fuyuojo

I definitely agree with the reputation of our unit. Fortunately, patients are delighted and more than happy with what are giving them.

Thank you for the positive insights! The projects that I have discussed with are from the staff too We've placed a lot of effort when we did the plans, but still was not good enough for the management. Our deliveries are just about 10-20 a month. Mothers are opting out to deliver at home or in primary care institutions. The only "project" that I can think of that we are doing is improving breastfeeding practices in the area and wards.. However, our efforts are not given the credit... unless we either increase deliveries or have additional charges to patients(that I am not in favor of).

Im a head nurse in the NICU Department. Im having a hard time thinking of projects for our department that doesn't require the hospital to invest. Our admins wants us to think of projects that will increase our income and help the department "grow". I've tried researching on various sites and I'm getting frustrated. I hope you guys can help me, because I dont want to be a disappointment to my colleagues. I already tried submitting proposals but it was rejected. I feel hopeless.:/

Unfortunately, the parents have not opted to do an autopsy. I wish it was done too. The nurse noticed that when she pulled out the tube when she reinserted that shift, she noticed some green contents at the end of the tube. NEC? There were also instances that his stomach appeared somewhat shiny although his abdominal circumference was close to baseline.She's on antibiotics and the neonat does not entertain the thought of NEC. Although we, nurses, think that it might be NEC. Too bad coz she's the second of the twin preemies. We thought she'll survive..

I just wanted to ask what are the possible signs of aspiration pneumonia? We had a patient, a 30 weeker expired recently. The neonatologist says it might be aspiration pneumonia. That night, breast milk feedings via OGT of 4ml every 2hrs was given, and the last feeding was 2 hours prior to code. Tachycardic, no retractions, but with primary apnea, desats frequent. No oxygen was given. She was never intubated.Before endorsement for the next shift, the neonate vomitted suddenly, yellowish and with milk particles, then turned into blue hence a code was called. It was all so sudden, in 2 hours she was pronunced dead. She was pinkish the entire shift, not until he vomitted all over. The neonatologist says it is very impossible that the patient will vommit because we are only feeding her 4ml. However, there were reports of vomitting prior to these event when she was fed with 1ml.Thank you for your responses.

i referred to the resident on duty but they didn't care to assess him.

yes, his hgb hct values were normal post op day 1. his dx includes colon injury. he had 3 bullets that went through his transverse colon, as what i've seen on his operative report.

we had a patient who is a victim of gun shot wounds. the doctor did an explore laparotomy. on his first admission day, he had coffee ground drainage on his ngt. on his second admission day, he became restless, and moved side to side. he was also sweating profusely. before the graveyard shift ended, he suddenly vomitted coffee ground vomitus after being suctioned and had a cardiac arrest. after a few minutes, he died. is it possible that the bleeding inside his stomach caused the arrest? was it perhaps that the patient moved from his side that aggravated the condition thereby causing the cardiac arrest? i hope someone can enlighten me with this. thanks.

In the hospital I am working in, if the census is low, you have to leave forcefully. That is in favor of the nurses though.

This is quite off topic but I agree.:) BOTTOM LINE: If you feel like you're being left out by two co-workers talking with each other on their languages, tell them off immediately.

Agree. Sorry, but the topic is MOSTLY zoning to our nationality. I know some do not represent the entire citizen but by certain individuals. So I couldn't help but react. And yes, it is F I L I P I N O.

Yeah, Filipino RNs abroad, speak in ENGLISH. For the safety of everyone.

Not all I think. Some live by the policies that the institution had presented. Not all of us break rules you know. People tend to generalize and stereotype, so please refrain from doing so.

So most of the posters here are saying is when you're in an English speaking zone, whether or break or not, you have to speak the language. I am a Filipino so I know how it feels when you talk with a fellow Filipino. It's a connection, that you are not alone. We love socializing. However, I know it is wrong, I read your woes and it's hard to be left behind especially when you don't know what others are talking about. And especially if it compromises the patient's safety. I feel offended with those who asked why should the US give the jobs to us Filipino nurses and for non-American citizens as well, when some of you are hungry. Before those workers got to the position they are in now, they worked really hard for it. We have to get our license, the US license, (and the exam ain't cheap for us), pay for those agencies, get a US Visa, the works. They passed through a needle-hole to get in there. What they have gone through isn't a walk in the park. A little respect for us, please. If you worked hard just to get your license and your job, well, we did thrice to get a US license and work in your country. And why are we leaving our country? Simple. We are not paid us much. We are over worked but under paid. We want a better future for our families. Is that too much to ask?

her main attending physician ordered a go signal that she can go home. i did not understand the text when i read it, and i gave it(the phone) to the previous shift. the fact is, she doesn't understood what it meant either. the reason why the doctor had postponed til the following day is that she can't make rounds that day and she needed a closure with the patient. yeah, i learned my lesson well.