twinkletoes53

twinkletoes53

NICU

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All Content by twinkletoes53

  1. What is a Skilled Nursing facility?

    I am looking for a nursing home for a 90 year old relative, who requires complex or skilled medical supervision. So far, all the facilities I've researched are semi- independent living long term care facilities for the elderly. The patients are expe...
  2. As seen on TV

    OMG! I thought these shows had medical advisers? How stupid can one be? What's worse, civilians watching this think it was perfectly normal for a transfusion to be given through an NGT. . I can just see them arguing with the medical team who ...
  3. As seen on TV

    All babies are born clean & pink right after being delivered. Cooing, eyes wide open & alert, smiling. I think the youngest "newborn baby" they show appears to actually be 3-4 months old.
  4. How many is too many? Medication errors

    Does this mean that patients are not being given the narcotics or psych. meds. that are due?
  5. Small ER VS Clinic?

    I am a retired RN. When I read your note, I was attracted by the fact that Boston was going to certify you in PALS, ACLS, as well as IVs. All skills that you will use now & in the future, no matter what field of nursing you find yourself working ...
  6. Under the knife... again

    I have had both knees replaced, and my right ankle fused, due to complcations from arthritis. I was off work for 3 months after BKR. I am sending best wishes & prayers your way. The first month of recovery is hardest. My surgeon allowed me to do...
  7. How long did you work med-surg before getting an ICU job?

    I worked for a year and a half on a Med-Surg floor. It gave experiences with different types of acuities, as well as different diagnoses. Whenever I was floated to the ICU, I enjoyed the challenge. Nurse: patient ratio was 1:1 or 1:2. I transferred u...
  8. thermoregulation in the neonate

    He was very mildly hypothermic after his bath. I would check his axillary temp. in 30 minutes X 2. What you are looking for is an increase in and his ability to maintain his temp. at a range of approximately 97.3-99 degrees Fahrenheit axillary. ...
  9. Further studies for NICU

    Have you completed the NRP and STABLE courses?
  10. How to get tincture of Benzoin out of clothes

    What about trying to get candle wax out of a pair of pants and a silky top? Any ideas?
  11. Crying babies

  12. What did you do before?

    I had always been interested in working with NICU babies, but the hospital I started my career in had not yet opened one. It was a pediatric hospital, and this was in 1976. I started by working in a Medical-Surgical/ Isolation floor for 1½ years. Whe...
  13. Diagnosing versus identifying symtpoms

    Without X Ray interpretation, you cannot state for certain which bone is fractured. You might chart something like this: "Patient presented with 10cmx10cm laceration on inner calf, with edges of bone protruding through skin. Diffuse edema around sit...
  14. Is it covered under Obamacare? - Cartoon Contest Winner

    I voted for Obama. I have had pre-existing medical conditions for 30 years. I was tired of being turned down for health insurance b/c I had arthritis. Or b/ c I had (and beat) breast cancer. I have tried to obtain long-term care insurance since I was...
  15. Is it covered under Obamacare? - Cartoon Contest Winner

    I live in the South and love Obamacare. I don't know if it's b/c I have relatives in England, & have visited it 4 times. So I have seen socialized medicine @ work. You are right. Lots of fearmongers here in U.S.
  16. I am scared to do CPR

    It's normal to be anxious about performing CPR. Don't let your fear stop you from initiating lifesaving measures on a patient. The more you practice, the less anxious you will be. When the code team arrives they will take over. Ask to switch out with...
  17. August 2013 Caption Contest: Win $100!

    Hey friend, where's MY cup of coffee? Did you forget to get me one, too? :coffee:
  18. August 2013 Caption Contest: Win $100!

    What? You didn't bring me a cup, too?
  19. What do you think of 12 hour shifts?

    I started my nursing career a long time ago, and we worked 8 hour shifts, 5 days a week. I did that for 8 years. When our unit introduced voluntary 12 hour shifts, I decided to try them, and loved it. I always worked nights, 7pm-7am. And yes, you rea...
  20. Abdominal IV

    I worked in an NICU for 30 years, and I know that if we could not get an IV in a baby that needed one, we would stick an abdominal vein. This was not a routine occurrence; rather a decision that was made, usually by an experienced NICU nurse, when it...
  21. You know you've been a nurse too long when...

    Uh oh...That's me! We also washed and starched our own caps, and wore these thick white stockings with our uniforms, no matter how hot it was!
  22. Start at a Level III or Level II?

    I would definitely start working at a Level II NICU. You will get the basics of what neonatal nursing entails. You need a good background and experience working with infants who are less ill, so that you know what is "normal" behavior, vital signs, a...
  23. You know you've been a nurse too long when...

    When you can't watch medical shows on TV without yelling @ the screen "How the heck can he be on room air? He just had a crushed chest repaired? And where are the chest tubes? And the IV pumps?" Or you're watching a medical show, and there's a v...
  24. That awkward moment when....

    Oh, thank you. At least I'm not alone! I did that once, then felt terrible about it. Then again, I discreetly look @ every person I meet in public to check out the state of their veins. Especially children, since I worked in Peds. for almost 35 yea...
  25. My first case of NEC

    " One of the early signs of sepsis is lethargy, as Jory described. You may also note a change from baseline v/s: infant hypo or hyperthermic. Usually hypothermic. If the baby is in an Isolette, you may see a change in his baseline ambient tempe...