Mimi2RN

Mimi2RN ASN, RN

NICU

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All Content by Mimi2RN

  1. Rationing Health Care for Seniors

    I'm happy that you actually have a doctor and an insurance company. Many people don't have that luxury. My son works in a restaurant, and like many other working poor, he has no insurance. That means...
  2. binders

    I had surgery with an incision from pubic bone to umbilicus (excision of patent urachus). I was given a belly band, and it made walking much easier. I think more patients should be given a support...
  3. On Call Pay

    $6.00 per hour, time and a half if we get called in. I don't mind being on call, even if I have to go in. A few years ago we didn't get anything and had mandatory call. We also have mandatory docks,...
  4. "huddles"

    Day shift leads go to hospital wide "huddle" every morning. Our MCH group has huddle late afternoon to deal with night shift staffing in our areas (L&D, PP, Peds and NICU). We have a float team...
  5. Your NICU design - love it or hate it?

    We will be doing the same thing in the next couple of years. I doubt that we will have much say in the plans, as the last new units have been good and bad. One of our requests won't happen. Windows!...
  6. Failure to thrive

    No milk products in this baby's diet? No complete proteins or fats? Sounds like it is on a downhill slide. I can see why they want to start tube feeds. If that is the only problem, the baby is...
  7. 3 baby assignments

    It's not unusual for our stepdown nursery to be staffed 1 nurse to 4 babies. We try to keep the ones with IV's, TPN, HFNC in the NICU, but if we have had many discharges, some babies are transferred...
  8. What does the NCLEX want for RSV? Contact or Droplet?

    Adults can get RSV and infect their preemies, and the infected preemies in our department are transferred to Peds. We had a baby last year who had a parent with a cold, became RSV+ and was transferred...
  9. Reporting violations of the law?

    We get Social Services involved whenever mom is 17 or under. They will contact CPS if dad is older. One stable, mature 17 y/o mom was told that she could not live with the 20 y/o father until she was...
  10. I like Thorlo walking socks (white socks). They have some support on the foot, and are nicely padded, but won't work if your shoes are snug. I also sometimes wear Smartwool socks. I'm used to shopping...
  11. Carseats for premies less than 5 pounds

    We loan carbeds to the ones who fail the Challenge test twice. Usually they are only needed for a few weeks. It doesn't often
  12. Infant Hearing Screening Tech

    We have techs doing our hearing screens. We have 350-400 deliveries a month, so it's a big help having them. I don't know what the pay is,
  13. ? Crede' of the Bladder

    It's not a painful procedure. If you place your fingertips above the level of the pubic bone and massage inward and down, urine will drain out. I learned to do that to empty a bladder during...
  14. Dual UVC catherter

    We have tubing that starts out with a single spike but separates into two catheters for dual lumen UVC's, so we only need one bag. We can go as low as 1ml/hr on each side, so there is no need to stop...
  15. Gavage Feeding Policy Revision

    The only truly accurate way of checking placement is an Xray. As those are not done on most babies, we go by aspiration, auscultation, and common sense. An OG at 16cm at the lip or nare, on a 18"...
  16. Off The Wall: Nurses & Sticks

    No, I don't like having lab draws, IV's, and I never did. I would rather give than receive! One thing I really detest is NG's, and I can totally sympathize with the baby on the receiving end (I work...
  17. Last year, zero. This year, two. If we use three or less, they cash out up to three days of unused sick time at the end of the financial year. We can also take it as vacation time and if I had signed...
  18. Is it safe to start out with an ADN?

    My ADN has served me well. I've been an RN for 23 years, and I have no desire to go into management. There were no BSN programs where I lived as a single mom, so that was not a factor. Pay is the...
  19. Extra pay for charge?

    We get $2 extra an hour, should be more, but it sounds like that's
  20. Stalked and Tackled: The chicookie story

    I think you have had plenty of suggestions about the maintenance guy, and I agree, if he continues the same behavior, talk to your boss. As far as being tackled in the hallway, did that get reported...
  21. Anyone ever adopt from their NICU?

    Years ago a nurse adopted one baby from our hospital, and a doc adopted another. Since then we've been told, never again. If the situation came up, it would be interesting to see what happens. The...
  22. Go to the BRN website, there is probably a place to contact
  23. Dog walker?

    I agree, volunteers would be a big help, but not on night shift. Get a Social worker involved, if the patient or a family member can't walk the dog, somebody has to do it! The poor dog has to go potty...
  24. Proper Disposal of Meds

    We use a blue bin, too. It's for everything, including TPN and other IV fluids and tubing. These pharmacy containers are sealed and
  25. Retiring, what is that?

    I'm almost 66, originally thought I'd retire this year, but due to the state of my 401k, I'm staying another year. My other retirement plant is related to my base pay in the last three years of...