nell

nell

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All Content by nell

  1. Paperclips for eye exam????

    nell posted a topic in NICU, Neonatal

    Two of my babies got their first exe exam for ROP today on dayshift. In report, the day nurse told me that the Opthamologist said her eye speculum wasn't in her pocket and asked where we kept them on...

  2. BID vs q 12h

    nell posted a topic in NICU, Neonatal

    I've got a question: Do your Docs ever write for anything to be BID, QID, 3 times/day. etc. and if they do, what time schedule do you put the med/treatment on? The reason I am asking, is that we...

  3. Help!!!!!!!!!!!!!!!!!!!!

    nell replied to maryx's topic in General Nursing

    Daytonite, You are a California supervisor: please look up Title 22. I have to go to work now so don't have time to get a link, but in CA, a nurse must have documented competency for any unit s/he...

  4. Complaint got my gram bumped from Medicaid pay to self pay!

    nell replied to kukukajoo's topic in General Nursing

    Yeah.:angryfire Is there no such thing as patient rights if you are old/on Medicare/on Medicaid? I am truly disgusted.

  5. Is my employer's cancellation policy draconian...

    nell replied to nell's topic in General Nursing

    Every union is different. There can be different contracts with different facilities that have the same union. Our union has approved our cancellation policy. Our union has negotiated for on-call pay...

  6. Is my employer's cancellation policy draconian...

    nell posted a topic in General Nursing

    or is this common? Our unit is staffed according to patient census and acuity, so when either of those drops, someone (sometimes multiple nurses) are cancelled. In the past, the cancellation was for...

  7. Is my employer's cancellation policy draconian...

    nell replied to nell's topic in General Nursing

    Thanks AliRae. At least you have 5-6 hours to get something done before the next call. I don't suppose you are paid on-call time? Our policy has no set time block - they can cancel us for from 15...

  8. Is this upsetting to anyone else?

    nell replied to Gompers's topic in NICU, Neonatal

    Well, here's some more video: http://www.11alive.com/video/player.aspx?aid=71528&bw= Sure hope she does half as well as Mom thinks....

  9. Bkat

    nell replied to CriticalCareLucy's topic in General Nursing

    Gawd, how many hoops do we have to jump through. Med tests, PBDS, personality tests and BKATs....... Well, here's a little info: http://nursing.cua.edu/research/toth-BKAT-7.cfm#BKAT

  10. Good credit get hired at hospital?

    nell replied to lizzyberry's topic in General Nursing

    Hi lizzyette, The hospital I work for contracts with a company that does extensive background checks, including credit checks. I had terrible credit (divorce etc.) and was afraid I wouldn't be hired...

  11. About well baby nursery...

    nell replied to nolaRN's topic in NICU, Neonatal

    As with anything in nursing, there are differences from facility to facility - in fact most hospitals in my area don't have a newborn nursery - they do mother-baby couplets on maternity... We maintain...

  12. need help with code checklist/med sheet for codes

    nell replied to missapoo's topic in NICU, Neonatal

    Hi Melissa, If you PM me, I can email you our code policies. Our crash carts have modules that are filled and sealed by pharmacy or central supply with expiration dates that are monitored by us on a...

  13. My son needs help. The system isn't working!

    nell replied to Dixiecup's topic in General Nursing

    Dixie, I am so sorry you are going through this, and I understand how much you love your son. I think the Narcanon and Salvation Army suggestions are probably good. My son was in a local mental...

  14. ET tube

    nell replied to mawjood's topic in NICU, Neonatal

    Wow, I wonder what the cost issues are with unplanned extubations? - collapsed alveoli, traumatic reintubations, what else? The neobar is great - you really have to work to accidentally extubate if...

  15. bilimeter readings

    nell replied to asher315's topic in NICU, Neonatal

    We have a Neo who has done research on hyperbilirubinemia and for serious phototherapy he wants blue lights and however many it takes to get a reading greater than 35 (our new lights are >35 each)....

  16. ET tube

    nell replied to mawjood's topic in NICU, Neonatal

    mawjood, We use the Neobar: http://www.neotechproducts.com/store/detail.php?sku=NT-5&session= We used to tape something like this (scroll down):...

  17. Cup Feeding Strikes Again!

    nell replied to TiffyRN's topic in NICU, Neonatal

    so midwives don't test the infants of diabetic moms? or lgas, sgas or preemies? and how "high risk" are you talking? how do you know those babies didn't suffer any harm? where harm from low blood...

  18. Do you change your TPN tubing Q24 or Q72??

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

    Maybe some of the confusion as to what the CDC guidelines mean has to do with how the lipids (change Q 24 hours) are infused. In any NICU I have ever worked in, the TPN and Lipids are separate bags...

  19. Back-handed compliments

    nell replied to EmerNurse's topic in General Nursing

    A nurse I work with calls it "Performance Penalty".

  20. A question for some research we are doing

    nell replied to kitty29's topic in NICU, Neonatal

    Our current ophthalmologist’s orders: Proparacaine 0.5% once, followed by Cyclomydril (Cyclopento 0.2%/Phenyleph 1%) x2 10 minutes apart. These orders are not a NICU policy - they are the preference...

  21. What are your nurse:pt ratios?

    nell replied to NICU_Nurse's topic in NICU, Neonatal

    Wow, one of the premises for the nurse-patient ratios here in CA is that having reasonable ratios actually ameliorates the nursing shortage. We will occasionally have a short shift due to sick calls,...

  22. Is this normal/typical?

    nell replied to charebec65's topic in General Nursing

    When I did pediatric home care (CA & Oregon), we were responsible for keeping the patient's equipment clean but NOT for doing any household chores. We didn't even vacuum/sweep the patient's room -...

  23. NICU PBDS Test

    nell replied to efuchs1's topic in NICU, Neonatal

    Excellent response, Humbled_Nurse. Anytime the PBDS question comes up, we should pull up this post - it says it all.

  24. Is it true that a BSN will be mandatory soon?

    nell replied to szccdw's topic in Diploma, ADN, BSN

    Wow, if they tried that here, I'd be out the door. I graduated in 1977 and none of my credits would count now. If I had to go through 4 more years of school, it wouldn't be nursing school. minus...

  25. "Treatment Consent Form" for nursing school?

    nell replied to LaceyRN's topic in General Nursing

    mixy, I would have a problem with several parts of that form also. Good for you for actually reading the forms before signing them. I'll bet you will be one of those nurses who uses their critical...