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luvmyboys

luvmyboys

NICU
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  1. luvmyboys

    Nurse to manager ratios?

    Hi, I was just wondering if there is such a thing and if so where the guidelines are. My manager is the only supervisor on our unit of close to 100 nurses if you count our travelers and per diems. I am inCalifornia and I searched the cdph website as well as title 22 and the california childrens services website. Thanks!!
  2. luvmyboys

    Help- Moving to private rooms! Need advice!

    I really appreciate everyone's input! The only hospital I am familiar with that has private rooms only has max 2 baby assignments. Since my current hospital does a lot of three baby assignments many nurses have concerns about lack of proximity to their patients. We dont have any techs such as "babyRN" mentioned to help - all of our nurses are fully assigned. Usually even our admit nurse has a light assignment and only one charge nurse. We usually have a relief nurse who covers for breaks but we have to leave the patient's bedside for other reasons as well (prepping feeds, getting meds from Pyxis, talking to a Dr. etc) and so far their is nothing in place to cover at those times - except another nurse who probably also has a three baby assignment. I agree with TiffyRN that the private rooms are developmentally better for babies and families; Im not suprised that research shows this! Much quieter environment and more space. I like that fact that you can control your own lighting because I like to dim the lights when I PO feed but if someone is next to me with a sick kid and needs to have light for an assessment Im out of luck! We are so cramped right now that when we have all the parents in you cant even walk down the aisles! The fire department would have a field day if they saw our unit open to all the visitors! Thanks again!
  3. Hi! The NICU I work in is getting ready to move to private rooms. If anyone has been through this before - how did the actual move day go? What was the process to get all the babies moved over. Was it sickest first or last, how much extra staff did you have, is there anything that you wish had been done differently? Ive tried to brainstorm ideas to bring to our manager but Im sure there are many things Im not thinking of! I also have a question about ratios. We currently have a lot of three baby assignments and we are a little concerned about how that can be safe. If you are nippling or bathing your patient two doors down and one of your other kiddos has a brady how is that handled. We are used to being in one big room and if your hands are tied usually there is another nurse less than five feet away that can jump in and help. Thanks in advance for any information or advice!!
  4. luvmyboys

    Would you even consider a candidate who was terminated?

    I agree that this nurse was not terminated or fired. If the hospital policy is to have all references go through HR then all that HR will likely say is that she is eligible for rehire - and confirm the dates of employment and position held. They will not give a reason for separation from employment, too risky! As previously posted she should say she was looking for a change, or desiring more hours, a benfitted position or something like that. Perhaps a bedside nursing refresher course would look good on her resume and help her confidence?? Just a thought.
  5. luvmyboys

    extension feeding tube use

    Thanks for the reply. It just seems strange to me that it would need to be changed that often when the tube actually going into the patient is used for so much longer. We also use our kangaroon bags for 24 hours and rinse every four. Some nurses choose to hang a new kangaroo bag every shift (12 hours). I'm all for policy changes that protect the patient but also would like to protect the environment if there is no real evidence that it is necessary. Surely the manufacturer would like them changed every feed! thanks again, Julie
  6. luvmyboys

    extension feeding tube use

    Hi, Quick question regarding the extension tubing that attaches to an indwelling NG tube. The NG tube can be left in for up to 30 days per the manufacturer although they rarely last that long. We currently use one extension tube per shift but our CNS recommeded using one per feed which seems wasteful since we flush them between feeds. Just wanted to see what was happening in the NICU community - and if anyone has any available research that would be great too! Thanks!
  7. Hi All, I am an RN with almost 4 years of nursing experience. My original motivation to go in to nursing came from a wonderful oncology nurse I knew as well as a few other personal experiences; but I have yet to work in the field - and Im ready!! I have been applying for positions but, so far, all want experience. Finally last week I was called for an interview!! The position is in a clinic setting - I have never done clinic nursing and I'm not sure if that is the best way to get my start (although the thought of no weekends and holidays is sure nice!). I'm definitely going for the interview but I just thought I might get some wisdom from you who may have experience in either (or both) settings. I hate quitting jobs and dont like to burn bridges so would rather wait for the right opportunity rather than jump at something out of my eagerness to get started. Thanks in advance for your input!
  8. luvmyboys

    Preceptorship in NICU - waste of time?

    Not only will having a preceptorship in NICU help you land a job - it will also make your orientation so much easier!!! I did my last semester clinical in a NICU (equivalent of about 8 weeks full time experience). I didnt land a job immediately in NICU (started out in Mother/Baby) but 6 months later I got a job at a Children's Hospital in a NICU and that experience was sooooo helpful and I think it made me look really good - I was leaps and bounds ahead of other who even had pediatric experience but no NICU! Good luck!!
  9. luvmyboys

    How does your hospital do "On-Call"

    We also get $7 for on call time - we do get time and a half if we are called in - and we get a minimum of 4 hours time if we get called in (very rarely would we use less than four hours when called in anyway). The other day I got put on call at about 1730 for a 1900 shift start then got called at 1830 to report to work. I got time and a half for the whole shift! Yippee : )
  10. Hi, Im currently an NICU nurse but I am very interested in working in pediatric oncology. I have applied for a few positions but they have been able to hire nurses with oncology and chemo experience. I was wondering if it would look better on my resume to have adult oncology experience or if general pediatric experience (like on a peds med/surg floor) would be more applicable? Thanks for any input or suggestions!
  11. luvmyboys

    Nurse full time means?????

    Most nurses work either 8 or 12 hour shifts. I work "full time" which is three 12 hour shifts per week, so 36 hours. I used to work eight hour shifts and was considered part time at 32 hours a week. I guess it is possible that you could work seven days in a week occasionally if your unit was very busy and short-handed but I think that is unlikely and wouldn't happen often if at all. Hope that helps!
  12. luvmyboys

    San diego staff RN pay average with 3+ years exp.

    I work in San Diego and the hospital I work at would pay around $36/hr for a nurse with 3 yrs experience. That is a base rate and does not include differential for nights or weekends. We work 3- 12's so full time is 36 hours a week - and every third weekend.
  13. Peds ICU or ER would probably give you more variety. You will get to care for infants all the way to teens. NICU is going to be more narrow as in just the newborn population (although some chronic kids stay on the unit until they are several months old they all start out there as newborns). I agree with the previous poster about NICU being a world of its own. Just curious - what are the pros and cons you have already come up with? Good luck!
  14. luvmyboys

    Question about checking residuals...

    I'm confused about that too! I have asked but so far no luck!
  15. luvmyboys

    Question about checking residuals...

    What are some of your protocols with regard to checking residuals? We have a nurse who aspirates after the Mom breastfeeds to see what volume the baby took. This not only doesn't seem accurate but just seems wrong to me but I dont have any research to back it up so thought I would seek out the experiences here (we do not have a baby weigh scale). I would love to know at what point you stop checking - for example maybe once a baby is nippling a certain amount or frequency- it seems to me that if a baby is po feeding that often and there havent been any issues with feeding intolerance in the recent past then checking is not really necessary and perhaps even harmful...? I think I was told once that checking residuals can cause emesis? Thanks for your wisdom!
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