General Nursing

    I'm in the NICU, and I check my labs before report, and they are usually given to me. I know ICU is a little different than med-surg, (ok a lot) but I would think that your night shift nurses...

  13. Enjoying being a nurse?

    Preemienurse23 replied to cherokeesummer's topic in First Year After Licensure

    I handle it one shift at a time, sometimes one hands on at a time! I had absolutely no exposure to a NICU during school. We didn't have one that wasn't an hr drive to get to. The closest I had was the...

  14. Strengths and weaknesses

    Preemienurse23 replied to elizabells's topic in NICU, Neonatal

    We are a 40 bed level III unit. We do general surgeries, and right now only PDA ligations for cardiac. We are starting ECMO in a few months. I just started, so I'm still learning. I think pain...

  15. Enjoying being a nurse?

    Preemienurse23 replied to cherokeesummer's topic in First Year After Licensure

    WOW!! I love that out look on nursing. I am a new grad in the NICU, and I'm loving it. Some days are so crazy its not funny. But some days, I hate to leave my babies and some of my families. Every...

  16. Miserable. Is this how it is everywhere?

    Preemienurse23 replied to gearheadfly's topic in First Year After Licensure

    I'm sorry to hear about your situation. During clinicals, had a nurse get on to me one time because I was helping one of our physical therapists with a pt who was sedated. We spoke English only, since...

  17. Which nursing skills do you dread?

    Preemienurse23 replied to TigerGalLE's topic in General Nursing

    That smells awful! We had circular units, and we could always smell it all over the

  18. Liablity question..

    Preemienurse23 posted a topic in NICU, Neonatal

    Last week I had a 3 baby assignment. All 3 feeders, one had a trach who was on room air, no vent. Looked to be an easy assigment. About halfway through my assignment, one of my babies got a distended,...

  19. Liablity question..

    Preemienurse23 replied to Preemienurse23's topic in NICU, Neonatal

    Yeah I didn't think it was too cool myself. I was more irritated than anything. But the shift was survived with nothing bad happening, so I have that to be thankful

  20. More new NICU questions!

    Preemienurse23 replied to cherokeesummer's topic in NICU, Neonatal

    The alarm thing will drive you nuts on the unit, and then drive you crazy at home because you still hear them!!! Hang in there. I just finished my 12 wk internship about 2 weeks ago, and I get behind...

  21. Liablity question..

    Preemienurse23 replied to Preemienurse23's topic in NICU, Neonatal

    I wonder sometimes, but I think the charge nurse also had an assignment. I'm liking the unit, and the hospital, but the staffing is horrible right now. I was part of a fairly large intern group, and...

  22. Liablity question..

    Preemienurse23 replied to Preemienurse23's topic in NICU, Neonatal

    I say it as possible abandonment, but she came in for extra hours, and it was a scheduled 6 hrs. But the next shift change wasn't till 3, and the nurse wasn't there till almost 4. Luckily my baby...

  23. NICU nurses should take PALS...IMO

    Preemienurse23 replied to MA Nurse's topic in NICU, Neonatal

    Our NRP code consisted of all of us at the table and we talked through one as a 13 member group. That I found disturbing. But I also know there is always experienced nurses in my unit with

  24. Week from Hell

    Preemienurse23 replied to Kattabba's topic in NICU, Neonatal

    I know exactly how you feel. We just finished our internship, and of course, they want us to train with the sick babies. But then they throw us out on our own to handle 3-4 feeder/growers after weeks...

  25. Emergency situations: what do I do???

    Preemienurse23 replied to Daria5363's topic in General Nursing

    ALWAYS follow your ABC's. If you lose your airway, or you can't maintain it, nothing else matters. You can place O2 on a pt if they are in distress, when you call the Dr, they are probably going to...