Mimi2RN

Mimi2RN ASN, RN

NICU

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All Content by Mimi2RN

  1. Is your first temp on a new admit..

    We do a rectal for the first temp. Recently had a baby with what was termed a blind pouch, although it did start to have a smear of stool. The baby had multiple
  2. Name a NICU product you couldn't do without

    That's our mix, too. It works well, and the price is
  3. 4200 deliveries/year In-house anesthesia coverage 24 hrs, unless it's really quiet (no laboring patients), then they get to go home. No-in house OB coverage 24/7 Pediatric
  4. filter needles

    We have filter needles, which traditionally are used for drawing meds from ampules. Unfortunately, a student nurse used one of our plastic "needles" used for IV tubing to spike a vial. She was...
  5. Fresno...Fresno...Fresno

    Just be aware that it gets HOT in the Central Valley in the summer. But we don't have hurricanes, or devastating tornadoes. Snow usually stays in the Sierras, and we don't have major problems with...
  6. tips for working with *difficult* families

    We call in our social worker (the hospital has one in the building until 0200). That can help to defuse a situation. Managers go home in the afternoon, and that's not much use to us. We had two...
  7. If we wore scrubs provided by the hospital, laundered by the hospital, and had a usable locker room, I wouldn't be wearing my scrubs coming and going. But who wants to wear scrubs washed in the...
  8. Shift You Like Best

    I work 3-12's, 18-0630, love it. Sounds like you have to work 8 hour shifts, I suppose the best would be days. Night shift, I only got 2 nights off in a row every other weekend. Other than that it...
  9. Blood glucoses

    That's where we are right now. It's a Unit Based Council
  10. Blood glucoses

    What is your protocol for checking blood glucoses on NICU babies? We do a PCX/onetouch/accucheck q shift when the baby is on TPN. We have to do this even when the baby has an am lab draw for a renal...
  11. To paint or not to paint... cords

    Our policy is "alcohol to cord q 8 hrs prn". As I found out several years ago that it takes longer for the cord to fall off if you use alcohol, I decided that I didn't HAVE to use it with the prn...
  12. Blood glucoses

    Thank you all for your responses. I'm hoping that we can reduce the number of heelsticks our babies suffer. I've been looking online for any Evidence Based info, but I have not been very successful....
  13. In-hospital MDs take pressure off physicians

    We love having our pediatric hospitalists. It's a great improvement over calling in the "on-call" ped, having them drive in, and if we were lucky be there for the problem delivery. We still have to...
  14. Thousand Oaks, CA area????

    Not far, depends on the time of day. 20-30 minutes, an hour if it's the morning or evening commute and you get stuck in traffic. You can go over Topanga to Malibu, and north or south along the coast....
  15. Overwhelmed...!! Starting pre-reqs in Eugene

    I worked as a volunteer at the hospital in Albany, before I went into the Nursing program. They had an office with a real person, not an answering machine. I worked on two different services, one as a...
  16. Preemie Magazine

    I've received several issues, and handed them on to moms of premies. I'm hoping to start getting the drop shipments for our dept.....Sometimes it's hard working night shift and rarely seeing your...
  17. Can someone explain CRP test?

    We'd have treated a kid like that, too. We don't use the CRP as much as we used to do, though. The funny thing, one of our docs will sometimes hold off on starting abx therapy when we have a higher...
  18. Thermometers- personal or shared?

    We use the cheapie digital thermometers, each baby has one (and sometimes two or three). If baby has been admitted to the floor, one is in the admit kit for newborns. If they are a direct NICU admit,...
  19. "Older" nurses and 12 hour shifts

    I'm 63, i've done 12 hour nightshifts for 15 years, and a split before that. I found 8 hr night shifts exhausting. There was never enough time off. I only had 2 nights off together every other...
  20. Who's working all of the holidays?

    Letina, are you working days or nights? I work night shift, and we count Thanksgiving eve ( the night before the holiday, that counts for our Holiday pay) and Thanksgiving Day, Christmas Eve and Day...
  21. How long have you worked nights?

    Nearly 15 years in this job, 18-0630, and either nights or a split before that. I don't do well getting up early. Even when I'm off, it's usually 1-2 am before I go to bed. I've done a few day...
  22. Do you use warmer beds?

    We have a hospitalist who orders an isolette for loud babies who would normally be in a crib. He considers them disruptive to the other sicker babies. It does reduce the stress
  23. Is Everybody Moving to California?

    Jeff, I'm sorry that you lived in Cali for a whole 2-3 months, and found the desert in the middle of Cali. I live in an agricultural area in the Central Valley. It's hot in summer, but right now, it's...
  24. what the heck are medical assistant schools doing !

    I have no problems with MA's working in a Doctor's office. My only complaint? I don't know who is who. No-one wears a name tag, I don't believe I've ever seen one that says "Medical Assistant". The...
  25. I've used Red Rose for years, I have to be really desperate to drink Liptons! I even keep a little tea caddy full of Red Rose at work. There is a real lack of understanding about using BOILING water,...