TiffyRN BSN, PhD

Nurse Scientist-Research

Determination > Anything else

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All Content by TiffyRN

  1. TiffyRN

    Your nursing practice varies from mine, therefore, you suck!!

    TiffyRN replied to wooh's topic in General Nursing

    I think I verbalize an easygoing attitude about the details of nursing practice. I recognize many different styles of attaining the same results. But in my mind . . . I reorder all my beds and...
  2. TiffyRN

    How to Hang a Tube Feeding in a Crib?

    TiffyRN replied to mgturtle's topic in NICU, Neonatal

    We used to tape them to the side of the crib, but when we changed feeding tubes, this just didn't work anymore, they were slightly shorter and had a slower flow rate. A couple of years ago our unit...
  3. TiffyRN

    Is everything computerised where you work?

    TiffyRN replied to misscherie's topic in General Nursing

    First: I think the only people doing big long care plans may be students (maybe LTC, seems like I've heard that). The care plans where I work take less than 5 minutes to have a minimally acceptable...
  4. TiffyRN

    Where is the shortage??

    TiffyRN replied to kalevra's topic in General Nursing

    There are multiple threads on this. I will re-iterate what was said earlier; There never was a shortage. There used to be a lack of nurses willing to work for the conditions offered. Due to the...
  5. TiffyRN

    FDA: Do not feed SimplyThick to premature infants

    TiffyRN replied to RainDreamer's topic in NICU, Neonatal

    This does not come as a surprise. I remember a former micro that adjusted age was something like 34-35 weeks and developed surgical NEC which seemed to come out of left field. The neo in charge felt...
  6. TiffyRN

    Magnet status? Hospitals choosing BSN new grads. Important!!!! over ADN??

    TiffyRN replied to mirc88sl's topic in General Nursing

    I've worked with many TCU grads and many TCC grads and could not distinguish them by skill or performance. Recently our hospital is just hiring fewer new grads but not currently showing a preference...
  7. TiffyRN

    Mixing Breast Milk with Formula

    TiffyRN replied to Love_2_Learn's topic in NICU, Neonatal

    The unit where I work does not have any policy regarding mixing formula & EBM. Myself I usually put the breast milk in first and let the infant finish it first (or not) and then add formula to...
  8. TiffyRN

    Any hospital hiring new grads? anywhere in the country?

    TiffyRN replied to zefutebolera's topic in Job Search, Interview, Resume

    There is another thread on the General Nursing Discussion about lots of jobs available in Minot, ND. I don't know exactly where this is, but it sounds cold. Their online job listings say experience...
  9. TiffyRN

    new drug-Avastin for ROP

    TiffyRN replied to babyNP.'s topic in NICU, Neonatal

    I did a quick google search and found the ADULT dose for intravitreal injection was something like 1.25 to 2.5mg, one article I couldn't get to pull up mentioned a dose of 0.4mg for ROP. Epocrates...
  10. TiffyRN

    Do you use oxyhoods?

    TiffyRN replied to NeoPediRN's topic in NICU, Neonatal

    Pretty much the only thing they are used for anymore in my unit is for older gestational age infant with a pneumothorax. I do not understand how it is supposed to help but I am told it is supposed to...
  11. TiffyRN

    Guilty for pursuing a nursing career

    TiffyRN replied to outonalimb's topic in General Nursing

    I have not personally had your experiences, however I hear a very familiar tone in your emotional reaction to them. I am very close to a person who suffers from chronic depression that has occasional...
  12. TiffyRN

    Considering relocating to San Antonio, Dallas or Austin

    TiffyRN replied to m2nurse's topic in Texas Nursing

    As an experienced NICU nurse you are dealing with a different job scene than the new grads. Hospitals in the DFW area still hire new grads though it's my understanding they get dozens if not hundreds...
  13. TiffyRN

    Differences in pain medication

    TiffyRN replied to heaverboo's topic in General Nursing

    Equanalgesic chart. I am linking to wikipedia entry. Note; it must be from a non-American English speaking country because it lists pithidine (which is called demerol in the US) and a couple of...
  14. TiffyRN

    Blood products question

    TiffyRN replied to TigerGalLE's topic in NICU, Neonatal

    One thing to remember is that our transfusion volumes are smaller and generally the rates are much slower than one would be used to using with an adult. I know at times the blood is pushed (as...
  15. TiffyRN

    new drug-Avastin for ROP

    TiffyRN replied to babyNP.'s topic in NICU, Neonatal

    I have had one infant with this treatment and think 2-3 others have had it in our unit the last few months. I saw the paperwork for the infant I cared for. His paperwork explained that he was not...
  16. TiffyRN

    Is EPIC coming to your facility??....

    TiffyRN replied to NYRN08's topic in Nursing Informatics

    A few things before I address your specific questions. Having the MD's enter their own orders is fabulous, no more groups of nurses circling around a chart trying to get their head angle just right...
  17. TiffyRN

    Weaning to open crib

    TiffyRN replied to CareForBabies's topic in NICU, Neonatal

    In the unit where I work there are "guidelines": 1. >1500 grams 2. 34 weeks adjusted gestational age 3. Weight gain for last 5 days 4. Temp stable in 28C (or lower) isolette/giraffe Since these...
  18. TiffyRN

    What is your biggest nursing pet peeve?

    TiffyRN replied to ferfer's topic in General Nursing

    I've had this experience many times. With the nurses who have done this to me before; I start giving report and when they inevitably interrupt me to ask me a question about something I've already...
  19. TiffyRN

    London Company sells breast milk ice-cream

    TiffyRN posted a topic in NICU, Neonatal

    We have had some of our LC's recommend to moms who have abundant supply that they can make milk-shakes for their husband & older children (some school age). Guess they could bring in some extra...
  20. TiffyRN

    Smelling Cancer?

    TiffyRN replied to MikeyJ's topic in General Nursing

    I have a brother-in-law that has been treated and is being followed for bladder cancer. I remember one winter after his initial treatment; I started smelling a very unpleasant odor around him; can't...
  21. TiffyRN

    Bedside Code Sheets

    TiffyRN replied to nurseck04's topic in NICU, Neonatal

    The sheets are filled in by hand on admission with two nurses signing them off. From then on, they are updated each Monday by one of our pharmacists, signed by them and co-signed by an RN. The ones...
  22. TiffyRN

    Nurses don't save lives....WHAT?

    TiffyRN replied to ThePrincessBride's topic in General Nursing

    All nurses are the bedside constant assessors that are the early alert system. But as a NICU nurse you constantly watch life ebb and flow. Those babies are always having what we call A&B spells...
  23. TiffyRN

    What are the top 5 medications YOU administer daily?

    TiffyRN replied to northmississippi's topic in Patient Medications

    Ampicillin, Gentamicin, caffeine, heparin, iron
  24. TiffyRN

    What info should be "tattooed" on a nurse's brain?

    TiffyRN replied to rloh961's topic in General Nursing

    Look at your patient. Bad rhythm? Look at your patient. Funny lab? Look at your patient. Urine output low? Look at your patient. The medical system is designed with this catch-all. Nurses are at...
  25. TiffyRN

    Why do night shift nurses get paid more when day shift clearly does MORE work?

    TiffyRN replied to squatmunkie_RN's topic in Patient, Colleague Relations

    OP; I'm sorry the on-coming shift gives you such a rash about tasks not yet completed. This is an issue with all shifts in my experience. It's not right, we work in a 24hr job. But you asked why...