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NeoPediRN

NeoPediRN

Pediatrics, ER
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NeoPediRN has 6 years experience and specializes in Pediatrics, ER.

NeoPediRN's Latest Activity

  1. NeoPediRN

    Cannot wait to transition to the cath lab!

    Yes, and every other month you can opt to split call week nights if you want to! I don't have to stay awake, I go in if I get called and lounge around the house if I don't. I got called in several times this past weekend, didn't mind at all. Every time I get called in I make a minimum of 4 hours of overtime. Response time is 30 minutes year round. I live within the 30, if there was a blizzard I would stay in a call room.
  2. NeoPediRN

    Cannot wait to transition to the cath lab!

    You can either do one Friday 7p- Monday 7a, or Saturday 7a- Monday 7a + one 12 hour night call per month, as long as it equals out to 60 hours. One holiday a year on call.
  3. I'm a pedi ER nurse (with adult ER experience as well) and getting ready for a new adventure. Our cath lab is diagnostic and interventional. I cannot wait to be part of a TAVR! Can't wait for a swan! We're also cross training to interventional radiology and will be part of stroke embolectomy and angiography for traumas. I'm just so excited to learn something new!
  4. NeoPediRN

    New to pedi ER and pregnant

    I've worked a combination of the ER and pediatrics for 7 years, but now I'm finally combining them and I couldn't be more excited! I was up front in the interview and they know I'm expecting. Is there anything I should be cautious about exposure to other than CMV and fifths disease? How do you keep yourself safe while trialing and caring for kids when they don't yet have a diagnosis?
  5. NeoPediRN

    New to special care

    I worked in the ER before this and all the things I didn't like about the ER are the things I didn't like about L&D. I had some scary experiences and I did not like the limited control. I was also not a fan of most of the OBs. I absolutely love special care. I love the team, the relationships, watching babies lean how to grow and thrive. Someday I think I'd like to move on to a Level III, but for now I'm really happy. Good luck, I hope the NICU is all you ever hoped for!!!
  6. NeoPediRN

    New to special care

    No, we definitely should be paid. We spent tens of thousands of dollars to fulfill this dream and we work hard for our money. We are super lucky to work in an area that fills our hearts and makes the day fly though!
  7. NeoPediRN

    Brigham and Women's Hospital

    Brigham is the best paid Partners hospital, but BMC is the highest paid overall.
  8. NeoPediRN

    New to special care

    Yes!!! My family has commented on he change they've seen in me and how happy I am. It's so awesome to watch them grow and I love being able to find something that can comfort them. We don't have child life so I've been looking into things I can do for the babies and the parents. I'm going to try to get weekly footprints to turn into a book for the parents with an update of the major things their baby accomplished that week. I can't wait for my shift tomorrow!
  9. NeoPediRN

    New to special care

    I am the happiest labor and delivery failure on the planet. I lasted three whole weeks before talking to my boss and I'm so grateful she allowed me to transition to special care. I've been orienting for a week and I absolutely love it. I worked in a NICU/PICU stepdown a few years ago and loved it but didn't make enough money to stay and it was really far from my house. I am sooo happy to be in this unit. I love feeding preemies, I love watching babies learn how to thrive, and I even love working with the NAS population. We get lots of tastes of critical care and have a great relationship with our level III parent hospital. So excited to be able to post here, and it feels surreal to wake up every day looking forward to work!
  10. NeoPediRN

    Hating L&D

    What gives me anxiety is the following.... 1) I can only do so much to bring a baby's heart rate back up and it's still at least five minutes from decision to stat section delivery. 2) Some of our docs will do anything to place blame on nursing, despite documentation. I have seen it and it's awful, especially when they place blame within earshot of the patient. 3) These patients CANT wait....there's no triaging, they all must be cared for as soon as they walk in the door. 4) The subjectivity....different docs want different things....each nurse has a different opinion on what kind of decel is occurring....etc... The nurses are so amazing and give great care, but I can see how stressed they are. It's feast or famine on our unit. No patients or 7 in active labor with 12 scheduled NSTs and 3 evals with four nurses. I just miss taking caring of babies. I feel super comfortable with sick babies yet laboring mothers give me a pit in my stomach. I don't get it, and I am so surprised that I don't love L&D. The reason I'm wondering if I should talk to my manager now is because I dread going in more each day and I don't want to go through the whole orientation, still hate it, and then have her frustrated that I didn't speak up earlier.
  11. NeoPediRN

    Hating L&D

    I went to school to become a maternity nurse. I loved everything about it. I finally have my chance and it is taking all of my willpower to stick it out. I like the postpartum piece just fine and thought I'd love L&D with my ER background but I hate it. I am not an anxious person but find myself riddled with anxiety during my shifts. I don't like that I only have so much control over what's going on inside mom's body. I am finding that my passion is really just with the babies and would like to switch to special care. During stat sections I find myself gravitating toward the baby when I should be focused on mom. I've been in L&D for three weeks. Will it get better? Should I try to stick it out or am I better off talking to my manager now? Thanks so much in advance.
  12. NeoPediRN

    Telemetry Certification

    Also, you cannot get your critical care cert until you've met certain criteria for it....
  13. NeoPediRN

    Bostonian RNs: Where do you work and why?

    I work north of Boston and absolutely love my hospital. It really depends on what you're looking for in bedside care....interesting cases, low nurse patient ratios?
  14. NeoPediRN

    Brigham and Women's Travel Assignment (NICU)

    You'll have a reverse commute if you do that, so expect between 20-30 minutes in the morning and about 45 minutes in the evening. If you're working straight nights there's often discounted or free parking so it'll be less expensive. I have interviewed in the city a couple of times and would have chosen to drive in. I live close to East Boston so if you even need a friendly face for drinks after a bad night just message me :)
  15. NeoPediRN

    Brigham and Women's Travel Assignment (NICU)

    Hi. They are hiring tons of travelers because they are converting their EMR over to Epic. It's a crazy busy NICU with everything but ECMO. To get the most from your stipend I suggest living on the outskirts and taking the T in....Brigham is on the green line so you'd need to live somewhere along the red or orange line for an easy switch to the green...Medford, Malden, and Melrose are decent. Check out the air B&B website for good housing deals in those areas.
  16. NeoPediRN

    Tips/tricks regarding peds and triage

    Whenever possible, butterfly over angiocath if your facility has them. I find butterfly IVs much easier to thread into little spaghetti veins. Also, thinking like a child goes a long way when interacting with them. Don't tower over them, use language they can understand (blow out birthday candles as an example to get them to take a deep breath). If they are old enough to understand choices, give them one. Use mommy or daddy to demo things they're going to be afraid of. Let them listen to your heart first. Don't lie to them. This is difficult, especially when you have to do things you know will cause pain. I always get asked if the IV will hurt, and I find something to compare it to...i.e. has your brother/sister ever pinched you? Have you ever been stung by a bee (it hurts less than that!)? And finally, a quiet kid is a kid you don't let out of your sight for long. Screaming, kicking, fighting? Fantastic. Pale and quiet? You better keep a close eye on vitals and make sure they're hydrated. Pedi ER patients are my absolute favorite. Once you feel comfortable with the truly sick ones (which are less than 10% of your entire pedi population) then the rest is cake!
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