littleneoRN

littleneoRN

NICU

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All Content by littleneoRN

  1. Would you take a bullet for your colleague?

    littleneoRN replied to Katie5's topic in General Nursing

    In other, less critical life situations, I am sometimes willing to take the fall. But when it comes to a license, (sometimes unseen) potential for lawsuits, employment, and patient safety, no way!...

  2. Adult CCRN?

    littleneoRN replied to NeuroNP's topic in PICU, Pediatric

    Hmmm... Well, in babies we are hoping for at least 2 ml/kg/hour. I think it still goes by weight for bigger kids, but that's getting out of my territory. I'm going to guess 1-2 ml/kg/hour. I like...

  3. Adult CCRN?

    littleneoRN replied to NeuroNP's topic in PICU, Pediatric

    I'm enjoying the quizzes! I'm starting to study for the NICU CCRN, and obviously there is a lot of overlap in the PICU/NICU knowledge. (Although lots of differences too!) Keep up the

  4. Misperceptions of Nursing

    littleneoRN replied to MiahMSN's topic in General Nursing

    When people ask why I didn't become a physician, I use it as an opportunity to education them on what I see as the differences between physicians and nurses. And why I feel like nursing is a better...

  5. NP Salary vs. RN salary

    littleneoRN replied to Health-Nut's topic in Nurse Practitioners, NP

    Let me emphasize that I said NOWHERE NEAR CHICAGO. I do live in the Midwest, but I'd have to drive several hours to get to

  6. How often do you work extra?

    littleneoRN replied to Caffeine_IV's topic in General Nursing

    I pick up shifts frequently, but not to be helpful. Sorry. I only pick them up if I'm in the mood to work and want the extra hours. You should never feel guilty for saying no. You are working your...

  7. Low Census

    littleneoRN replied to NicuRN73's topic in NICU, Neonatal

    Well that's great that you're seeing increased prenatal care in your community. I would not say that we are seeing this, although in general we don't see a ton of moms with no prenatal care. I still...

  8. NP Salary vs. RN salary

    littleneoRN replied to Health-Nut's topic in Nurse Practitioners, NP

    I'll disagree here. I'm a young RN in the midwest (nowhere near Chicago) with 3 years experience, and I make mid $30s base pay without differentials such as shift or charge. And I am a long way from...

  9. Immunizations for NICU patients

    littleneoRN replied to Moondance's topic in NICU, Neonatal

    We give immunizations at the appropriate chronological age if the infants are stable. I've asked our docs about this, and they said the research supports giving the immunizations at chronological...

  10. Low Census

    littleneoRN replied to NicuRN73's topic in NICU, Neonatal

    I'm sorry, I think maybe you are getting fed a bit of line here to make it seem like uncontrollable and positive circumstances. I have attended two talks on prematurity by the March of Dimes in the...

  11. Traditional postpartum care?

    littleneoRN replied to eifan115's topic in Ob/Gyn

    I work at a high risk referral facility, and our post-partum nurses generally have 5-6 couplets. So three couplets sounds pretty doable to them! (Of course, any day, with any number, it can take...

  12. NP Salary vs. RN salary

    littleneoRN replied to Health-Nut's topic in Nurse Practitioners, NP

    I guess to each their own. My family has several nurses and other professions that don't always get the holidays off, so we've been creative in celebrating days before or after so as many as possible...

  13. Oxygenation guidelines

    littleneoRN replied to nurse2teach's topic in NICU, Neonatal

    So, if you wean the oxygen anytime they are saturating high, do you spend a lot of time sitting there turning them down, up, down, up? We just find that it doesn't seem to do labile kids a favor...

  14. Oxygenation guidelines

    littleneoRN replied to nurse2teach's topic in NICU, Neonatal

    I'm wondering what your acuity is like and what your rate of ROP was prior to these limits. I ask because our guidelines are similar and actually slightly more strict overall, but we continue to see...

  15. BID vs q 12h

    littleneoRN replied to nell's topic in NICU, Neonatal

    Almost everything is ordered qxh. We only use tid, bid, etc. for meds that we want scheduled with feedings. If the doc orders it 8h and the kid feeds every three, pharmacy can modify the order to be...

  16. Full term grunting baby with good O2 sats

    littleneoRN replied to platon20's topic in NICU, Neonatal

    So, I'm just wondering... Does the baby not have a nurse at delivery? Is the labor nurse responsible for the baby from the moment of delivery? The baby should have a dedicated nurse at birth, and I...

  17. Full term grunting baby with good O2 sats

    littleneoRN replied to platon20's topic in NICU, Neonatal

    I do agree that the mom nurse should not be responsible for watching this baby closer. In our facility, the baby has their own nurse who is responsible for the baby. If the baby is doing well, they...

  18. Full term grunting baby with good O2 sats

    littleneoRN replied to platon20's topic in NICU, Neonatal

    We would have our nurse practitioner come for a quick assessment. Assuming they agreed with the above findings, this baby would be transitioned in labor and delivery or newborn nursery on a warmer...

  19. where to work to serve most needy/impoverished? if salary not an issue

    littleneoRN replied to CeilingCat's topic in General Nursing

    It's not exactly what you described, but if you're looking an opportunity to gain a good base in nursing skills but also work with underserved people, you could also consider a county/public type...

  20. To aspirate or not to aspirate?!

    littleneoRN replied to RNStephNicole's topic in General Nursing

    This is a different issue. The quote you provide about drawing an air bubble into the syringe is not the same thing as aspirating for blood return after sticking a patient for an IM

  21. Creaky, Squeaky Danskos!

    littleneoRN replied to Tait's topic in Scrubs, Uniforms, Gear

    This is just second hand info, but I was told that if your Danskos are squeaky, Dansko will replace them. This person said they got theirs

  22. UVC, TPN, Antibiotics questions

    littleneoRN replied to Obnurseamber06's topic in NICU, Neonatal

    Out of curiosity, why? We love it when we have a UVC or PICC because it's stable access, even for things that don't need central infusion. Do you do this to reduce accessing the line and prevent...

  23. Please help me and tell me why bedside nurisng MUST be the 1st step

    littleneoRN replied to Kitty Hawk's topic in General Nursing

    I don't think bedside hospital experience in med-surg is a must for everybody. But I would think about how you feel you can function as an educator in a setting that you have no experience in. I...

  24. UVC, TPN, Antibiotics questions

    littleneoRN replied to Obnurseamber06's topic in NICU, Neonatal

    The principles here aren't much different from a peripheral IV. Ampicillin is incompatible with TPN, so if you only have one lumen and no other access, TPN would need to be stopped, line flushed,...

  25. When to remove vernix?

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

    You can buy infant pulse oximeters that velcro instead of stick. We use sali-wipes to clean areas for leads, and for small babies we use micro-leads that don't very much surface area. For healthy...