nurseiam

nurseiam

NICU, PICU,IVT,PedM/S

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All Content by nurseiam

  1. Long term care in PICU

    We usually have at least one long term resident in our PICU. I am wondering if there are any facilities out there with policies specifically for these patients. We still have nurses that will do q 2 bp's, wake a sleeping baby up for an assessment, ...
  2. NICU PICU/peds transition

    I work in a hospital that is two in one. One side has the NICU (next to L&D and Mother/baby) other side is the childrens hospital. We deliver 23+ weeks gestation and are the reginal transport center. So needless to say we have a lot of chronic...
  3. Humiliating IV questions

    I am pretty good at IV's but suck at drawing labs via butterfly. My trick to a good IV start is when you see flash use your nail to Gentley dislodge the hub off the needle just enough to cover the sharp point of the needle then advance the cath. If ...
  4. Intravenous blood draws

    I am in the float pool. We draw from any PIV that will. Depending on the situation I may attempt to draw from a 24g but those are risky. We use mostly 22g and it just depends some nights when I am doing IVT they all draw, some nights none of them ...
  5. Developmental Care in PICU

    i have a stong nicu background with a passion for deveolomental care. for the last few years i have beeen in the float pool @ the same facility but in peds. i have spent alot of time in our picu recently and i have noticed that even after the most ...
  6. wearing gloves when feeding neonates

    i think of feeding a baby breastmilk without gloves is like playing with someones pee!!! its a body fluid and it doesn't belong to you!!!! in our nicu we wear gloves with all vented babies, diaper changes, iv contact and breast milk contact, gowns ...
  7. Any bedside nurses making over 100K ?

    i'm in the float pool. so i make $5 an hour more, plus rnc $1, nights $4, a few week-ends $3.50. i try to do at least one shift a month in less rest 14 hours of 1 1/2 and 2 double time. plus during rsv we go into double time, but i stick to my one sh...
  8. Any bedside nurses making over 100K ?

    I'm in the float pool. So I make $5 an hour more, plus RNC $1, Nights $4, a few week-ends $3.50. I try to do at least one shift a month in less rest 14 hours of 1 1/2 and 2 double time. Plus during RSV we go into double time, but I stick to my one...
  9. flat line eegs...

    We have had similar cases in our unit. It is very hard! A few years ago we had a birth trama, the initial EEG was flat. They gave the parents sveral days before talking to them. By the end of the week she was off the vent. She went home brestfeed...
  10. Question: Neonatal nurses & deliveries

    At our place a NICU nurse can be called to any delivery. We attende all C-sections. NNp's can also be called by the nurse and they attend all mec's. And everbody goes to high risk.
  11. NICU to PICU

    Last year I went from NICU to Float pool at a childrens hospital. WOW! My first orientation was heck! It was the ER. I think they expected me to have more basic ped knowlegde. That was rough. Next I did IVT which only took 4 days. We did our o...
  12. staying awake on night-shift

    In my unit we take all our breaks together. For 12 hours we take 30 min @ 11p then 1 hour @ 2 or 3a. Some people will run to the lounge and sleep for 50 minutes. I was always too afaid I would oversleep and drool on myself. Instead we go have a g...
  13. staying awake on night-shift

    I have a few things. I work 7p-7a. The first night usually with no sleep. I will have a coffee and take 2 excederin at midnight. I usully get up and walk around a few times. At about 630 I try to eat a small snack, cheese and crackers, for a cle...
  14. Roll call: Tell us a little about you

    I am 34, happily married with two girls, 7 and 12, and a black Lab, Chance. I love to travel, read, and scrapbook. I have been a nurse for almost 7 years. I worked in a level III Nicu for 5+ years. It is a 65 bed unit. I promised myself in nursin...
  15. Weird Float position?

    I have to agree with most of the others. This is a horrible position for a new grad. At my hopital you have to have at least 2 years experience before you will be considered. After almost 6 years in the NICU last year I took a float pool position....
  16. Critical Admissions every night :(

    In my old NICU unit it was different. The travelers, agency and even the per diem get frustrated because the get the feeder growers!
  17. I'm pregnant...is peds ok?

    There are pregnant nurses everywhere in the hospital. Keep away from the CMV in the peds unit. Chronic kids with multiple problems that have an unknown etiology may have been exposed to CMV. Good luck with your baby. I was pregnant my second yea...
  18. Salary information

    In Washington BSN and ADN are the same pay. I think it is $21.07
  19. How do you cope with a baby with multiple problems?

    I think that alot of use tend to rely on eachother for support. Our breakroom is away from the rest of the hospital so it is a good place to talk about a frustrating or emotional day. My best friend is also a nurse but in another area so we vent AL...
  20. Encopresis - anyone familar with this

    My daughter has encoprisis. She is now 12 and usually only has problems when she has stress. But she started very similar to your son, just kept having accidents. Finally when she was 8/9 she went to a gasto. She had severe GERD, lactose intolera...
  21. Burette

    We used to not use burettes. Then the unthinkable happened! A 24 weeker got an entire 500ml bag of HA! She was to have her CNS US the next day. She ended up with multiple preemie problems but who knows how much it had to do with the HA.... I thin...
  22. scrubs....

    With all the increased infection comments I was wonderin...... Are your scrubs provided? How is your infection rate? About 4 years ago we went from optional hospital scrubs to no hospital scrubs. We also had parents stop wearing cover gowns
  23. Frustrated by procedures/policies in new unit.

    We also keep our sats between 88-92. But there have been several babies in the last year that had severe CLD so we just try to find a happy place and let the kiddo ride it out.. Theses babies have had very little ROP???? As for developmental care.....
  24. Question about NICU duration

    But then we have a family now with a 1year old that was a past 23 weeker that they said was vented for one day then put on NCP.....
  25. Question about NICU duration

    Only in third world countries where it is survival of the fitist...