Mimi2RN

Mimi2RN ASN, RN

NICU

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All Content by Mimi2RN

  1. Choosing a Stethoscope??NICU???

    We used to have scopes for each baby, but they kept walking out the door. I think we have been supplying the various peds offices around town with stethoscopes. Management decided we should all have...
  2. spooky spooky spooky

    A story that my mother told me. When she was young, she worked at a photographers. One day a girl came in to have a portrait taken. Something went wrong, and there was another woman on the print...
  3. Holiday pay, shift differentials???

    Our weekend nights are Friday and Saturday, so we are paid differential for the entire shift both nights. Sunday night is not considered to be a weekend night. On holidays, we receive differential for...
  4. Foley Position

    I don't work in OR but it makes sense to me to have the foley under the leg during surgery, out of the way. It's a short term situation, should not be a problem, as it will be over when the pt goes to...
  5. standard of how many IV attempts

    Good idea, he does help find things but I never thought about veins. I always thought it doesn't hurt to say a prayer. Sometimes it's a miracle when you get one in a baby with no good
  6. We close the doors at 8pm, there is line at the ER entrance security desk, for the next couple of hours. Visiting is restricted, and a phone call is made to the unit to see if someone can visit. If...
  7. Most of my scrubs come from Jasco, they don't shrink much, if any. Only problem with one set was the variation in color between top and pants. I wanted a snap front shirt, but it was on a different...
  8. Betadine? Alcohol? (one, the other, or both?)

    Reading through these, it seems that no-one knows which is the best way to prep. If you have no or very low incedence of infection, is must be that all these methods work. We use betadine then...
  9. Do you or your team members attend deliveries?

    Kristi, a hospitalist is an in-house doc as attending. We have them in adult ICU and peds for MCH. Our peds work 24 hour shifts, rotating so they'll work every other day for several shifts. They work...
  10. Do you or your team members attend deliveries?

    I think I'm glad I'm not dealing with that many docs and baby docs!. Kristi, will you be in a teaching
  11. Do you or your team members attend deliveries?

    We attend high risk deliveries and all c/s. We have a hospitalist with us, used to be an RT, but now that's only when the doc is tied up with something else. Most babies do fine, occasionally they...
  12. Charge nurse duties in your NICU?

    Amy, that sounds like a tad understaffed. Was this very busy for you, or normal? Is this a management problem, you need more nurses but they won't hire any.....like we are, overbudget and short of...
  13. Hospital Acuities.........or NOT!!!

    We have a computer related system called Evalysis. Does anyone else use this? It doesn't make any difference whatsoever to our staffing, but the paperwork is part of the patients hard chart. The nurse...
  14. LPNs in the NICU??

    We don't have LVN's in our level II as core staff. I was told it was related to CCS certification. When we are very busy, we sometimes have an LVN come in to help out, but they can't do
  15. Any buretrol advice???

    Buratrols are used on all our babies and pedi patients. You have to watch the amt of fluid going in, so we don't always change the rate. Most meds can be given through the buratrol if the kids are...
  16. Is a pacifier a chargeable item in your facility?

    Smilingblueeyes, I totally agree. I had one breast fed infant sucked his thumb till he was 12....at that time, only when he was sleeping. His teeth came in straight, and he finally had his wisdom...
  17. Is a pacifier a chargeable item in your facility?

    We do have NUK pacifiers, available for any baby, but they are a charge item. They used to cost $6-$7 apiece.......Now we can't get into the computer program to look up the cost of charge items, so I...
  18. Are you allowed to wear your rings

    Mag...I always wonder what little thing JCAHO will come up with next. You can bet that those inspectors have not often gone for hours without getting a drink or sometimes food.....and who needs a...
  19. The Circumcision Discussion

    We have only one doc (out of about 18) who still does circs in the hospital. I think the majority of our babies in this area are never circed. I know a few docs still do, but several peds send them to...
  20. Are you allowed to wear your rings

    I agree, that is a problem. We have three centrally controlled clocks in the room, and even they sometimes show different times. We also have some battery operated clocks, so someone has to climb up...
  21. Do you nurses get breaks?

    We call it a break if we get to sit, eat and talk at the same time. We still check when alarms go off, though. No matter how organized we are, the docs seem to like a midnight c/s, or we will have to...
  22. Are you allowed to wear your rings

    You must have lots of clocks in your nurseries if you don't wear watches......I find it difficult to look at a clock when I'm checking a
  23. depositions

    Dress well, business attire. The hospital attorney will talk to you first. Did you get chance to look at the chart and strip yet? "I don't remember" is a good answer, and just answer exactly the...
  24. Resting heart rates in infants >5 months?

    We've had newborns with resting HR's in the 80's & 90's. No problems, as long as there is no underlying cardiac problem. Newborns in our nursery are being monitored, and older babies on peds are...
  25. Nurses Don't Accept Gifts

    I have a crotcheted snow flake Christmas ornament made by a cancer patient. I took care of her frequently, she passed away not long after that Christmas. Whenever I take it out, I think of...