littleneoRN

littleneoRN

NICU

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All Content by littleneoRN

  1. Pediatric ER

    littleneoRN replied to fhgrl123's topic in Pediatric

    Hi! I don't work in an ER, but I have friends who work in a kid's ER. So here is a little of what I know--maybe some people can add to this. The answers to your questions really depend on the...

  2. Hello and question

    littleneoRN replied to HeatherTN's topic in NICU, Neonatal

    I read that you already have a bachelor's degree. You might want to look into accelerated nursing programs. There are many different programs, and the details are different for each one. But...

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

    littleneoRN replied to justme1972's topic in Doctoral Nursing Degrees

    I agree! And I'm glad to help them untangle who's who. It just seems like a lot of posters think that the average patient and family know things like the differences between MD, DO, PA, NP, etc....

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

    littleneoRN replied to justme1972's topic in Doctoral Nursing Degrees

    It seems like there is a lot of concern for the "right" to be called by the title one has earned. I speak from the perspective of a bedside nurse who hopes someday to return to school to get a DNP,...

  5. Blood Sampling

    littleneoRN replied to lvnurs9's topic in NICU, Neonatal

    Does anyone have a reference for the guidlines on on amount of blood-letting...um, I mean blood sampling volume per day? I have had concern about this before but haven't been able to find a solid...

  6. aminophylline

    littleneoRN replied to mawjood's topic in NICU, Neonatal

    We use aminophylline intially and then transition to caffeine if it appears the need may be longer term, especially if it's likely they may need it on discharge. We never use theophylline--I have no...

  7. Well baby nursery at night

    littleneoRN replied to akacyndi's topic in Ob/Gyn

    I think that the nursery charge isn't specifically for the physical nursery, although that's part of it. It's for the baby nursing care, general supplies (blankets, bulb suction, etc.), and operating...

  8. pt. suspected drug user

    littleneoRN replied to mslema's topic in Ob/Gyn

    I think that the comment about allnurses not being private is meant to remind us that we are sharing information for anyone to read and should be cautious about sharing patient stories for purposes of...

  9. Shifts at your hospital? (all 7-7)

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

    Our unit has people who work straight 8 hours shifts, straight 12 hour shifts, or a mix of 8s and 12s. Shift options include 7a-330p, 7a-730p, 11a-1130p, 300p-1130p, 1100p-0730a, and 1100p-1130a. I...

  10. Orientation burnout, should I change units?

    littleneoRN replied to Race Mom's topic in First Year After Licensure

    I can only speak from advice I have heard from other wiser, more seasoned nurses because I love my first job, and it is in neonatal, the specialty you have had such a rough experience with. But, I...

  11. Newborn nursery

    littleneoRN replied to bsn graduate's topic in Pediatric

    Special Care Nursery can mean different things at different facilities. Most commonly, it seems to be used to refer to a Level II newborn nursery. The scope of care provided in Level II units varies...

  12. Transition from Med/Surg to Neonatal

    littleneoRN replied to TigerGalLE's topic in Pediatric

    I never worked with adults as I started directly in a Special Care Nursery as a new graduate. However, we have recently had a few nurses with a few years of adult med/surg experience start on our...

  13. Private rooms for NICU babies

    littleneoRN replied to FemmeRN's topic in NICU, Neonatal

    The hope I guess is that kids sick enough not to be left in a room alone should be 1 to 1 assignments anyway. I know it's kind of a pipe dream some places. In places with good staffing, though, I...

  14. Sick twin

    littleneoRN replied to Nicky30's topic in NICU, Neonatal

    The OP said that the baby is six weeks old, so I think we can rule out GBS sepsis. Probably can rule out CHD too, although I once saw a term kiddo come in at 2 months of age because he apparently had...

  15. Xray Shields

    littleneoRN replied to ScammRNC's topic in NICU, Neonatal

    We use them pretty consistently--I can't speak for all nurses all the time. But if the techs were responsible, let's say we probably wouldn't be quite so consistent. Shields for everyone on chest...

  16. Eye Cultures

    littleneoRN replied to littlepeach's topic in NICU, Neonatal

    Only if it's persistently and significantly gunky. And not seemingly related to a recent eye exam. (which only sort of makes sense...). It can be tough to talk our practitioners into culturing...

  17. PICU - What are your patient staff ratios?

    littleneoRN replied to wendyw2's topic in PICU, Pediatric

    I don't work in the PICU, but I have friends who do. Most of the patients are 1:1, except in urgent staffing situations or stable kids preparing for transfer to the stepdown. Like previous posters...

  18. Checking Gastric Residuals in NICU

    littleneoRN replied to NANSNURSE's topic in NICU, Neonatal

    We consistently check residuals and report them if they are at least half the feeding, bloody, bilious, etc. Otherwise they are refed and we continue feeding as ordered. I don't know much about the...

  19. Cobedding.

    littleneoRN replied to Preemienurse23's topic in NICU, Neonatal

    We definitely do not co-bed on our unit. This comes primarily from a safe sleep focus rather than an infection, although both are probably valuable. Co-bedding with anyone, parents, older siblings,...

  20. H&h

    littleneoRN replied to Preemienurse23's topic in NICU, Neonatal

  21. Preemie Nipples

    littleneoRN replied to dawngloves's topic in NICU, Neonatal

    On our unit we use slow flow nipples on all preterm kids and some term kids. I think (can't remember exactly) that the medium flow nipple packages are labeled for something like 3-6 months of age....

  22. 2?s: Length of Orientation, Favorite Peds books

    littleneoRN replied to gentle's topic in Pediatric

    I work in a stepdown neonatal unit at a children's hospital. Even when we have nurses coming from peds floors in our facility, we give them a 2+ month orientation just like new graduate nurses. We...

  23. Pulse ox, or other monitor, question

    littleneoRN replied to perfectbluebuildings's topic in Pediatric

    sistermike, I'm curious if you've ever had it come back to bite you when parents silence monitors. We explicitly teach our parents not to silence monitors. Most parents are smart people and learn...

  24. St. Kate's Post-Bacc Program

    littleneoRN replied to Bennie44's topic in General Nursing

    Those clinicals I described were all in a 16 month second degree BSN program for people who already had other degrees and were seeking to be nurses. So the same as St. Kate's program except that the...

  25. St. Kate's Post-Bacc Program

    littleneoRN replied to Bennie44's topic in General Nursing

    I'm not intending to knock St. Kate's because like I said, I don't know much about it. I'm just thinking about the things I know are important in nursing school, and suggesting those as questions to...