littleneoRN

littleneoRN

NICU

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All Content by littleneoRN

  1. RT-br sounds assessment

    littleneoRN replied to eurith's topic in NICU, Neonatal

    Unwrapping the tube? What do you mean by

  2. Do any nurses work "normal" hours??

    littleneoRN replied to KKB243's topic in General Nursing

    There are many many places that have 8 hour shifts. Yes, that's five days a week, but that is what you do in most full time jobs. I think there are geographical pockets where you might only find 12...

  3. Frustrated RN returning to the field

    littleneoRN replied to pbirdy's topic in General Nursing

    I don't know if it has much to do with experience, lack of experience, or absence from the field. Look around at the economy and notice that the jobs aren't exactly abundant right now. It's not just...

  4. Do you ever plan on leaving the bedside?

    littleneoRN replied to ajaxgirl's topic in General Nursing

    I plan to become an NP at some point, but not because I want to get away from the bedside. I've just always been attracted to that role. Funny thing is that I think I will probably miss the bedside...

  5. IM injections

    littleneoRN replied to allie136's topic in General Nursing

    Working with the small population I do, I have hit bone on more than one occasion. I have been told that the patient should not feel anything different if you hit bone, just to pull back before...

  6. Emergency Equipment (Couplet Care)

    littleneoRN replied to RNmommy's topic in Ob/Gyn

    Scary...

  7. RN duties in the NICU

    littleneoRN replied to BrayaRN's topic in NICU, Neonatal

    We attend deliveries and go on transports WITH and NNP and usually RT. We do not intubate or put in lines. I know this is something many units give their nurses additional training in, but it makes...

  8. Curious...using the title "Doctor" for a DNP...

    littleneoRN replied to justme1972's topic in Doctoral Nursing Degrees

    LLG, although what you say is true, what is is. I guarantee that telling someone you are Dr. LLG, their nurse for the day will be clear to some and clear as mud to others. I have clinical experience...

  9. Switch to NICU/Neonatology

    littleneoRN replied to CollaborateRN's topic in NICU, Neonatal

    I don't know anything about nurseries "shutting down." Ours is alive and well. Typical stay for a healthy newborn in our facility is 2-4 days, most dependent on whether mom had a CS or a vag...

  10. Tape use in Neonates

    littleneoRN replied to cagedbear's topic in NICU, Neonatal

    We use clear tape because it sticks well, and it's transparent. Or at least as transparent as tape comes. Transparent dressing and tape is important for allowing you to assess your IV site. We put...

  11. Pregnant NICU nurse

    littleneoRN replied to wensday's topic in NICU, Neonatal

    I don't think the OP said she wants to deliver tomorrow as much as just to know that her midwife won't let her go to 42 weeks. I can

  12. Transduce or not transduce?

    littleneoRN replied to kalamazoo's topic in NICU, Neonatal

    I don't have any evidence/articles, but I think one huge benefit of always transducing is that monitoring pressure with the appropriate alarms would not only alert you to physiologic low blood...

  13. Measuring urine output

    littleneoRN replied to 3yrDiploma's topic in NICU, Neonatal

    Every baby here gets strict I & O with diaper weights, Level II or Level III. We are to watch overall fluid balance with each assessment and would generally like to see at least 2

  14. busy or slow

    littleneoRN replied to nicu4me's topic in NICU, Neonatal

    BUSY BUSY BUSY here all summer. And there's been a run on higher order

  15. PTSD for NICU Parents

    littleneoRN posted a topic in NICU, Neonatal

    Someone decided to do a study of what we already know. That having a baby in the NICU is traumatic for parents. I would love to see more family support...in the form of staffing that allows time for...

  16. the oldest baby in your level 3 nicu

    littleneoRN replied to nicu4me's topic in NICU, Neonatal

    In our facility, level II care is 2-3 thousand a day for just the base charge, not including meds, radiology, lab, etc. I don't know, but I can only imagine what level III costs... The thing that...

  17. Range of practice in NNP vs Neonatologist?

    littleneoRN replied to nohika's topic in NICU, Neonatal

    In my facility, NNPs are the rounding practitioners on all Level II babies. They do review rounds with the physician in the afternoon, but changes from the MDs are rare. So the NNP examines the...

  18. 24 Hour Visitation

    littleneoRN replied to nakeia's topic in NICU, Neonatal

    Well, that's why we step away if there are parents nearby. Depending on the size of the room, we may step across the room or even out of the room as needed to protect privacy. Of all our day, I feel...

  19. 24 Hour Visitation

    littleneoRN replied to nakeia's topic in NICU, Neonatal

    We have 24 visiting anytime for parents. No restrictions. We would only ask them to leave for things like bedside surgery or cath procedures. Report is given at the bedside, but will step away as...

  20. High Census Question

    littleneoRN replied to Eyeknit's topic in NICU, Neonatal

    We can float staff between neonatal units. We also have a float team to draw from (being a Children's Hospital). We have been full to the brim and seeing lots of all of the above...overtime, casual...

  21. What is your day like as a Postpartum nurse?

    littleneoRN replied to neonurse97's topic in Ob/Gyn

    I very much agree that there is usually something you can be doing! On the other hand, having nothing to do and being bored aren't necessarily the same thing. If I have a big chunk of free time, I...

  22. the oldest baby in your level 3 nicu

    littleneoRN replied to nicu4me's topic in NICU, Neonatal

    Interesting. We have a unit dedicated to longer-term, chronic care kind of kids in our hospital. And there they stay until insurance and the home care agency have worked out getting nurses hired and...

  23. the oldest baby in your level 3 nicu

    littleneoRN replied to nicu4me's topic in NICU, Neonatal

    Hmmm...interesting. I don't think we ever discharge to a long-term care facility. We keep them until they can go home with home care if necessary. So our chronic trach-vent kind of kiddos go home...

  24. Monitoring system

    littleneoRN replied to cymruusa's topic in NICU, Neonatal

    This sounds like something that should be reported on a safety basis! As a nurse who works more Level II than Level III, I don't necessarily see a problem with a Level II having something newer than...

  25. the oldest baby in your level 3 nicu

    littleneoRN replied to nicu4me's topic in NICU, Neonatal

    Our "policy" is 12 months. However, if we're short bedspace, the older chronics 5+ months are often moved to PICU or a peds floor as appropriate to make space. Or sometimes we just feel those areas...