Mimi2RN

Mimi2RN ASN, RN

NICU

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All Content by Mimi2RN

  1. Scrubs in NICU

    We wear our own scrubs, home laundered. When handling infants we should wear cover gowns (or a clean blanket on your lap will do). Families don't wear cover gowns any more, unless they have a problem,...
  2. If you make over 100k/year as a nurse

    I have earned over $100k a year for the last few years. I work in a NICU, and I do an OT shift approx x1 a month, sometimes more. We have many mandatory classes and meetings, which means we get paid...
  3. clogs that don't press on top of foot

    I bought a pair from Lands' End called Fellos. They are fleece-lined and solid, I don't have to worry about getting body fluids through the holes. We are not limited to white shoes any more, so I had...
  4. major error in NICU

    It's OK if you have the staff (I'm in California) but as a level II nursery we can have as many as four patients. That is common in our step-down, but three is not unusual in our NICU. Of course...
  5. malpractice insurance?

    They may think that they are using the one the hospital offers, but I don't believe that any hospital would really take care of the nurses if they had a choice! For less than $100 a year, it's worth...
  6. Did you catch a disease while working as a nurse?

    I went to ER with a co-worker for an IV start on a toddler with vomiting and diarrhea. 36 hours later I was vomiting. I haven't had an episode like that in years, and I don't work on
  7. Electronic Documentation for the NICU

    We use a program that was called QS, and since the latest upgrade now has the GE icon. It's used by L & D, post partum and newborn care in both areas, NICU and pediatrics. We've been charting on...
  8. NICU after Med-Surge

    Do you have a NICU in your hospital? If you do, put in a transfer. If not, it doesn't hurt to start looking. It may be several months before you are hired, so I wouldn't worry about being a year of...
  9. Sick time and confidentiality

    We don't ask why someone is calling in sick, if they volunteer the information, that is their choice. It doesn't get documented anywhere. You have to have 45 days between sick episodes, or you will...
  10. vancomycin and peripheral iv's

    Yes, you can give Vanco using a PIV, both in adults and neonates. My Nursing Drug Handbook states IV use, no mention of central
  11. Ordering from Allheart.com

    I've used Redding Medical and Steele's, and been very pleased with both of
  12. Octuplets

    I realize that the babies are supposed to be getting donor milk, but mom says she's going to breast feed. So she can sit and everyone else do the work? Whoever the "everyone else" may be. Her mother...
  13. Night Shift eating habits...

    I eat dinner before I go to work, sometimes it's soup and a sandwich, chicken nuggets, or breakfast. It's rarely a meal that takes any length of time to fix. As long as my DH is fed, he's happy! I...
  14. Gravity Feeds

    Over the last three years we've been told "Use syringe pumps", then "NO syringe pumps". Now the docs are ordering pumps and specifying a time. If they don't, some people use pumps and some don't. As...
  15. Octuplets

    It's amazing how well they say these babies are doing! Not only that they may be ready to go home in two weeks, but that they are already taking bottles! Such baloney. I know what 31 weekers can do....
  16. If your insurance is through your job, the hospital usually prefers that you have procedures done there. We can go elsewhere, but it usually costs more. I've never had a problem being a patient where...
  17. At this point on my life, I am reasonably happy with my salary. I had planned on working for another year, but with some of my retirement coming from a 401k, my plans have changed. I will have Social...
  18. Gravity Feeds

    We always used to hold our feeds, but now we find that a feeding that's 27 cal formula takes a long time to flow in. Now they are hung or given via pump. It worries me to see the nurse not at the...
  19. where to find the drop factor for tubing

    Usually written on the
  20. Does your unit use Vapotherm?

    We have something called Comfort Flow, which is the HFNC. The kids do so much better on it. Sometimes they are intubated, given Curosurf, and then extubated back to CF. It works very well, we rarely...
  21. Level III NICU, low census days q....

    If we are over, and no-one else wants extra help (that means Peds or PostPartum, or occasionally L & D to help with baby recoveries) then we dock. I like to keep one person on call. The first to...
  22. Purchasing Stethoscope through Internet

    I usually purchase stethoscopes from Redding Medical, and I've always had good service. This time I wanted replacement tubing for my neo Littman, and found a good price at Steele's. I was very happy...
  23. Allergies in Eugene?

    As marachne posted, it's the Willamette Valley that has the worst problem. When I lived there, I heard it was the biggest producer of rye grass seed in the world. I was there for 18 years and survived...
  24. What's in your sharps container?

    We have large Pharmacy disposal containers, about the size of a 13 gallon trash can. All meds, IV fluids and attached tubing go into these. We are not supposed to waste any meds into the sink. The...
  25. Methadone withdrawal

    We use Phenobarb and sometimes go to Methadone. Sometimes Methadone and later add Phenobarb. It seems like every kid is different, depending on how miserable they are. If mom is on a Methadone...