unikuelady

unikuelady RN

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All Content by unikuelady

  1. What do patients say that irks you?

    When a mother comes to visit her baby in the NICU-The baby just happens to be on oxygen, lines, maxium support-hooked up to every machine in the unit- and says: Even tho I had no prenatal care- used...
  2. Amniotic Band Syndrome? Heard of it? Seen it?

    I just cared for a 24 wk demise due to amniotic band around the cord! There were also visible bands wrapped around 3 fingers and on a lower leg. Very unusual to actually see the bands/tissue that...
  3. I want to thank you all for your excellent advice. Some of you have given me perspectives I didn't think of regarding the possiblility of abnormal grieving. I've only had one patient requesting to...
  4. Why use Buretrols?

    At my facility we use buretrols. When used correctly, you are only supposed to put a 1 hour amount of fluid into it, clamp the bag and set your pump. Every hour we are to check the iv site, re-set...
  5. Our Rights vs. Chemicals???

    Calling a code would not have been completely out of order. It would have definitly gotten the attention of the higher ups. When we call a code it brings the respiratory therapist, icu nurses, ER...
  6. Volunteers?

    I worked as a nicu "snuggler" for 4 years during which time I completed my prerequits for nursing school and during nursing school. I was married and had 3 school age children. I did my volunteer...
  7. Grief Counseling

    I took the RTS beravement course put out by Gunderson hospital. The course is offered in many cities accross the usa. Their is also an online group called Missingangels.com they sponsor...
  8. How do you do it?

    I work in a mother baby unit. Candy bars have worked for the first nurse to have her patient discharged and out the door. Also a good incentive is to have the nurse be given the "privelege" of...
  9. I don't know how to feel about this

    :icon_hug: how would you have felt if you didn't listen to your gut feelings and the infant died on you? There have been many times that I have taken a "very bruised baby" to the nursery and placed...
  10. Dream job: Where and Why?

    Rural Alaska is my dream. I'm burnt out here in overcrowded/dirty california that I want quiet and green! I also want to learn the native alaskan way of life and
  11. We've had our share of ups and downs in census also. one week we have 2 babies in our small 5 bed unit, then the next week we have 12! Unable to transfer any to bigger units because they also were...
  12. hgb 3.3 stable?

    I once cared for a postpartum mother with a HGB of 2.9 totaly asymptomatic. Discovered she had chronic anemia from a spleenectomy. Pt refused blood transfusion due to religion. pt did very
  13. Tetraology of Fallot

    janfrn I have a question for you-since you are so knowledgeable. I had a term c/s baby who became blue, about 15 min of age, pre-ductal o2 sats were in low 80's and post-ductal sats low 50's. She...
  14. ? about fetus that died in womb

    :flowersfo There was a patient a few years back that was sent to the L&D unit from her OB's office for ultrasound. 35 weeks and no heartbeat. The MD talked to the patient and family with all of...
  15. pacifiers and preemies

    :roll
  16. Any Nurses Allergic to Iodine?

    I'm very allergic to topical iodine/betadine. When it touches my skin I start to blister almost immediately. I was also very concerned about betadine exposure when I started nursing school. Now...
  17. Pleasing the "customer"

  18. Charge Nurses and the units budget

    You might not want to be to quick to tackle the added information and the responsibility that goes with it. I was eager once and wanted to learn everything I could to be the best charge nurse ever....
  19. The best thing is experience. If you have not had much hands on experience with high risk patients, I would suggest getting some. Especially PIH, HELLP syndrome, PP hemorhage, know the S/S of them...
  20. Emergency Equipment (Couplet Care)

    The poster is talking about couplet care, not L&D. In my facility we do NOT have any emergency equipment in the couplet care rooms. We have a fully equiped crash cart that is 2 long hallways...
  21. Hello, I'm your nurse today: get off the darned phone!

    Just make sure you chart, chart, and chart that you went to pts room and pt refused to get off phone and have their care needs met at this time. Especially if it is for a timed medication or...
  22. How is lab collection treated in your unit?

    I could def see where this would be a problem. We very rarely have PIV's, and if we do we are waiting on a PICC. How long do your kids usually stay on the unit? We have had preemies on TPN/LIPIDS...
  23. How is lab collection treated in your unit?

    [ Some of the nurses at the larger hospital I work in actuallty use one o the 24 g needles (the brown ones) one hits one of the veins in the had and lets the blood drip into the microtainers. This...
  24. pt's arm turning white and red with IV?

    could have been in the artery or possibly a
  25. I would like to know what unit your facility cares for HELLP/PIH ill patients? Is it in L&D, POSTPARTUM, or ICU? At my facility these patients are cared for in L&D while still pregnant, then...