Mimi2RN

Mimi2RN ASN, RN

NICU

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All Content by Mimi2RN

  1. Calling in sick over a cut finger?

    Years ago I had a cat bite on my thumb which had to be sutured. Instead of work that night, I had to go to ER. I was told I could not work with a wound like that on my hand and I was off work for over...
  2. At what point do you stop trying to stop labor???

    NICU point of view.....they are delivering them. After all, they are 35-36-37 weeks. They'll be fine! Maybe they are,
  3. Problem with Hep B Titer

    I didn't have to repeat the series after I had a negative titer, it only took one more
  4. Low Census

    Actually, there has been no change in the delivery rate (350-400 a month), but rarely do we see moms with no PNC. We are the only hospital in town. The few that transfer to our Children's hospital...
  5. Immunizations for NICU patients

    We frequently give the 2-month vaccinations over a few days, it seems to be easier on the babies. And the same for one of my
  6. Low Census

    So where do you live? We are in central California. Our census has been down since about last September. Staff are called off way too much, it's hard when you lose a day or two every paycheck. We...
  7. drug screening patients

    We do similar testing on the moms, and on the babies, too. And I've seen mom negative and baby positive and vice versa. We also frequently do mec screens, as even a negative urine test on baby can...
  8. bullosa baby

    Here are a couple of good sites for information. http://www.debra.org/ http://www.ebkids.org/ I did a little research after we had a second sibling deliver. Both babies were transferred to the...
  9. Full term grunting baby with good O2 sats

    If the baby has just delivered, pink, cried appropriately but a little grunty when quiet (you know what I mean). Give the baby a chance, put it skin to skin on mom, and let the labor nurse watch it....
  10. Tylenol for newborn fever?

    For us, temps that stay consistently low, 96-97.5 or so, during the recovery, are cause for concern. A baby that has to stay in an isolette for several hours is a worry. That being said, we have a ped...
  11. Do you have a baby nurse at delivery?

    I work in a NICU. We only attend high risk deliveries, which in general includes known mec deliveries, pretermers up to 36 weeks, mitey vac and forcep deliveries, and deliveries of infants who are...
  12. You can take in the paperwork for your license renewal, but you will get it in the mail. They told me 5 days, and that's about what it was. Two years earlier, I sent in the paperwork, heard nothing....
  13. POC Testing in the NICU

    We used to do our own hemocults, but now we can't because we can't do a QC on them so we have to send them to lab. We were told it was a JHACO thing. Therefore a test that would have had a result in...
  14. I'm thinking about retirement, I'll still have my license, and also my BLS and NRP will still be good. Even at my age I'm keeping my options open. I've been wondering about my malpractice insurance,...
  15. CNA While Getting ADN?

    After our first term in nursing school we were qualified as CNA's. After that, I worked as a CNA until I graduated. I found it really helped with my education, the basics became routine instead of...
  16. Nicu Med Test

    Sometimes med tests and calculators don't cover what you need to know. Have you ever seen a wrong med ordered (and given for 3 days). No-one connected the dots. The dose was correct for the med that...
  17. Question about IV push meds

    We don't unhook the tubing, just stop the infusion, flush the line from the closest port, push the med through that port, flush again and restart your infusion. That's OK with TPN, but remember some...
  18. Our PICC orders are for Fentanyl or Morphine, but sometimes they don't need anything and sometimes the meds don't seem to help at
  19. Volunteering......Good or Bad??

    I volunteered before I thought about the nursing program. I worked on the OB/Peds unit, one evening a week. Basic stuff, answering the phone, call lights, they didn't have an evening US. I put...
  20. Buretrols or Not

    Our Peds unit quit using buretrols when they changed to Alaris pumps. And we all hope the pumps behave. Meds could be mixed in the buretrol, and flushed through without adding extra fluid. In the NICU...
  21. My son works in a restaurant, has always had a steady job, since he was 19yrs old and moved away from home. They have 90+ employees, I don't know how many f/t, though. They offer zero health...
  22. Help! How do I sign my name??

    Initial of first name, last name, then RN. It's all you need for most
  23. sucrose for sedation

    We also give it to hypoglycemic infants that can't be given formula. It'll bring the sugar up so you don't have to stress about getting the IV in. Not all babies are co-operative when it comes to...
  24. somethign to help prevent scarring

    Try Kelo-Cote, it's a scar gel. That's what I'm using on my incision following surgery for a broken arm. My doctor suggested something with silicone could help. It's not cheap, but I found the best...
  25. Uniforms and dress codes

    When I first started in the NICU, I was given 2 sets of scrubs and a scrub jacket. Every year for about the next 10 years, I was given 2 sets of scrubs. Then, as a cost saving measure, they decided...