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Neonatal ICU
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gibson0726 has 5 years experience and specializes in Neonatal ICU.

gibson0726's Latest Activity

  1. gibson0726

    Random question.

    I've guess the units I've worked on are opposite from everyone else! If in an isolette, we have the feet towards the wondow/wall and the respiratory equipment by the head. I feel all out of sorts if they're in the bed "upside down". If the baby is in a crib, we can do a little of everything because the rooms are pretty big.
  2. gibson0726

    Thoughts on warming milk in the NICU

    We are currently trialing the Penguin warmers on our unit. The rep who did the in-service told us that the liners can be used for a whole shift - up to 12 hours. She said they recently changed this from q feed changing. I wish they were good for 24 hours, as I feel very guilty throwing away so much plastic.
  3. gibson0726

    What do new nurses look for in a Preceptor?

    Lots of patience. Although we learned skills in nursing school, it is so much different doing it on a "real" person the first few times. Rationales behind the things we are doing. I know nursing is more than skill sets and tasks. That is the biggest thing I struggled with in the beginning. I am finally starting to connect the dots and see the big picture with my patients. Introduce your preceptee to the other people on the unit. This is way more important than I ever realized. It is so hard being the new kid on the block, especially in a tight knit unit. Constructive criticism and praise when it is deserved. Nothing kills confidence than constantly hearing the negativity..unless the new person is having major issues. Allow the nurse to figure out things on their own, within reason. This builds a sense of confidence and strengthens the "nurse brain" as I call it. You know, our ability to store tons of facts in our brains at once. Lead by example! Please do not yell, demean, or show anger towards the new nurse. Yes, this happens! Be friendly and approachable..this goes a long way. I never felt uncomfortable asking "stupid" questions of my preceptors because they wouldn't judge me for it. Well, maybe they did, but never showed it!
  4. gibson0726

    2 years of Med/Surg and finally getting int NICU!!

    Congratulations! You will definitely have the time management down to a "t". It's a whole different world in the NICU but I love it and cannot imagine doing anything else. You'll have keep us updated on how you like it! :)
  5. gibson0726

    New Grad NICU Support Thread

    For those of you asking for interview tips, I highly recommend taking a look at this: http://www.brockport.edu/career/behave.htm I was asked questions extremely similar to this in my interview. During my peer interview, I was asked a lot of situational questions mainly about how we would deal with the families (especially when they were upset with the care their baby was receiving), since a large part of our job is centered around caring for parents during one of the most stressful times of their lives. I think it is extremely important for a NICU nurse to not only tend to the needs of the patient, but also for the families. I love teaching and I made sure that these points were emphasized during my interview. As for what you need to know when you hit the floor: for me it was just a healthy dose of fear. Fear of taking care of a tiny 23 weeker, or even just being scared of handling a ventilated infant. My nurse educator told me she didn't care what we learned in nursing school, she just wanted us to learn what she was teaching us. Sometimes I think, why did I even bother going to nursing school? It is like a whole different world in the NICU and you will have to relearn a lot of things. With all that being said, I love my job more than anything. Even after having to call a code or having an extremely unstable, high maintenance kiddo, I still look forward to going to work. This is a 2nd career for me and I have never dreaded a shift like I used to. That is how I know I am in the right place. :)
  6. gibson0726

    NICU Special on Discovery Health's "Baby Week"!!

    It looks like it's going to be a series! I will definitely be watching http://press.discovery.com/us/dhc/press-releases/2010/baby-week/
  7. gibson0726

    New Grad NICU Support Thread

    Hello everyone! I am a December graduate and have been working in a level 3 NICU since early February. I spent 4 weeks of my orientation in level 2 and then spent the following 8 weeks in level 3. I have been on my own for about 3 weeks now and I can't believe how much I have learned so far! Some days are more stressful than others but regardless of how bad a shift goes, I ALWAYS look forward to going back. I call those babies my "little BFF's". I love them and they amaze me constantly. Good luck to you, southern.belle, go rock that interview! And best wishes to those of you starting soon. I hope we get lots of participation on this thread, I think it's a great idea!
  8. gibson0726

    New grad NICU email pen pals? :)

    I'm new as well, I have been off orientation for 3 weeks. It has been challenging to say the least, but I absolutely love what I am doing. I really like the idea of a support thread!
  9. gibson0726

    Do I really need my BSN?

    I also have a BS and my ADN. Back when I was first looking into nursing school, the schools near me didn't offer the fast track BSN they have now. I have decided that I am not going to pursue a BSN. I was lucky enough to find my dream job before I graduated at a magnet hospital with an ADN, and quite frankly, I have no desire to go back to school. I already did that! After about 3 years I plan on going to CRNA school or becoming an NNP and both will accept my bachelor's + associates in lieu of a BSN.
  10. gibson0726

    I am officially a NICU nurse!

    In my NICU, each baby has their own stethoscope at the bedside. We use the Littman Neonatal stethoscope and I clean it right before I do my first assessment. Sometimes even the neonatal stethoscope takes up almost the whole chest of a tiny 23-24 weeker. I agree with the book recommendations. The Merenstein & Gardner text didn't start to make much sense to me until I had been on the unit a little while. I also purchased the S.T.A.B.L.E book, but haven't really read much of it yet. Congratulations on the job!
  11. gibson0726

    Airborne vs. Droplet Precautions

    this is all you ever need to know for the nclex. i found it somewhere here on allnurses, but don't know who originally posted it. airborne precaution my - measles chicken - chickenpox hez - herpes zoster (disseminated) tb - tb private room negative pressure with 6-12 air exchanges per hour uv mask n95 mask for tb droplet precaution think of spiderman! s - sepsis s - scarlet fever s - streptococcal pharyngitis p - parvovirus b19 p - pertussis p - pneumonia i - influenza d - diptheria (pharyngeal) e - epiglottitis r - rubella m - mumps m - meningitis m - mycoplasma or meningeal pneumonia an - adenovirus private room mask contact precaution mrs.wee m - multidrug resistant organism r - respiratory infection - rsv s - skin infections w - wound infections e - enteric infections - clostridium defficile e - eye infections skin infections: v - varicella zoster c - cutaneous diptheria h - herpes simplex i - impetigo p - pediculosis s - scabies, staphylococcus private room gloves gown
  12. gibson0726

    Does anyone else like working night shift besides me?

    I have been working nights for about a month and a half now. I love the shift, it's my days off that I can't get the hang of. I tend to stay "up late" until about noon and then sleep until 7pm. This messes up my errand running! I then feel like a prisoner in my apartment, staying up all night alone with only the tv and computer to keep me company. I need a hobby or something! I have tried flipping to a day shift schedule on my days off and it just doesn't work for me. I have always been a natural night owl and it feels incredibly natural for me to stay up all night, I just get really lonely.
  13. gibson0726

    Who hires new grads in DFW area or Austin?

    Parkland in Dallas still had a few June internship job postings up last time I looked. I graduated in December and the Seton network (primarily Brackenridge) interviewed a lot of my classmates after graduation. Perhaps they are doing the same thing again? I also know that St. Davids did a lot of hiring late as well.
  14. gibson0726

    Tips on getting into NICU after graduation...

    You have gotten some really great advice already from the previous posters, so I don't have much to add in relation to that. However, I would like to tell you that it's NOT impossible to get a job in the NICU without completing an internship/externship. I have a previous BS and graduated with an ADN in December 09. I only spent about 6 hours in the NICU during my pediatric clinicals and I didn't volunteer or complete and internship before graduation. I was willing to move any where in Texas for a NICU job because I knew adults just was not for me. I wound up landing an interview in a different city and got offered the job while driving home from the interview. They had over 250 applicants and only hired 5. I think having a true passion for taking care of babies and self confidence goes a very long way. I have a love for parent teaching and taking care of their needs along with the baby's and I believe that truly helped me land my job. I also graduated with 3 other girls that got hired into the NICU without additional experience! Now, I'm not saying that completing an internship is worthless, I'm sure it will give you a leg up on the competition in a tight market but I'm just giving you my experience. I wish you the best of luck! I :redbeathe the NICU more than anything and I will work there for the rest of my career. It's such an amazing place to work and if it is where you want to be, definitely do whatever it takes to get there.
  15. First off..I'm going to give you one of these..:hug: I kind of know how you feel. I am a new grad that just started in the NICU in January and I have cried after a shift because I felt like I didn't give my patients the best care possible. Well, I felt ok until I gave report and the oncoming nurse made me feel that way. I think a big part of it, at least for me, is the fact that my patients are these tiny, innocent humans that have no control over what we are doing to them. They depend on us for absolutely everything and it breaks my heart when I think that I have given them sub par care. Sometimes I feel like they deserve a better nurse than me, and that is because I am so new that I don't quite know what I am doing yet. We all have to start somewhere! I think the worrying and guilt is just a part of being a new grad? I have only worked 1 shift on my own with level 2 babies and I was a nervous wreck the whole time. Hopefully those feelings will decrease with the more time we spend working on our own? I don't know, but I hope so! I am also ready to not feel like a complete moron on a daily basis. I definitely can relate with you on the sterility thing, we use sterile gloves for changing tubing and stuff like that, but it's not technically a sterile procedure. Admissions scare the crap out of me too. I have only assisted with 1 and it took over 3 hours. It was nuts! I hope that when you do get them, that you have lots of support and help surrounding you. The NICU world is so different than the adult world. I hope that aside from the feelings you are experiencing, you are enjoying your job! I love it and cannot imagine working anywhere else. I wish you the best of luck.
  16. gibson0726

    Austin Community College (ACC) - Fall 2010 Hopefuls

    Oh geez, PERSON! Familiarize yourself with that, because you will be using it every single semester you are in nursing school! Sorry I just had to jump in here..I just graduated from ACC in December and seeing all this brings back memories. It is a really great program and they do a good job preparing you for the NCLEX. Good Luck and let me know if you have any questions!!!