TiffyRN BSN, PhD

Nurse Scientist-Research

Determination > Anything else

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All Content by TiffyRN

  1. TiffyRN

    Just tattoo DNR on my chest. . . it's been done!

    TiffyRN replied to TiffyRN's topic in General Nursing

    "He does add that the paramedics still require documentation beyond the tattoo." Texas was one of the first States that allowed a out-of-hospital DNRs that patients could keep with them so they...
  2. TiffyRN

    Forgot to start continuous feed!

    TiffyRN replied to obprof's topic in NICU, Neonatal

    I've "fed the bed" several times, every nurse has. I get OCD "checking" behaviors about the tubing being connected. One thing that helps is I don't use the cap that comes with the tubing, but I tape...
  3. TiffyRN

    Positive PPD with history of BCG

    TiffyRN posted a topic in General Nursing

    I have a long drama about BCG & PPD which some out there may benefit from; especially foreign nurses moving to the US. I had BCG as a child (age 2 I think) in preparation for my parents to move to...
  4. TiffyRN

    All tapped out. . .NAS

    TiffyRN posted a topic in NICU, Neonatal

    Spent the last weekend holding, rocking, singing, swaddling, feeding, bouncing, holding, swinging, walking, singing. . . You guys get the idea, a 5 week old that is getting nowhere with his methadone...
  5. TiffyRN

    Gloves & Allergies

    TiffyRN replied to raskol's topic in General Nursing

    I sympathize for the OP, there are concerns about vinyl vs. nitrile. My unit uses nitrile and has for years. We frequently have infants with spina bifida and it is recommended they never get exposed...
  6. TiffyRN

    patient death from PE

    TiffyRN replied to RockingItInTheER's topic in General Nursing

    I kind of used to think the PE thing was just an easy go-to diagnosis the doc could throw out there and it probably is. But when I would watch "Dr. G. Medical Examiner" she used to find quite a few...
  7. TiffyRN

    24 weeker - how bad is it?

    TiffyRN replied to goats'r'us's topic in NICU, Neonatal

  8. TiffyRN

    would this be useful?

    TiffyRN replied to goats'r'us's topic in NICU, Neonatal

    The unit where I works receives many donations of hats. We do appreciate them very much. What we find is that we get way too many of the tiny hats. We have way more 34 weekers than 24 weekers....
  9. TiffyRN

    NICU monitor event review

    TiffyRN replied to HeartNIC's topic in NICU, Neonatal

    I think it would have to be because with so many of us our monitors are just not that accurate or capable of such detailed reports. I wouldn't feel uncomfortable noting an event if I could see an...
  10. TiffyRN

    Thermoregulation

    TiffyRN replied to sherirn127's topic in NICU, Neonatal

    There is no official weight or gestational age for changing from Servo to Air control where I work. There is a "guideline" for weaning to open crib. It is decent weight gain, >34 wks AGA and...
  11. TiffyRN

    From Mom Baby to NICU??

    TiffyRN replied to stephkneew's topic in NICU, Neonatal

    I came from telemetry to NICU. It was a huge decrease in general overall stress and big increase in job satisfaction. But I do experience shifts that leave me stressed even after going home. I...
  12. TiffyRN

    NICU monitor event review

    TiffyRN replied to HeartNIC's topic in NICU, Neonatal

    TheMiss: So what is the ideal placement for the leads? We have always been instructed to place the white lead and black leads approximately the same place on the upper chest with one on the right and...
  13. TiffyRN

    NICU monitor event review

    TiffyRN replied to HeartNIC's topic in NICU, Neonatal

    We would need monitors that are far more accurate. Particularly the ones that can never perceive the infant's resps when they are
  14. TiffyRN

    Low NICU census

    TiffyRN replied to Mimi2RN's topic in NICU, Neonatal

    Thankfully for the nation as a whole, the teen pregnancy rate is down. Debate persists over the cause, but it is felt it is a combination of overall falling fertility rates and economic stresses. I...
  15. TiffyRN

    Does Simethicone Work?

    TiffyRN replied to yuzzamatuzz's topic in General Nursing

    It really does seem to work on babies (in the NICU) and they are not susceptible to the placebo effect. Of course what the physician you are dealing with believes trumps all. Most of the docs I...
  16. TiffyRN

    Asking a patient if they're mentally retarded?

    TiffyRN replied to missjustice's topic in General Nursing

    Oh, I like this. I've known for several years that using the term "mentally retarded" is not acceptable. But as was pointed out, "developmentally delayed" does not equal the above mentioned now not...
  17. TiffyRN

    ma2cna = a well rounded nurse?

    TiffyRN replied to Kaligirl02's topic in Nursing Career

    grntea; i usually hate long posts, but this was beautiful. i don't know that there is a way to communicate to a new nurse/potential nurse that it's about the whole picture. honestly, i didn't...
  18. TiffyRN

    what states NEED nurses ?

    TiffyRN replied to pat8585's topic in General Nursing

    A thread I've followed for over 2 years:
  19. TiffyRN

    No one will hire a nurse with only a Associates???

    TiffyRN replied to CNA1991's topic in General Nursing

    I just know there are dozens of posts on AN ranting about all the articles in papers, nursing schools recruiting when there are no local jobs for new grads and the few that are hiring go to BSN's. In...
  20. TiffyRN

    PLEASE HELP! How does your hospital do holiday rotations for night shift staff?

    TiffyRN replied to jnsrn's topic in General Nursing

    I really don't remember how exactly my unit does it, I gave up on holidays years ago as my husband and I are both nurses (but at two different hospitals who of course do holidays differently). I...
  21. TiffyRN

    5 consecutive 12hr shifts

    TiffyRN replied to wishiwereanurse's topic in California Nursing

    I worked 6 twelves in a row for over a year with no overtime. But then I would have 8 days off in a row. I used virtually no PTO during that time because I took all my vacations during those days...
  22. TiffyRN

    Thoughts on warming milk in the NICU

    TiffyRN replied to jayhawkfan's topic in NICU, Neonatal

    JayHawkFan; Another local respected unit uses the penguin heaters. The staff in our unit was not given any chance to comment other than when we trialed the Medela warmers. Of course we were thrilled...
  23. TiffyRN

    Thoughts on warming milk in the NICU

    TiffyRN replied to jayhawkfan's topic in NICU, Neonatal

    Absolutely a legitimate question. I don't know about other units, but the unit where I work had an issue with an infectious outbreak. Though it could never be proved (all water sources and sites...
  24. TiffyRN

    Help with Critical Vitals Ranges in EMR

    TiffyRN replied to lulugonlolo's topic in General Nursing

    I don't have any official information. My feeling is that it's not the responsibility of the EMR to alert to those critical ranges. Those should be established somewhere in a unit policy. It's kind...
  25. TiffyRN

    Rewarding tenured staff - what have you seen?

    TiffyRN replied to enzati's topic in General Nursing

    Where I work there is a program with the rewards being pretty much schedule related. It takes no money from the budget but I think it's pretty clever. There is a list of the employees (one for days,...