wnydapoo

Today I split an extra shift with another nurse because my former 24wk primary who is now 36wks was extubated for the 5th time. He has failed the four other times. As soon as the tube was pulled he became very aggitated. I tried positioning, warm blankets, passifiers, containment, just leaving him alone but nothing helped and his heart rate was well over 200. I obtained an order for a half dose of versed and an hour latter he was screaming again. I managed to hold him off for annother hour and got an order to repeat the dose of versed. The sedond dose only lasted a half hour. After exhaustin all options for soothing I asked the nnp if I should try letting the mother hold. She agreed that crying in his issolette agitated was doing no good so to let the mother hold. I gave him to his mother and he calmed down right away and stayed that way untill I was done giving report to the nurse I split the shift with, which was almost an hour and a half. We decided at that point to let the mother have a break and the oncoming nurse would do an assessement, give a dose of decadron that was due and get him settled down again. The mother went to pump and said she would return to see if he needed to be held again. He remained aggitated through the assesment and we gave him back to the mother at which point he lost his iv. I told annother nurse that he lost his iv and she told me that we have got to stop with the holding and he is not going to make it.

Hi all just wondering what type of overtime incentives there are out there in az. I'm still a student and I keep hearing of $1000 + time and a half but that seems like an awful lot. let me know of the incentives you've heard of and which area of the hospital.

I don't mean to be a pest asking all sorts of questions but I was just wondering what kind of overtime incentives there are out there in differnent parts of the U.S. or even here in az for NICU nurses. I've heard rumors of $1000/shift plus overtime pay. Is that feasible? I've just started an extern at a level III NICU and havent mustered up the courage to ask what kind of overtime incentive there is but it seems that this NICU is very well staffed but then again I've only worked two shifts and havn't talked to many people. So just wondering what kind of incentives does your hospital offer and what part of the U.S. do you work in?

I want to work in the NICU and I currently have an extern in the NICU. However, I am extreamly concerned with choosing the best first job as a nurse. Anyone have any advice good or bad on where I should go? I am obviously looking at either Desert or PCH. I just want to make the best decision because I think your first year as a new nurse is the most important one.