Zippedodah

Zippedodah

NICU,PICU

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All Content by Zippedodah

  1. Will somebody PLEASE tell these doctors....

    We do say these things, but it goes in one side and out the other, James. Believe me, working with residents sometimes puts us up with Mother Teresa. Don't roll your eyes at me when I tell you I can't do a certain procedure...not covered to do it m...
  2. What is the silliest complaint someone has ever made aboutyou?

    That I don't fold linen before I put it in the bedside cabinet...heck, I don't even like to fold my own stuff at home!
  3. I'm Being Disciplined for Looking Up My Own Labs

    We have to log in to EPIC to get any results and quarterly they do a random audit of people....unlucky for you if you are the one that gets pulled and you looked up your labs. You know the odds and you decided to do it, so you are gambling. I know t...
  4. This is from JCHO....

    How many of you are taking the temps of each and every visitor to your unit? My friend just emailed me and told me that they, and several other hospitals, were asked this! You've got to be kidding me. So, are you?
  5. What are your nurse:pt ratios?

    Wow...we have a 52 bed unit and there have been times that we have had 20 some vents....we could never staff with 20 plus nurses! We run with 14-17 nurses usually with a census in the 35 range. We have never done 3 vents, ever. Although, sometimes...
  6. This is from JCHO....

    This is a copy of the letter she sent to me...It didn't come from our management, and it isn't an urban legend. I left the hospital name on it and took off the people's names. Gee, I can't wait until they come to us! I'd like to know where they come ...
  7. This is from JCHO....

    How many of you are taking the temps of each and every visitor to your unit? My friend just emailed me and told me that they, and several other hospitals, were asked this! You've got to be kidding me. So, are you doing this during RSV season?
  8. what's the appropriate name for this procedure?

    We don't withdraw fluid, but we will inject NS around an infiltrate to help dilute out the IV fluid that was infiltrated. I've never heard of that. We have used Regitine on vasopressor infiltrates, and we don't use warm packs any more.....plastics to...
  9. Why do I do this to myself???

    Gads I hate kids like that. You weren't over your head, it was a sick kid! There wasn't a thing you could have done different...if the kid was going to clog off his tube, that is what he was going to do regardless of where you were. I know how you...
  10. Off Orientation!!

    If you feel like you were dumped on, then you need to say something to your preceptors. You may have felt dumped on, but in reality it was you first day and you were anxious, etc. I know that when we get busy sometimes we forget to ask if the newe...
  11. am i wrong ahout this?

    We don't use the allery/TB needles on our bigger kids...they don't go deep enough! You might try a Lippencott nursing procedure manual...it may have that in there.
  12. How does your facility handle low census?

    We can be floated to the nursery if they need us. If no floats are needed then we are cancelled voluntarily...we keep a log of dates people were cancelled and go by dates. If we get thru the whole list and no wants it (a big rarity) then we cancel ...
  13. How to deal with nurses who make fun of families

    Oh brother. You reported it to your manager and she should be carrying it a step further by talking to that nurse and then notifying the RT's super. We had a few nurses that made a couple of comments in front of nursing students, who in turn told t...
  14. new policies

    Gompers, why do you have to have permissions to start meds? Isn't that covered under your blanket admission consent or even if the mom has been treated while being pregnant?
  15. VLBW infants and positioning

    We still do the hang from the warmer or top of the isolette when we need too.
  16. Do you change your TPN tubing Q24 or Q72??

    Right, they are hung separately, but they are usually piggybacked in or y'd in, so all the tubing has to be changed every 24 hours. We change out TPN everyday regardless due that many of our kids are on D12 or higher and that is a great medium for f...
  17. new policies

    We don't have a policy for either of those. We change out canisters when they get yukky. For an admission of HIV...no different than any other admission. We use Lippencott as our basis for procedures.
  18. NCPAP with a rate

    Birds and Dragers
  19. Is your first temp on a new admit..

    always a rectal? We are getting away from this because it doesn't really mean that the anus is patent...it could be farther up that is closed. What do you do?
  20. school nursing

    Most school nurses in Ohio are MSN prepared. It is hard to get a job because most districts only have one nurse for the whole school system. Ours spends most of her days at the two schools that house our handicapped kids. She also gives the talk t...
  21. What are your nurse:pt ratios?

    Our charge nurse doesn't usually have an assignment, the transport person has kids that are readily absorbed into other assignments if she leaves. First admit person usually has 2-3 feeders or a vent and a feeder (in charge, I'd rather do the vent t...
  22. VLBW infants and positioning

    Gotcha...we don't turn their heads...in my unit midline means belly up, head up. Most kids on the osc. are on their backs anyways....we don't turn them side to side, our little ones are like this until they get all their survanta doses, and aren't ...
  23. Can they really DO that? A rant!

    When we went to all RN's in the ICU's and peds areas, they gave them notice and if they were enrolled in an RN program then they were phased in. They are now slowly doing this on our regular floor, outpatient areas also.
  24. million dollar babies

    Sweden, that about sums it up. They area charged certain things by the day, and then there are items we use that are charged to the patient. Everything we use has stickers so we just put the stickers on a piece of paper at the baby's bedside and th...
  25. Does your work call you at 0530?

    I turn off the landline and my family has my cell number. The cell is the one that is plugged in my room so if work calls, they get my machine.