littleneoRN

littleneoRN

NICU

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All Content by littleneoRN

  1. How to become a neonatal np?

    We have volunteers and allow
  2. nursing assistants mixing breastmilk

    So if you have three level 2 babies with a tech, and the tech does diapers, vitals, feedings, linen changes, and you do assessments and gavage feeds...what does the RN do during the shift? And do...
  3. smallest micro

    276 grams. Of course it depends on what a person views as a fair to good outcome. If you work in the NICU, you know that's a very relative
  4. Couple of questions...

    We glove for all contact with the patient or their direct surroundings. We only clean our NGs
  5. Is Peds really for me?

    OP, did you take the
  6. Which of these would best prepare me for PICU?

    Reading your descriptions of the two units, I would definitely agree with adult ICU. However, I want to throw in my two cents that that's not necessarily a general truth that adult ICU and PICU would...
  7. Forever greatful parents

    I know sometimes I'm not sure what to say, mainly because I'm not the best at taking compliments. It's what I do, and I know my work is important so I give it 110%. It warms my heart to hear that...
  8. Medical Missions?

    There are also opportunities to go and teach nurses or nursing students in other countries. Your time, efforts, and expertise have unlimited potential to impact the people in that area if you are...
  9. RNC--Low Risk Neonatal vs. Neonatal Intensive Care

    Thanks that is helpful. On the NCC website, they don't use the terms Level II and Level III (although I think it's a rough approximation). I would guess this is because there is such a wide...
  10. Methadone and cleft palate

    I'm surprised that insurance or Medicaid is willing to pay for these stays at your facilities. Not saying that money is a good reason to make a decision. I'm just wondering how this is paid
  11. Methadone and cleft palate

    Well, some of the moms on methadone weren't necessarily abusing illegal substances. Sometimes we get those kids whose moms have had chronic pain issues, and that's why they've been on the methadone....
  12. Methadone and cleft palate

    If our moms aren't in a stable place, complying with their treatment program, and demonstrating reliability that way, they don't get to take the baby home. Of course, we never know for sure, and...
  13. Methadone and cleft palate

    I haven't seen any correlation of clefts and methadone. I have not experienced keeping kids for months due to methadone. We try to get them stable on methadone, and they wean the doses off on an...
  14. Maybe an ignorant question, but I'm asking it anyway....

    As a bedside nurse, I would feel wary about working with a NNP that did not have any bedside experience as an RN. Like previous posters mentioned, the NICU is a very specialized area, and experience...
  15. Why I want NICU-good reasons? (long)

    Yea, for kiddos on ECMO we have a pump nurse and a patient nurse, and the patient nurse is never ever paired. We have lots of kids on conventional vents who are also 1:1, depending on their stability...
  16. Why I want NICU-good reasons? (long)

    Oh my goodness, I totally agree. OP, it's important to find out about staffing if there is an NICU that you're interested in working in. The description of 4 nurses and what, 19 babies, does not...
  17. Outcomes for Periventricular Leukomalacia(PVL)

    We talk a lot at work about MRIs vs. HUS for these kids. I'm wondering if I understand the issue correctly. Leaving the kids with progressing IVH, concerns for hydrocephalus, etc. aside for a...
  18. RDS - please correct me if I'm wrong

    Oops never mind! I re-read the original post and understood what the OP
  19. isolette humidity

    Hmm...interesting. We don't restrict holding just because the isolette is humidified. Do you think this is because it is thought that they wouldn't tolerate being held in a non-humidified...
  20. CPAP, SiPAP, High Flow ??

    We use all three. We consider them progressive levels. We don't use a ton of SiPap, but we might try it on a kid who is failing extubation to CPAP in order to prevent reintubation. Or when we...
  21. NICU Job satisfaction?

    I think another thing to consider is variation from facility to facility and also region to region. I am fortunate to work in a part of the country with pretty high standards for healthcare and...
  22. Gravity Feeds

    I won't beat a dead horse about age and work ethic, but as a preface to my reply... I am 26. I consider myself to have a strong work ethic, sometimes maybe a little too strong in that I need to tell...
  23. Possible Phone Interview

    I think that if you feel like these are hard questions, I would spend some time thinking about them and preparing some possible answers. In addition to having had many interviews of course, I've also...
  24. rotating shifts?!

    I don't know that rotating is much worse than working straight nights *if* you're one of those who sleeps at night on your days off. Either way you're still rotating your sleep schedule back and...
  25. Question about your unit

    We have roughly 100 beds total for Level II and III. We have 5 NNPs and 4 Neos during the day. There is always always always a neo in the house and at least one, usually two NNPs 24/7. No residents...