nell

nell

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All Content by nell

  1. Anyone gone union?

    nell replied to liljsmom02's topic in General Nursing

    Wouldn't it be nice if hospitals treated their workers fairly and unions weren't needed. Around here there are at least three different kinds of unions - a national one that represents different kinds...

  2. NICU PBDS Test

    nell replied to efuchs1's topic in NICU, Neonatal

  3. I'm Baaaaaaaaaack!!!

    nell replied to SteveNNP's topic in NICU, Neonatal

    Glad you made it back relatively quickly. Hey - you've got the best of both worlds (ER & babies), after all, NICU is baby ER.

  4. Funny/happy NICU moments needed

    nell replied to 2curlygirls's topic in NICU, Neonatal

    When a parent gets to hold their baby for the first time, that is so heart-warming. Managing it with a tiny one on CPAP requires some time/effort, and engineering it with a baby on HFOV is really...

  5. Can all parents really make good decisions

    nell replied to mauigal's topic in NICU, Neonatal

    We're not talking about a septic kid or even a micro preemie w/PDA here. Has ANYONE ever seen a kid like this go home - even with severe disabilities? If you do not work in a NICU, you probably...

  6. Floating to NICU... how to be helpful?

    nell replied to perfectbluebuildings's topic in NICU, Neonatal

    Sorry, I agree with wjf00 – but maybe it’s just a California thing. California has competency laws. Nurses can only float to units they have been oriented to and are competent to work on. If we...

  7. # of deliveries and size of NICU

    nell replied to Humbled_Nurse's topic in NICU, Neonatal

    350-400 deliveries per month, 16 bed mixed level II & III NICU.

  8. Week #3

    nell replied to slu_rn's topic in NICU, Neonatal

    CA Title 22 does allow double-vent assignments and one hospital around here does staff that way (the one that has trouble keeping staff and has to pay huge sign-on bonuses to get what they have). For...

  9. Week #3

    nell replied to slu_rn's topic in NICU, Neonatal

    We don't have assignments like these ever, whether it's orientation or we've worked here for decades.

  10. Jury Duty during nursing school

    nell replied to capribry's topic in General Nursing

    The rules must be different depending on the county. I'm also in CA and the jury summons we get has a place to check if you're a student. You're allowed one deferral for (I think) up to 6 weeks - you...

  11. Pbds

    nell replied to Sylv's topic in General Nursing

    Sylv, I did some "grading" of Pbds's (actually, just screening) Some of the things I was to look at were whether the person got the initial diagnosis correct, whether they listed ALL of the actions...

  12. Narcotic/opiate detox/withdrawl in the neonate

    nell replied to kids's topic in NICU, Neonatal

    We have had two of these situations recently where Mom was on meds for chronic pain (one on codeine, one on methadone). Overall, we don't get very many drug-exposed infants and what we see is Meth. I...

  13. new grad wanting nicu

    nell replied to rnin1206's topic in NICU, Neonatal

    I am in Cali (greater bay area). It just depends on how much in need a particular unit is. If there aren't any experienced nurses available, there will be new grad positions. Search for hospitals in...

  14. DEHP and Lipid tubing - does your NICU hve a policy?

    nell posted a topic in NICU, Neonatal

    For a number of years we have used only non-DEHP tubing for Intralipids in the NICU (probably since the 2002 FDA notification http://www.fda.gov/cdrh/safety/dehp.html ) . Our facility has suddenly...

  15. DEHP and Lipid tubing - does your NICU hve a policy?

    nell replied to nell's topic in NICU, Neonatal

    We got our non-DEHP lipid tubing back. While looking for info on DEHP I found this article that might be of interest to some of you. It's from the Jan/Feb issue of Pediatric Nursing:...

  16. DEHP and Lipid tubing - does your NICU hve a policy?

    nell replied to nell's topic in NICU, Neonatal

    Thanks for the info, Tiffy. Gompers: DEHP makes plastic softer & more flexible. It leaches out of the tubing and into solution, particularly those with Lipids. Infants get a much higher dose of...

  17. Peripheral Arterial Lines

    nell replied to donnuchi's topic in NICU, Neonatal

    All of the hospitals I have worked at in this part of the country use the 3-drop method to clear the line. Our policy gives the reason as "Amount of blood discarded is minimal". Most of the smaller...

  18. Peripheral Arterial Lines

    nell replied to donnuchi's topic in NICU, Neonatal

    We also use a t-connector with a port right at the hub. We clamp the t-connector, stick a 25 ga needle into the hub and drip 3 drops before connecting the syringe to the needle hub. After the draw,...

  19. New hosptial computer systems pull nurses away from patient care

    nell replied to lee1's topic in Patient Safety Issues

    lee1, thanks for starting this thread as the responses are helpful to me. We have not gone live yet so I can only tell you what is planned. We are upgrading from an old DOS-based system to Eclipsys....

  20. The use of sucrose in NICU please respond:

    nell replied to cajrio's topic in NICU, Neonatal

    Here's our policy: http://www.seamistdesigns.com/policies/sucrose.html

  21. t-shirts for IVs

    nell posted a topic in NICU, Neonatal

    Do any of you use baby shirts with some kind of adaptation for IVs? We are looking into having some of these made, so I'm seeking input on what will work best. Thanks for any

  22. LPNs in the NICU??

    nell replied to luvbug's topic in NICU, Neonatal

    In CA, LVNs can't legally be counted in the NICU staffing ratios, so hospitals don't put them there. I haven't been able to find out if they can work in intermediate nurseries or not. They CAN...

  23. Hospital sold!--Have to reapply for my job....

    nell replied to dachweiler's topic in General Nursing

    dachweiler, I hope all goes well. Had this happen to me a couple of decades ago. A few in management weren't re-hired but all of us staff nurses were. Find out what happens to your seniority,...

  24. Does YOUR licensing body give out your address?

    nell posted a topic in General Nursing

    A friend wanted to check on the status of her Florida RN license and discovered that the address she last had while licensed in that state is listed (fortunately she no longer lives there and the...

  25. Floating

    nell replied to shyviolet78's topic in NICU, Neonatal

    Good post Anaclaire. We only float to the well-baby nursery and are mostly assigned to the admit nursery. WBN nurses float to Maternity and most are cross-trained to NICU. We, too, give them the...