Hi all! I am just trying to get some general info about the ICU's at Children's Hospital. I am currently a New Grad from Massachusetts & I relocated to DC to work in their Children's Hospital NICU, I relocated due to the sheer lack of opportuniti...
ittybabyRN replied to ShimmaShimma0304's topic in General Nursing
I don't think this person realizes how dangerous this could be, you don't just "learn" icu while you have a crashing patient, the drugs, drips, procedures and even certain scopes of nursing practice are very different and doing so would put these pat...
We change drips every 72 hrs, if we think the kid will bottom out we start the drips running on a new pump for a few minutes and then change over quick
I would also like to know. I am a new grad...well I guess I was a year ago anyways while I love my unit I get pretty bored with the feeder/growers and am looking into travelling/working elsewhere eventually. Would love to work in a level 3 that is m...
I work in DC in a 54 bed level 3c unit. We have 46 private rooms and 2 4bed pods. We have level 2/3 mixed (no stepdown or intermediate area). We often have 1:1's, the usual is 2:1 and rarely we have 3:1. A 3:1 assignment would be feeder/growers only ...
ittybabyRN replied to canesdukegirl's topic in General Nursing
I work in nicu and some of those supposed to still be fetuses have the same type of skin. We use replicare as a barrier under the tape and a special adhesive remover that unsticks the tape from skin to get it off w/o tears
ittybabyRN replied to resilientnurse's topic in Pediatric
I'm pretty sure that's something you need to claqrify with your pedi but I will tell you, I work in nicu and we use albuterol nebs all the time, not sure about the others though
I don't think we have any policy, just depends on how acute/busy the pt is. Any hfov/cooling/ecmo/cvvh, pd kid will be 1:1. Kids on pressors may be paired depending on how stable they are on their pressor. We pair vents if they're stable as well and ...
Once in the nicu always in the nicu, I have spoken to a few nurses where I work since I've only been here a year, kids never get tx to picu, if they are d/c and readmitted and no longer nicu material (over 3moos) they will go to picu but kids never t...
Hello! I was just wondering what other ecmo-utilizing units to do to best manage PPHN before it reaches that point? We had a kid this past week who was doing pretty well until he "flipped" during line placement. I heard later that day that nurses wer...
Dear PICU nurses... I am a NICU nurse with WHat bothers me is the attitude the other ICU nurses have towards the NICU nurses, especially the PICU nurses when they have to care for some of our "graduates"...you know the ones I'm talking about, geneti...
For a chronic ex-preemie now almost 8 mos old, blind, trached, frequently agitated. Mom had discovered that the smell of cherry chapstick helped to calm him down so the nurse, joking around with the resident said "I think i'll need an order for that"...
ittybabyRN replied to AnnieOaklyRN's topic in NICU
We have PA's. They work on the same team as the NNP's under the same attending and have the same scope of practice (at least I haven't noticed any difference between having an NNP baby or a PA baby)
ittybabyRN replied to aerorunner80's topic in NICU
We had to cross train to PICU and CICU as soon as we got off orientation (6mos). I have to say, I liked the CICU better and hope to try working there someday, and when I floated to PICU they gave me a 14 year old!:uhoh21: I did not speak up and while...
ittybabyRN replied to newnurse012's topic in Med-Surg
This is a little off topic but something I have been wondering for a while...I work in a NICU and we don't hang blood with anything, we just run it alone as is. I have floated to the PICU/PCICU but did not at those times ask the question...at what po...
ittybabyRN replied to none the wiser's topic in NICU
What I did was start with looking at all the states major children's hospitals, teaching hospitals and hospitals with large women/infant programs. Typically if you start with the area of the Children's hospitals there is likely to also be a large adu...
Our unit does similar things to yours, every experience is different of course. Last weekend I experienced my first patient death, it was very very sad but looking back probably one of the better experiences I, and her family could have had. She was ...
ittybabyRN replied to opensails's topic in Washington DC
I live in Arlington and love it. I live near the courthouse metro stop. I work at Childrens and I alternate between driving and taking the metro. Driving takes about 20 minutes - I can leave at 615, grab coffee at starbucks and be at work by 650. If ...