I remember in school being told over and over again that a good nurse was a life-long learner and there you are. You can be retired but you will always be a nurse! And someday I hope to be...
asher315 replied to katierobin23's topic in NICU, Neonatal
In our unit, most incubator babies are feeder/growers with temp problems. Rarely they might have a PIV but nothing else. Our incubators are oriented parallel to the wall and babies heads are usually...
How fast a resp rate is too fast to po feed? Recently had a doc go ballistic because the nurse "defied" the order to remove NG tube and po feed despite the infant with rr 70-100"s. Anybody have any...
asher315 replied to CloudySue's topic in Private Duty
I just lost 2nights shifts because of ice. Snow, rain, tornados I can handle, ice just scares me. I have a long driveway, country roads and several bridges and hills to navigate and ice makes it...
asher315 replied to aerorunner80's topic in NICU, Neonatal
I work in a Level 2 NICU and we deliver approx 1800 babies a year. With the new Medicaid changes, we are really being pressured to improve our breastfeeding numbers, especially no supplementation, AT...
asher315 replied to KAUAIRNEMT's topic in Nursing Humor
The funniest "oops" I've heard lately: The hospital operator announces overhead: "Would the owner of a black vulva, parked in the ER parking lot...." Repeated it 3 times loud and...
asher315 replied to Riseupandnurse's topic in General Nursing
My manager just spent the week at a hospital across the state, meaning her room and meals provided, to observe how they were surveyed by JACHO. Maybe I'm the crazy one, but wouldn't it be better for...
We do glucose at 30 mins of age for SGA, LGA, IDM and any NB having needed resus. At 2 hrs for any newborns "at risk" mec fluid, jitteriness, If the 40 we do prefeeds until feeding is stable and...
That's the way I got into Nursery- two years after med-surg. Having 2 years as a working nurse gives you alot of experience in time-management, working with drs and other staff. The patients are...
I attended a delivery just a few weeks ago where the pt had doula and wanted to go as natural as possible. She was GBS positive and had an IV for antibiotics. During labor her IV came out and as she...
Hi I work in a Level II and I love it!. I have tried Level III several times over the years and truthfully, I'm not cut out for it. But I learned a lot of useful things. You will bring a great deal...
I read an article last night about phototherapy and it said the bilimeter reading should be about 50 (whatever their measurement is). Our P&P says 12-14 (whatever). What is every one else using as...
Thank you for all the input. Nell, you answered it best. The bilimeter reading depends of the strength and type of lights as well as how close they are to the baby. Now I know why it seems to take...
I used to work in a small hospital and they had the policy that if there were no OB/PP/NSY pts, that everyone was "on call" (must get there in 30 mins) and 1 nurse was left to sit/help in ER until a...
We use the QS system and I think most everybody is used to it and likes it ok. Wouldn't it be so much easier if we could just "speak" and record all the info. "Vital signs-temp 98.0, hr-78, rr-18,...
asher315 replied to unikuelady's topic in NICU, Neonatal
Sounds like my place, too! I have tried the large Level III's and I keep coming back to the Level II's because I like the challenge of a stablizing of a very sick baby and sending them elsewhere. But...
I worked in OB and we used to save the "clean" placentas, freeze them and sell them to a cosmetic company. The mec ones either went to path or down the placenta grinder. After reading all of these, I...