littleneoRN

littleneoRN

NICU

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All Content by littleneoRN

  1. New PDA Treatment Recommendations??

    littleneoRN replied to lvnurs9's topic in NICU, Neonatal

    I would be interested to see these studies. What factors and outcomes are they considering? There are a lot of side considerations. e.g...If you have a symptomatic PDA that is slowing down your...

  2. 3 baby assignments

    littleneoRN replied to MA Nurse's topic in NICU, Neonatal

    Our Level II consistently has 3 patient assignments and sometimes has four. If you have two, you are up for admit for sure (while keeping your two patients) and can also be asked to admit if you...

  3. 3 baby assignments

    littleneoRN replied to MA Nurse's topic in NICU, Neonatal

    So RainDreamer, if all the kids in your unit are "real sick/unstable," and the kids on the intermediate side are on full feeds and off IVs, where are the rest of the kids? Kids who still have IVs,...

  4. Carseats for premies less than 5 pounds

    littleneoRN replied to PremieOne's topic in NICU, Neonatal

    If they can eat, gain weight consistently, stay warm in a crib, and no other issues, they get to go. No weight limit. Now, we all know that most kids at 1400 grams are less than competent at a least...

  5. Carseats for premies less than 5 pounds

    littleneoRN replied to PremieOne's topic in NICU, Neonatal

    We used to loan carbeds. However, the concern came that people aren't supposed to use used corificeats from other people because you don't know if it's ever been in an accident. If we are loaning...

  6. Carseats for premies less than 5 pounds

    littleneoRN replied to PremieOne's topic in NICU, Neonatal

    Our car seat techs almost uniformly tell parents not to use the pre-made bumpers for premies because they are not size appropriate. They will approve kids to go home in corificeats labeled for 5...

  7. 3 baby assignments

    littleneoRN replied to MA Nurse's topic in NICU, Neonatal

    We can have three baby assignments if they are truly Level II and ready for transfer out. But that doesn't happen very often because we try to mix kids by acuity. So it would be unusual to have...

  8. Giving Nursing Students a Taste of NICU

    littleneoRN replied to SteveNNP's topic in NICU, Neonatal

    If nurses got extra pay to train, then you'd have some people doing it for the money. Eagerness for the money does NOT translate into welcoming attitude and going the extra mile to give a new nurse a...

  9. Life is too short to be this stressed

    littleneoRN replied to missninaRN's topic in First Year After Licensure

    The thing is that it is not this way everywhere. Sadly, many places are this way, especially adult med-surg floors. We need change there. But know that not every job in the hospital needs to mean...

  10. Do you love nursing or hate it???

    littleneoRN replied to ysin's topic in General Nursing

    It is sad for me to hear so many negative feelings because almost all of them are not fueled by the actual job of nursing but by toxic working environments, poor management, and just plain terrible...

  11. 5 weeks pregnant...restrictons??

    littleneoRN replied to kdaniels90603's topic in General Nursing

    CMV is of concern for pregnant women. You should not take care of a patient with CMV concerns. And since it's in urine not so infrequently, be extra good about gloving if you're normally not.

  12. What do you think a fair salary would be for a RN?

    littleneoRN replied to ohcomeon's topic in General Nursing

    I think that I live in an area with generally higher pay for nurses than many other areas of the country. I am very happy with the pay that I receive for having two years of experience. I don't have...

  13. Likelyhood of finding NICU jobs straight out of college from a BSN program?

    littleneoRN replied to ShelbyMaser's topic in Pediatric

    There are many posts about this in the NICU forum here. Check there for much more information. The short answer is typically yes, many hospitals hire new grads for the NICU. The longer answer is...

  14. Holding with UAC/UVC lines

    littleneoRN replied to HurleyRN's topic in NICU, Neonatal

    The presence of umbilical lines does not in itself have bearing on whether a baby can be held in our unit. Generally umbilical lines our access of choice in both preemies and terms requiring Level...

  15. Being eaten alive!

    littleneoRN replied to teensmom's topic in Ob/Gyn

    This sure doesn't help anything at all. As a not quite new nurse but still one with much to learn (and excited about learning it), I know it didn't take long to start sorting out who was and wasn't...

  16. Low census anyone?

    littleneoRN replied to Humbled_Nurse's topic in NICU, Neonatal

    I want to understand more about your facilities that you say run overfull. When our Level III is full, we find some kids who could be ok moving to Level II, either ours or transport out to a...

  17. Safe Sleep NICU practices

    littleneoRN replied to Hannahrn's topic in NICU, Neonatal

    We have a lengthy safe sleep policy and did extensive education a few years back. By 34-35 weeks, unless otherwise indicated, all infants are transitioned to supine only sleeping. This is more...

  18. heparin 2 units flush

    littleneoRN replied to smilesrn22's topic in NICU, Neonatal

    I believe there was a Cochrane review done suggesting that heparin flushes are no more effective than saline. But to respond to the OP, I think you need to check your facility's flush policy as every...

  19. Do even pediatric nurses get jaded?

    littleneoRN replied to ACRN06's topic in Pediatric

    Also remember that these cute little people sometimes come attached to those some kind of people that burn you out....they're called parents.

  20. Length of Nicu Admission

    littleneoRN replied to helicoptergal's topic in NICU, Neonatal

    It is extremely unusual for us to send an infant home with an NG tube, and most families who have taken one home have eventually come back to tell us it was more stressful than it was worth. This...

  21. Giving Nursing Students a Taste of NICU

    littleneoRN replied to SteveNNP's topic in NICU, Neonatal

    Ha ha...you sounds like at least half the dads in our unit. It's one of my personal joys to help dads past this fear, and I haven't had one yet who didn't love holding once he actually got up the...

  22. They have won. I cried for the first time.

    littleneoRN replied to gwendolyn207's topic in MICU, SICU

    So, Gwendolyn? Wondering how things have been over the past month since you last

  23. I canceled my shift this morning...

    littleneoRN replied to zakuro's topic in MICU, SICU

    If you decide to talk to your manager, I would suggest not saying this... Because I think we know what you mean, in that you're looking for more challenge and acuity. But any patient assignment...

  24. Will the NICU limit me in the future?

    littleneoRN replied to ToughingItOut's topic in NICU, Neonatal

    Hi! I think that if a person works in PICU, they could pick up on the peds floors. But as a new nurse out of school, I do not think it would be recommendable to take a full position in NICU or PICU...

  25. UAC line question

    littleneoRN replied to Cassideca's topic in NICU, Neonatal

    To clarify, are you saying that you use your UAC to infuse