preemieRNkate RN

Level III NICU

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All Content by preemieRNkate

  1. preemieRNkate

    NICU nurse making the jump to PICU!

    Hi everyone! I'm a NICU nurse with 7 years of experience and I've decided to make the jump over to the PICU!! Reason #1 is because there were no NICU positions open in the hospital that I was applying...
  2. I'm new to PICU, after working NICU for 7 years. I belong to ANN, but I'm looking for an organization more relevant to PICU. Internet searches haven't led me to much, so I'm turning to the people that...
  3. preemieRNkate

    NICU nurse making the jump to PICU!

    Haha....I know exactly what you mean about NICU nurses being particular. Mostly because, well, I am! Thank you for your
  4. preemieRNkate

    anyone familiar with the zaky?

    We've had them on the unit quite a few times, I like them. They are nice to kind of curl around the baby and have the "hand" part rest around the baby's head, or if the baby is prone, right on his...
  5. preemieRNkate

    TPN/IL through UAC??

    We JUST had this conversation today about a baby that is a hard stick, couldn't get a UVC, only UAC and they figured we'd just advance feeds. Well, of course, the baby didn't tolerate feeds and is...
  6. preemieRNkate

    Low Census

    Not us! Busy, busy, busy for the past few months. Lots of high-order multiples, a few micros, quite a few MAS/PPHN kids. We also recently started admitting any baby born under 36 weeks. We used to...
  7. preemieRNkate

    Tape use in Neonates

    Ditto. We use steri-strips to make the chevron. I also cut a small steri in half (across) and I place that across the angio above the insertion site to secure it sometimes prior to putting the...
  8. preemieRNkate

    Can ADN nurses land jobs in the NICU?

    Well, I landed a job in a NICU with an associate degree! It was 5 years ago, and currently my unit has no openings, but last time we hired new nurses it was pretty evenly mixed with graduates of both...
  9. preemieRNkate

    Circumcized on a vent?

    Like previous posters, the only time I have ever seen that done is if the baby is going to the OR for another non-emergent procedure and they are going to be under anesthesia and intubated only for...
  10. preemieRNkate

    H1N1 -- in the NICU

    An individual who refuses the vaccine (regular flu or H1N1) based on a medical reason, such as an egg allergy, must have proof from a doctor. I agree with the fact that the H1N1 vaccine was rushed...
  11. preemieRNkate

    H1N1 -- in the NICU

    Uh, yeah, us staff nurses all think that it's nuts that we aren't limiting visitation. Management just says we offer "family-centered care." Crazy....We say (healthy) parents can continue...
  12. preemieRNkate

    H1N1 -- in the NICU

    New York state is now requiring us to get the flu vaccine, and when the H1N1 vaccine is available, we will also be required to get that. We are being threatened with suspension and/or termination if...
  13. preemieRNkate

    Amicillin via UAC?

    In a real crunch, with absolutely no other access, yes. Ideally, we give it a real good try to get a peripheral line in though. We give blood products through UACs more frequently than we give...
  14. preemieRNkate

    FOOTPRINTS

    We stopped doing footprints as part of the hospital record a year or 2 ago. We still do them sometimes for parents, or when a baby dies for the memory
  15. preemieRNkate

    Does anyone else do quiet hour?

    We actually do "quiet time" 3x/day. 1300-1400, 2130-2230 and 0100-0200. Our unit was so successful that the whole hospital now has a quiet hour based on what we were doing. Our staff is pretty good...
  16. preemieRNkate

    Compassion support withdrawl

    AliRae, your story literally gave me
  17. preemieRNkate

    would working in peds help with NICU?

    Ditto for my unit too. In fact, most of us wouldn't even know what kind of degree our coworkers have. As far as the OP, I would think that working in peds would be more beneficial to you if your...
  18. preemieRNkate

    Securing UVC/UAC?

    What do you guys do to secure your umbilical lines? The NNP/doc sutures the lines in, and then we have these bridge things that adhere to the baby's belly and hold the lines in place. They're made of...
  19. preemieRNkate

    Hiring/Education Question

    Well, I'm in NY so I can't help you with the areas you are looking at. I got my job in NICU with an associate's degree 5 years ago, no problem. Many of the nurses I work with started with an ADN. Good...
  20. preemieRNkate

    One of those weeks

    What a week....hugs to you and your
  21. preemieRNkate

    pins and rubberbands for CPAP

    Exactly what we use. Once you learn how to put it on a baby, it's so
  22. preemieRNkate

    Heelstick vs venipuncture?

    We do heelsticks for our labs, unless a large volume of blood is needed. In those cases, we typically do art sticks. We (the nurses) do art sticks in my unit. If we only need a small amount of blood,...
  23. preemieRNkate

    Hand washing?

    We wash our hands or use the alcohol foam before and after patient contact, but we don't use gloves every single time we have to touch a patient. Just for the times when we might be in contact with...
  24. preemieRNkate

    Funny/happy NICU moments needed

    You story gave me
  25. preemieRNkate

    What do level III RNs think of level II?

    Ditto. We all are capable (or should be) of taking a FT 48 hour r/o sepsis kid or a 23 weeker on HFOV and multiple drips. Most of the time, the charge nurse making assignments kinda knows who prefers...