justjenny

justjenny

NICU- now learning OR!

Member

  • Content

    274

  • Visitors

    4,459

  • Followers

    0

  • Likes

    3

All Content by justjenny

  1. Problem with scrub techs!

    justjenny replied to justjenny's topic in Operating Room

    update: i had a 1 1/2 hr talk with my manager today. she was supportive and offered to do anything needed to help, but stood by the techs (in a way) she tried to stay as neutral as possible (i was...

  2. Know it all scrub techs

    justjenny replied to rbs105's topic in Operating Room

    Wow! There is not one tech where I work that would do any of those things! Even the nicest, most helpful scrub does nothing to help position, prep, generally speaking, nothing. Of course many times...

  3. NICU to OR

    justjenny replied to NiteRocker's topic in Operating Room

    I am a former NICU RN who just switched to OR (all specialties) a couple of months ago. It is an entirely DIFFERENT WORLD (although so is the NICU!!!!) Compared to my old job it is very "hands off"...

  4. skin prep

    justjenny replied to matakamoo's topic in Operating Room

    We primarily use single use....I think the multi use bottles are more for huge prep areas (chin to ankles!) I have heard we will be going to primarily Chloraprep - one of the reasons being is that (if...

  5. Favorite specialty and why?

    justjenny replied to IsseyM's topic in Operating Room

    Only been in the OR since the beginning of Feb. but so far I like Ortho Spines (NOT Neuro!) and GYN. The Ortho spine docs are great to work with and I wind up having a great day - they are very level...

  6. Can this baby be helped or not?!?

    justjenny replied to discobunni's topic in NICU, Neonatal

    Can't really speak to this pt in particular...but our belly kids often deal with feeding intolerance, etc. for a long time - and that is without C-diff being thrown in to complicate things. My advice...

  7. To cover or not to cover: lipids and phototherapy

    justjenny replied to wee one rn's topic in NICU, Neonatal

    At my old job our lipids were in the TPN...we put foil on all TPN when photo is involved. For the same reasoning as the article mentioned....it oxidizes the lipids which isn't good for the baby....

  8. Policy and Procedure Question

    justjenny replied to premiern33's topic in Operating Room

    Agree with above post Keep in mind that I am brand new to this, but I was taught that you open the packs and your scrub tech scrubs in and sets up just before the pt is brought in (counts are done,...

  9. Stress level for a circulator?

    justjenny posted a topic in Operating Room

    I am *seriously* considering a switch from ICU to OR in the VERY NEAR future! I am so burned out/stressed out due to high acuity on our unit.....running on adrenaline (sometimes scared out of my...

  10. Stress level for a circulator?

    justjenny replied to justjenny's topic in Operating Room

    UPDATE: I interviewed and hired in for the position! I start in two weeks! :w00t: Interestingly enough...when discussing my ICU experience and knowledge, the manager actually told me I blew her away...

  11. Surgeons who make me cry!!!

    justjenny replied to pamc217's topic in Operating Room

    :yeahthat: LOL! That is how I think of Docs that act like that....they are no worse than my children having a hissy fit! I feel like I carry myself in a manner that "demands" respect...and I...

  12. Do you medicate for intubation?

    justjenny replied to elizabells's topic in NICU, Neonatal

    Hi, We use Atropine and 2 mcg of Fentanyl on non-emergent intubations (it is now standard policy) but to be honest, I still have to fight with the Neos to get them to agree to order it. Sometimes,...

  13. ? for those at delivery hospitals

    justjenny replied to Imafloat's topic in NICU, Neonatal

    Just my two cents to the above post (not a flame at all!) Anyone doing chest compressions in L&D should know NRP guidelines. I also think that support staff (like yourself) should give a long,...

  14. anybody know anything about Crittenton?

    justjenny replied to JRA's topic in Michigan Nursing

    About 2 years ago I did a clinical there on a Med-Surg floor. Avg patient load was 7+ pts!!! The nurse RAN for 12 hours! I did not like it there....and then on our last day they had a recruiter...

  15. ostomy care in the neonate

    justjenny replied to nurserynurse55's topic in NICU, Neonatal

    No websites...but Google is always a good resource. In our unit, the care is no different than an adult ostomy (just much smaller) Ie: good assessment skills of stomas, proper skin care to prevent...

  16. Stress level for a circulator?

    justjenny replied to justjenny's topic in Operating Room

    Thanks for the replies. I realize there is obviously a high stress level...but I am surprised to get responses of above 8! Seriously! My reality in my current job is this: *I* am the one responsible...

  17. Great license plate...

    justjenny replied to brewerpaul's topic in Operating Room

    Here's one: N2B8U (in-to-bate-you) LOL

  18. My 2 cents on natural birth/birth plans

    justjenny replied to feebebe23's topic in Ob/Gyn

    I work NICU so I get to see the babies in "natural" situations where the result is bad. The most recent was a young mom refusing a c-section and instead pushed for 3 1/2+ hours...the baby required...

  19. Baby born without nipples?!

    justjenny replied to MA Nurse's topic in NICU, Neonatal

    Not to thread hijack here but that brings up a valid point. The breat tissue is often covered by electrodes in boys and girls and there have been cases where the tissue was damaged or removed by...

  20. Nasotracheal Intubation

    justjenny replied to SteveNNP's topic in NICU, Neonatal

    I dunno about that..... Staring down the huge, gaping nare of a little baby that was nasally intubated for a long period is pretty gross. They still don't necessarily nipple better (IMO) either......

  21. To Filter or Not to Filter

    justjenny replied to ScammRNC's topic in NICU, Neonatal

    We filter all TPN. Our lipids are mixed in with the TPN and not seperate, so there is a different filter for TPN with lipids or without.

  22. End of shift report

    justjenny replied to jkeith's topic in NICU, Neonatal

    We also use a bedside Kardex. It is updated daily with all pertinent info begining with maternal Hx and birth info, feeds, neuro, cardiac, meds, labs, any transfusions, etc, etc. A basic report for...

  23. NICU VS. Newborn Nursery in your hospital?

    justjenny replied to justjenny's topic in NICU, Neonatal

    Thanks for the reply. that is a different perspective, I must say. But on our hospital the apneic babies, methadone babies, etc. are in NICU not in the well baby nursery. If a baby is even...

  24. sextuplets

    justjenny replied to preemieRNkate's topic in NICU, Neonatal

    Not sure that they are THAT poor. They did sell the house, etc. They are the "Dilleys" if I remember correctly and they have been making $$ by selling their story and being featured/interviewed by...

  25. does anybody NOT like nicu???

    justjenny replied to crazylilkelly's topic in NICU, Neonatal

    I think for the most part we all "hate" aspects of the job. I hated watching a 26 weeker with a MASSIVE brain bleed have cluster seizures over and over and over.... I hated caring for the former 24...