sparkyRN

sparkyRN

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All Content by sparkyRN

  1. Goosebumps on face?????

    sparkyRN replied to goodknight's topic in General Nursing

    Sounds kind of like hives to me. At least that's what mine were. They were just bumps, not red, but itchy. They came on all of a sudden, but lasted a couple of days. Benadryl was my drug of

  2. Including ALL fluids in total allowance?

    sparkyRN replied to wensday's topic in NICU, Neonatal

    One issue I have with calculating fluids, is the difficulty in keeping up with the extra fluid received when lines are flushed. We use 0.6cc 1/4ns barrier with most of our meds plus either 0.5cc when...

  3. length of your nails?

    sparkyRN replied to neonursey's topic in NICU, Neonatal

    Same guidelines here. However, we still do not wear watches and it is preferrred, though not required, that we only wear smooth wedding bands. I leave my engagement ring at home because I accidently...

  4. Why do I feel so guilt-ridden?

    sparkyRN replied to huggietoes's topic in General Nursing

    Everyone you work with knows if you abuse the call-ins or not. If you've only called in sick twice this year (assuming they weren't holidays) you have no reason to feel guilty! Granted, your...

  5. IV Site Prep

    sparkyRN replied to NeuroNP's topic in General Nursing

    our standard iv prep is wiping the site with betadine, allowing it to dry, then removing the betadine with an alcohol wipe. according to our unit director doc, betadine is only effective in killing...

  6. Early Extubation in micro-preemies

    sparkyRN replied to Gompers's topic in NICU, Neonatal

    I so agree with Dawn. The little ones have so little reserve that they poop out, develop secondary apnea then it's back to an ETT and often higher settings initially plus the trauma of intubation and...

  7. Help me get a manual BP on Preemies!!

    sparkyRN replied to kaytodd's topic in NICU, Neonatal

    If the baby's pulses are strong or bounding, you may be able to feel a palpable systolic at the radial or post tib but it's pretty hard to do on most babies. Like prmenrs said, you have to go slow...

  8. things I didn't learn in nursing school

    sparkyRN replied to mygirlsmom's topic in General Nursing

    Good one Angie! I'm glad to know ours isn't the only unit where the nurses have to be mechanics, housekeepers, plumbers, locksmiths, and engineers...I can rig up some amazing things with 1 inch...

  9. nicu = critical care?

    sparkyRN replied to JVanRN's topic in NICU, Neonatal

    I highly recommend time in an adult ICU or ER to improve your adult assessment skills. We NICU nurses are focused on a small segment of the healthcare population ( no pun intended!). There are so...

  10. things I didn't learn in nursing school

    sparkyRN replied to mygirlsmom's topic in General Nursing

    I didn't have those in nursing school. Would have been nice though. No, those wonderful inventions just came to our unit very recently..JCAHO was putting the pressure on and the admin. had to do...

  11. things I didn't learn in nursing school

    sparkyRN replied to mygirlsmom's topic in General Nursing

    It will not take three reference books and 5 hours to write your nursing careplan. Ours are pre-printed; just note the exceptions and you are

  12. RN's who work in the NICU

    sparkyRN replied to kristylee's topic in NICU, Neonatal

    I'm 15 minutes from

  13. RN's who work in the NICU

    sparkyRN replied to kristylee's topic in NICU, Neonatal

    And where are you located....I might need to move there!

  14. RN's who work in the NICU

    sparkyRN replied to kristylee's topic in NICU, Neonatal

    We dream of those days! :) It's hard to ever get the staffing where it needs to be when newly trained nurses work for 2 years to get their experience then move on to more exciting locations as...

  15. RN's who work in the NICU

    sparkyRN replied to kristylee's topic in NICU, Neonatal

    I'm glad you are interested in becoming "one of us!" People ask me all the time."how do you work with those sick babies, it must be so sad?" Well, sometimes it real is. And sometimes it is...

  16. treating a PDA

    sparkyRN replied to babylog2012's topic in NICU, Neonatal

    We've used indocin for years to treat PDA's. One the nurses' biggest concerns/side effects is an increase in feeding intolerance, specifically NEC. Our babies are screened for low plt counts but few...