It is great that you enjoy working in so many areas and have the experience to do well in each. I have nothing against someone working in the NICU that knows what they are doing and more importantly,...
My 2 cents... I know you probably won't agree with me, but I think I'd take my short staffing problem over your short staffing problem any day! We don't have floaters-ours is a women's hospital, no...
We rotate between the prongs and the mask. Generally, we like the mask better because of the decrease chance of septal breakdown. One of my pet peeves is babies wearing a NCPAP cap that is too...
[We used to use 5 fr og's, but several years ago one managed to get a knot in it, inside a baby girl. She had to go to the level III to have it removed. That's left us a bit leary of using feeding...
We've got nearly 20 new positions posted (half already filled)! We're getting a full staff of RTs! There will be more non-nursing staff to take care of supplies and equipment! We have a few spots for...
JCAHO has already been here. It has more to do with finally having a permanent Director of Nursing. I'm sure it will help our cause too that there won't be anymore announced JCAHO visits. The...
What will your rotation be like...week of days, week of nights; 2 weeks days, 2 nights: month of days, month of nights? Is it split evenly or will you be doing more of one shift than
TPN and IL are run seperately and connected into the IV below the filter for peripheral, PICC and CVLs. No lipids in the UAC. Lipids are notorious for clogging the air filter in the IV
We've tried primary nursing and it doesn't work for us. Our unit is big, and most of the nurses have to rotate between Level II and III-except some of the older ones who only do Level II. When you...
Being a NICU nurse has not changed my stand on abortion. I'm pro-life. I guess I'm a naturalist (not my religion-I'm much more traditional than that)-but I think everyone is here for a reason and...
St. Jude is a fabulous hospital to work for..great staff support, training, pay, scheduling and benefits. Not an employee, but I have several former co-workers that have gone there because of the...
sparkyRN replied to carolina_girl's topic in NICU, Neonatal
We are going through it now. Babies are swabbed on admission and M-W-F. Any baby that is colonized is placed in the isolation room (luckily it is pretty big...there were 12 babies in there...
No personal experience here, but I work with several nurses who had premies. 3 were NICU nurses when they had their babies and all lived, 2 without problems and 1 with some neuromuscular problems....
There are some areas where any clothing below the elbow is a no-no when doing direct patient care for infection control reasons. As long as your forearms, hands and nails are clean, the tats...
sparkyRN replied to carolina_girl's topic in NICU, Neonatal
I agree with a lot of the things No Crumping and Fergus said. PLUS, there are some practical things. 1.) All my babies, even when I am caring for too many, are right there in front of me. My...
sparkyRN replied to carolina_girl's topic in NICU, Neonatal
Other immunizations too, like Hepatitis B if mom's status is unknown, she is "at-risk" or no prenantal care. Also some of the long term babies will get their IPV, DPT and synagis right before...
sparkyRN replied to Autumn1081's topic in NICU, Neonatal
Whatever you do, don't avoid asking for help because you're worried what the other nurses will think. I'm much more concerned about the new nurse who never asks for help or asks questions. No one...
Not to put a damper on your plans, but I think the job reality for all new hospital based nurses is a fulltime position initially. The hospital makes an investment in training ICU nurses and needs a...
sparkyRN replied to weepeenurse's topic in NICU, Neonatal
No clothes unless the infant is in a bassinet. We warn the parents that anything they bring may get lost or thrown into the laundry hamper. We ask them not to bring anything they would not want to...
3 minute scrub with chlorohexadine soln for everyone. Staff wears scrubs; visitors wear a hospital gown over their clothes (believe me this evens the playing field-we don't have to discriminate...
Had the same thing happen Monday! I was in an isolation/cohort area for MRSA when the 14yo mom of a septic 4 week old 23 weeker came to visit. She left and told me she would be back later. She came...