NickB

NickB

NICU Transport/NICU

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All Content by NickB

  1. PAs Do Not Like Us

    Now that I do not disagree with. I feel like there should be more of a minimum requirement for NP school due to the limited hours in our clinical rotation. I do like that I did all of my 600 clinical hours in inpatient pediatrics which is probably m...
  2. PAs Do Not Like Us

    I'll bet that there are hardly any PA's that were previously a flight nurse. And I use that example because that role is the most autonomous in the nurse profession. PAs have a miniscule amount of required medical experience prior to entering their...
  3. PAs Do Not Like Us

    Sure thing. Just as soon as a PA student spends 6 years as a flight nurse before beginning school like I did. Let's also not forget the small detail that PAs spend two years learning about all patient populations while NPs (except for FNPs) spend t...
  4. NP role in a code

    I am graduating in three weeks from an AC-PNP program and curiosity has gotten the best of me. I plan to work in a Peds ED and I'm curious if anyone can provide me with some info. I am curious if there is any state law pertaining to a nurse practit...
  5. NP role in a code

    Not questioning running a code. I'm questioning stopping a code.
  6. NP role in a code

    Thank you for your post. I just searched the bills referred to in the word document you attached and they both show that these bills were withdrawn. Where did you gather this information from? Do you have an internet link? Thanks again.
  7. Why can't nurses intubate?

    Here, this is the quote that my original response was for. I think you and I are making the same argument. "Completely true, but in some instances you can't maintain an airway without the intubation. It's a slippery slope, but we need a middle gr...
  8. Why can't nurses intubate?

    I think you misunderstood my first posts. I was responding to someone at the beginning of the thread questioning why they didn't have a middle ground available, regarding some nurses being able to intubated instead of no nurses ever being able to int...
  9. Why can't nurses intubate?

    That's funny that you make the points you do. My RRT and I arrived to an outlying facility last Friday and walked in on an extreme Pierre Robin term baby who had an LMA inserted. This was after two RTTs and an anesthesiologist tried multiple times. W...
  10. Why can't nurses intubate?

    You have a middle ground. It's called an LMA.
  11. picc teams

    80 bed nicu. We have a picc team consisting of day and night nurses. Some staff and some transport. We place all lines and manage all dressings.
  12. Interesting cases anyone?

    I think you'll be hard pressed to find any NICU nurse who doesn't find that pt interesting.
  13. Trouble understanding PPHN...

    Funny. I was just having this conversation with a new grad in our unit yesterday. I used to old term persistent fetal circulation to help her understand it. That seemed to help a lot. PPHN is most often caused by three disease processes: Meconium...
  14. Interesting cases anyone?

    Stand by for just one second. I am a NICU nurse and a parent and I find this post not only very interesting but also very helpful. We are fully aware that they are babies as we work with them at least 3 days a week. I have already learned of 3 dif...
  15. My first ever patient passed away..

    There is absolutely nothing wrong with how you felt. I often go home for a long stretch and will call the unit to check on a critical patient that I was taking care of. I think the key is that you never ever make anything about you. We are human a...
  16. End of CCT Nurses in California?

    No way in hell will a paramedic be able to do a neonatal transport. I'm not sure of California, but florida requires a minimum of 2000 hours in the NICU as an RN before you can perform a NICU transport. The skills are way different than an adult tran...
  17. Neonatal IV question

    I'm curious how everyone is covering their neonatal hand and arm IV's. In my SCN, some nurses like to cover them with diapers. I feel this looks tacky. I usually use one of our neonatal hats, not the ones made by our volunteers, but the ones that ...
  18. FYI: Long Rant. So the last 8 days of my life have probably been the worst 8 days of my life. It started 8 days ago while I was fishing with the abrupt onset of a horrible headache on the right side of my head. Irronically I got called into work for ...
  19. Pain medications post partum

    Of course it depends on the Doc but generally: Vag with no tear or epis. = Motrin 400 q 4 prn or motrin 800 q 8. Vag with tear or epis. = Motrin 400 q 4 or motrin 800 q 8 and 1 percocet 5/325 q 4 prn as well as epifoam and tucks pads. C-section = Tor...
  20. Extremely Offensive ER experience

    This entire thread has turned into a personal attack. Some of these posts don't even make sense anymore. You all have gotten two entirely different trips to the ED mixed up in your need to try to belittle me. And yes, jumping on someone for spelling ...
  21. Extremely Offensive ER experience

    It's obvious the ER nurses are offended here. Maybe because they are being called out for their normal behavior. Fine. I didn't decline narcotics, I tried to use the least strength med that would work and when that no longer worked, I went back. Cont...
  22. Extremely Offensive ER experience

    I went to the hospital because I could no longer stand the level of pain I was experiencing. Think of how humiliating as a nurse it is to admit that and than think how much more humiliating as a nurse it would be to be labeled as a drug attic. Then ...
  23. Extremely Offensive ER experience

    i don't care about working in this hospital. i said i thought about working there in the past. i have been a business owner in the past and would want to know if this is how people (especially fellow nurses) are being treated in my hospital.
  24. Extremely Offensive ER experience

    I'm not complaining about freaking water. I'm not offended by the fact that maybe they didn't know what else to do. I'm offended that I was labeled as a drug seeker because I complained of pain. I'm offended that they spoke loudly enough outside of m...
  25. Extremely Offensive ER experience

    Another thing I would like to say is that this hospital is in the network of hospitals that I work in. I have actually spent some time in their special care nursery and do not want to be labeled as the nurse who is a "drug seeker." I have thought a...