asher315

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 you-retired! I'm at 32+ years and counting. Enjoy your book!

Arkansas Children's Hospital in Little Rock.

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 on the left side. I like to change my babies positi...

Check with your pediatrician. They would know the hospital and staff. Best wishes to you and your family!

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 input? Won't tell you what our director said about t...

Newborn was 2 days and had an NG and PIV running. Don't know what the doc was thinking.

I was always taught to give ampicillin first then gentamicin 2 hours late to avoid incompatiability. Is this still the way it is done? Thanks for your help.

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 almost impossible to drive. My agency doesn't like for ...

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 ALL, (despite a mother's request) only with a doct...

Here's one for the list: Na' ladge Amor de King First name is pronounced "knowledge" and is because he is smart. Middle name is because everyone loves the King (not sure which king). I should have named my child this, after all my last name i...

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 clear.

I worked in Florida with a Dr. Arriola, obgyn. Then there is Dr. Money, pysch. And I saw a print ad with a dentist named as Dr. Fang.

We had a nice one "We deliver miracles daily". And BTW, we get pizza delivered alot to our hospital!

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 her to stay and manager her own unit? Of course, sh...

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 glucose > 50 x 2. We can also can do one for any ...

We had a "Zapper" not too long ago. Guess it's better than "Zipper". Also, we had an adult gyn pt whose legal name was "Baby Girl". :icon_roll asher315

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 different and challenging. The families can drive you c...

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 was close to delivery the OB said leave the IV out...

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 of skill and information to the unit but you will a...

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 a guide for effective phototherapy? Thanks, asher...

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 forever to get the bili levels down. Thanks again, as...

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 pt came in (all pts came in thru ER at night). A pt...

I read a sad news story the other day about a 2 yr old killed by a 9 yr old. The whole story was heartbreaking. The reason I'm mentioning it here was the little 2 yr girl's name: Damya. Now this could have been a feminine form of Damien, pronounced ...

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, fht's 146 with good BTB var". Of course, all the work...

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 really like the TTN's, feeder/growers and pneumo...