littleneoRN

littleneoRN

NICU

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All Content by littleneoRN

  1. pulling ob nurses to other floors

    littleneoRN replied to mamaofsix's topic in Ob/Gyn

    I don't work L & D, but I think the same question can be applied. We have ECMO team members and floating helpers who are out and about in the hospital and they come into our NICU. In addition,...

  2. TCB's

    littleneoRN replied to scrubnurse's topic in Ob/Gyn

    We don't use the TCB, but in regards to serum bili. I have worked at two facilities. Both turn the bili lights off, neither draws in a darkened room, and one puts the bili in an amber tube. (The...

  3. Will i have the same chances of being hired if i get a ADN?

    littleneoRN replied to RedXIII_'s topic in Diploma, ADN, BSN

    With all due respect, this is false information. First of all, anything is not possible just because you have experience. There are roles that require advanced degrees, certifications, or other...

  4. Will i have the same chances of being hired if i get a ADN?

    littleneoRN replied to RedXIII_'s topic in Diploma, ADN, BSN

    My hospital is one that will state a preference for BSN prepared nurses. Yes, we still have a significant percent ADN nurses. HOWEVER, this includes many nurses who have been working there for 20-30...

  5. Dispel a rumor OR validate a truth...

    littleneoRN replied to gapelaez's topic in Diploma, ADN, BSN

    Can you enlighten me on the logic of only hiring nurses with ADN but not nurses with a BSN? I know that in specific towns sometimes there may be a sub-par BSN program but a great ADN program, which...

  6. Living in WI

    littleneoRN replied to Anikka's topic in General Nursing

    This might true at your facility, but it is not true at my facility or any that I interviewed with before I got this job. All offered a differential for BSN vs.

  7. Started a blog

    littleneoRN replied to SARAHRN2003's topic in Ob/Gyn

    Trixie, My experience as a nurse and a family member/friend is to try to be there when family has chances to talk to the doctor or nurse. It's not your specialty, but you may have a better idea...

  8. lpn wants to be lactation consultant

    littleneoRN replied to bloomscoot's topic in Ob/Gyn

    In my state, patient education is not in the LPN scope of practice, so lactation consulting would probably not fall in the LPN scope of practice, even with the additional education. On the other...

  9. Who came up with the idea of 12 HOUR SHIFTS?

    littleneoRN replied to Epona's topic in General Nursing

    I prefer 8 hour shifts because I have time each day outside of work to have a life. Our facility offers both in every unit, so for the most part people have what they want. This seems to work well....

  10. Closed Med System to prevent central line infections

    littleneoRN replied to neonurse12's topic in NICU, Neonatal

    Hmmm...I guess a slow push over fifteen minutes isn't that different. We flush them in over 30 minutes, but we put them on a syringe pump for reliable, non-hurried administration that allows us to...

  11. How are RNs with Entry-Level MSN degrees received?

    littleneoRN replied to MiahMSN's topic in General Nursing

    The work you do as an NNP vs. a FNP don't have very much in common. If the OP is interested in being an NNP and actually understands what a typical day is like for an NNP, then I would say it's not...

  12. Closed Med System to prevent central line infections

    littleneoRN replied to neonurse12's topic in NICU, Neonatal

    We use a closed medication system, and I like it. I like that you can draw up flushes for your line without breaking the line. I'm not sure what you are asking about pushing medications. We don't...

  13. PPH and REDHEADS?

    littleneoRN replied to rtadpole's topic in Ob/Gyn

    http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1351323/ Not directly applicable, but an interesting

  14. Things you would like the ICU to understand

    littleneoRN replied to I_LOVE_TRAUMA's topic in Emergency

    Is this healthy? For the nurse, the patients, or the rest of the staff? I hope neither our ICU nurses nor our ED nurses push themselves to the max like this all the time. A nurse who has eaten...

  15. Going from Adult ICU to NICU

    littleneoRN replied to LeLeeFNP's topic in NICU, Neonatal

    I think the biggest thing will probably be forgetting your knowledge of physiology and issues without really forgetting it. Meaning that they're still little human beings, but things are working...

  16. What do you do with the rashes acquired from phototherapy?

    littleneoRN replied to Julie Basilio's topic in NICU, Neonatal

    Generally nothing. They seem to heal well on their own. Rarely, we'll see a severe rash with open sores, and dermatology and/or our skin care nurse will

  17. Closed medication system

    littleneoRN replied to Julie Basilio's topic in NICU, Neonatal

    We use clean gloves for all patient contact. Long nails and any chipped or opaque polish is not allowed. That means everyone, even the rounding docs. They are pretty compliant. Anyway, we do not...

  18. What did I do wrong?

    littleneoRN replied to carebearsRN's topic in MICU, SICU

    Ok, I know I work in the NICU, so I'm a bit out of my specialty. But, I couldn't disagree much more with this. There is a big difference between shadowing and being able to perform a detailed ICU...

  19. Buretrols or Not

    littleneoRN replied to ChrisF's topic in Pediatric

    We use the Alaris pumps, and I haven't experienced discrepancies with what the pump reads for volume infused vs. what seems to be gone from the bag. The only issue I've noticed is that when I program...

  20. What do you use for pain control for PICC insertions?

    littleneoRN replied to ICN_RN's topic in NICU, Neonatal

    Fentanyl and Versed always unless they don't have any other access in which to give it. May possibly be redosed if no effect depending on the

  21. Magnesium sulfate and procardia

    littleneoRN replied to theamberdawns's topic in Ob/Gyn

    It doesn't sound like the patient in question had BP

  22. Staffing Ratios getting thinner - "its the economy stupid!"

    littleneoRN replied to Redneckmedic63's topic in PICU, Pediatric

    4 to 1? I hope this is just a laugh and not the truth in any PICU unless they are kids waiting for beds on the floor. Even our peds med-surg floors are 3:1--or 2:1 or 1:1 if they have a trach/vent...

  23. Your NICU's protocol for cleansing IV ports

    littleneoRN replied to minky84's topic in NICU, Neonatal

    I don't understand the sterile gloves for IV meds either. You are cleansing the port, which has not and will not be sterile. You shouldn't be touching the end of the port with your gloved hands,...

  24. sucrose for sedation

    littleneoRN replied to soprano3's topic in NICU, Neonatal

    Why can't these infants be given formula? Sweet-ease is not designed for consumption more than small drops (I think our policy says 0.05-0.5 ml up to eight times per day). This amount will not bring...

  25. Temperature questions and weaning to crib

    littleneoRN replied to chescat58, RNC-NIC's topic in NICU, Neonatal

    25.5 degrees celcius...oh my! That is 77.9 degrees farenheit. I could not work in an environment consistently that warm! We keep our nursery 70-72 typically with a hard limit of no lower than 69...