twinkletoes53

twinkletoes53

NICU

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All Content by twinkletoes53

  1. Pain assessment: do you believe your pt when...

    twinkletoes53 replied to Morainey's topic in General Nursing

    The jolt of hiiting the floor woke me up. i looked @ my watch. took an hour for staff to

  2. Pain assessment: do you believe your pt when...

    twinkletoes53 replied to Morainey's topic in General Nursing

    Yes! I have had bilateral total knee replacements and a triple arthrodesis of my right ankle. Right after my surgeries, I could be asleep, then wake up suddenly and attempt to move just a bit---and...

  3. Just put an end my misery if...

    twinkletoes53 replied to R!XTER's topic in General Nursing

    My aunt is 84 years old, and scheduled for an AVR in a month. Up until about 3 months ago, she still worked 4 hours a day twice a week at the office she'd been with for 34 years. I am very...

  4. 1st Nursing Cartoon caption contest - win $100

    twinkletoes53 replied to Brian's topic in Nurses Rock

    well, he did volunteer to clean out the fridge in the nurses'

  5. Nurse Shark Cartoon

    twinkletoes53 replied to Brian's topic in Nursing Humor

    I worked in pediatrics, and before sticking a child for an IV or blood draw, I would say "This is going to hurt.You can cry or scream if you want, but please do not move your arm. It will hurt less...

  6. No more fun scrubs

    twinkletoes53 replied to EJBNeuroRN's topic in General Nursing

    i worked @ the same pediatric hospital for almost 35 years. i always introduced myself and wrote my name down when family arrived. i worked in our nicu for 30 years. some uniform changes we went...

  7. Vent. Should I feel bad about not picking up shifts?

    twinkletoes53 replied to KalipsoRed21's topic in General Nursing

    "i never agree to come in when i'm called like this. i understand that they need help and they have to ask, but is it poor of me to not agree to this? no! never. i have, in the past, agreed to stay...

  8. What happens when senior nurse are "put out to pasture"

    twinkletoes53 posted a topic in General Nursing

    Re: Another post which stated: "It made me angry that the implication was that we should be put out to pasture. Which by the way many hospitals are doing by layoff's and early retirement packages....

  9. Conflict between staff

    twinkletoes53 replied to lovemybabes's topic in NICU, Neonatal

    I am very sorry for the situation that you are in. I have worked with staff like that, and it is troubling, stressful, and does affect patient care. Even if you are working with neonates who cannot...

  10. How To Spot a Workplace Bully, Part One

    twinkletoes53 replied to rn/writer's topic in Patient, Colleague Relations

    Would it be possible for the RN that is being bullied by the male nurse to have a tape recorder, and audi--tape him the next time he confronts her? that way, she will have concrete proof of the...

  11. people seem uninformed....

    twinkletoes53 replied to meghan91's topic in General Nursing

    oh yes. i worked in a huge (eventually expanded to 85 beds) level iv nicu for 30 years, until severe arthritis and a vestibular loss nearly killed me. it was quite common for me to have friends/fellow...

  12. Liquid Glycerin Administration in Neonates

    twinkletoes53 replied to ICNClinicalRN's topic in NICU, Neonatal

    We used 0.2ml liquid glycerin, drawn up by our pharmacy in a 1 ml slip-tip syringe. We lubricated the tip of the syringe with a bit of KY jelly, and inserted just the tip into the baby's rectum to...

  13. Fired By Patient Family

    twinkletoes53 replied to SolaireSolstice's topic in General Nursing

    Don't beat yourself up about it. It's happened to me at least once in my career. Some of our families were so difficult to work with that they "fired" almost every nurse assigned to their child. The...

  14. RN with Trach and Cardiac Issues

    twinkletoes53 replied to Deguella's topic in Nurse Disabilities

    i have just found a website for nurses with disabilities. it is called exceptionalnurse.com. they profile and are advocates for nurses who continue to work in spite of disabilities, such as muscular...

  15. Heartbroken

    twinkletoes53 posted a topic in Nurse Disabilities

    I was diagnosed with arthritis 18 years ago, and I also have a vestibular loss diagnosed in 2003. I wobble sometimes but never fall; I have learned to catch myself. I use a cane at work as needed....

  16. Heartbroken

    twinkletoes53 replied to twinkletoes53's topic in Nurse Disabilities

    well, i worked/trained as a telephone triage nurse for 10 weeks. i was doing well on evenings, where i worked 2 six hour shifts/week. there were 4 rns and an intake coordinator to enter all calls in...

  17. Pulse ox not working correctly

    twinkletoes53 replied to Blackcat99's topic in Private Duty

    I do not understand why it would be Mom's responsibility. She is not an RN, or employed by your agency. She is the patient's mother. Her child is under the care of your agency. Legally, don't you...

  18. Do you as a Hospice Nurse use a pulse oximeter?

    twinkletoes53 replied to SoCalRN1970's topic in Hospice, Palliative

    "I wont put her though the auto-pilot like intake that slows and frustrates the real matter at hand. She is well sedated 100mcg/h fentanyl patch w 10mg methadone,,,and quiet, comfortable and sleeping....

  19. Do you as a Hospice Nurse use a pulse oximeter?

    twinkletoes53 replied to SoCalRN1970's topic in Hospice, Palliative

    The only reason I would want a pulse ox. on a hospice patient would be if his family was not there. I would set the alarm limits very low (e.g. HR 30; pulse ox. 30%). The only reason I would do this...

  20. questions on my patient

    twinkletoes53 replied to rockabye's topic in NICU, Neonatal

    We placed our babies directly on the biliblanket, which was covered by a thin disposable cover. We actually had a radiometer that could measure biliblanket readings. Also, although we were told that...

  21. New Grads Today v. New Grads From Years Ago

    twinkletoes53 replied to sj73201's topic in First Year After Licensure

    Do you think that part of the problem is the fact that people sue so easily today compared to years ago? I am now newly retired due to a disability, but I remember that when I worked in the NICU,...

  22. New Grads Today v. New Grads From Years Ago

    twinkletoes53 replied to sj73201's topic in First Year After Licensure

    I graduated from college 35 years ago, with a BSN degree. Our curriculum was heavy on Clinicals and actual floor work, so when I graduated I didn't have any difficulty at all starting a new grad....

  23. Common medications given for pediatrics

    twinkletoes53 replied to mmorgan371's topic in Pediatric

    Was it

  24. HELP! Ostomy bag will NOT stay on!

    twinkletoes53 replied to Preemie2RN's topic in NICU, Neonatal

    You did get some excellent advice from previous replies. we call on our surgery specialty nurses as needed to advise us on stoma care in difficult cases. I always have a second nurse or PCT available...

  25. Pulse Oximetry

    twinkletoes53 replied to Sunlight-RN's topic in NICU, Neonatal

    RNs change pulse ox. sites every shift, and document desats on our flow sheet, as well as hourly pulse ox. readings. We change pulse ox. probes as needed. They are kept in our pyxis and charged on an...