BittyBabyGrower

BittyBabyGrower MSN, RN

NICU, PICU, educator

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All Content by BittyBabyGrower

  1. New Grad Shadowing in NICU

    It is an opportunity to see how the unit runs, the dynamics and to see if you are a good fit for the unit/peers. There isn't any hands on since you aren't an employee and not covered legally. Ask...
  2. Tips for really strict clinical instructor?

    Make sure you are prepared! Back in the day at my diploma school, this is how it was. You better know that patient inside out, meds, diagnosis, care plan done. It's going to be rough, but you will...
  3. Working FT and PRN in different dept. at the same hospital?

    We can't pick up PRN and be FT where I work either. They will cross train you and you can get OT if they need help on other
  4. Look for a College for my Daughter

    As a mom with one in a nursing program here are my hints. 1. Make her sit with you when she goes thru schools. 2. Community college is great to start, she can get her ADN. But make sure all the...
  5. Primary Care Nursing?

    We do it. Not everyone signs up for primaries or associates as they like the nomad life lol Most kids have 2 primary nurses, one day and one night with a few associate nurses scattered over the 3...
  6. Venous Pool Technique (VPT)

    The area that is supposed to have the pool is in close vicinity to many nerves and the brachial artery. A few of our attendings had talked about this many years previously and the decided that it...
  7. Magnet status...yay?

    We had some good changes when we first were given Magnet, BUT we also had a stellar VP of Nursing....very involved, vocal, visible and a wonderful advocate. Enter the good old boy club who drove her...
  8. Why choose a 2-step TB skin test vs. TB blood test?

    Cost is a big factor. If you have just an RN staff of 900 that is a huge chunk of money. Now, if the facility is paying for it and not out of my pocket,
  9. Not what I expected

    Not all the time! Especially in the Cleveland area where we have usually no less than 10-12 withdrawl kids spread out between NICU and the nursery. They may not drug seek too much from you but the...
  10. Can I ask to work exclusively day shifts?

    All of the big hospitals here, including the Children's hospitals, are mostly 50% rotation with straight evenings or nights as an option. My hospital offers a minimal day rotation (25%) for people...
  11. Calling in for no sleep

    Have to do what you have to do, but I wouldn't tell my co-workers why I called off, especially if they work the same kind of rotations. We had one scheduler that would schedule you 7p-7a on Saturday...
  12. Joining the military and employment contracts

    My guess is you will have to pay. It isn't like you are being
  13. Being blamed for fall after shift

    Don't print anything or take it anywhere!!! That will get you in hot water if they feel there is enough identifying info to figure out this is about your place of
  14. Being blamed for fall after shift

    Perfect example of why you should fill out an incident report or patient safety report every single time you don't have the needed equipment available and documenting what you said to the patient and...
  15. extubating

    We place a patient safety report. And kids extubate, it happens. Unless they are completely snowed, and are not slobbering it can happen. Especially big kids who grab the tube as soon as you let...
  16. Safe practice in blood transfusion.

    Well, in my world we would never give that amount, they are spun down. And platelets aren't ordered by the ml but by the unit. Blood on the other hand is ordered by the ml, usually 10-20ml per kilo....
  17. Advice for NICU interview

    If you already familiar with the system I would ask how long your orientation will be, what certifications they will provide for you, if you need a new health screening thru employee health ( at our...
  18. Safe practice in blood transfusion.

    They way you worded it is what leads us to believe this is homework . What is the usual amount to be give? What do blood protocols tell you, how are platelets ordered? How big and old is the infant?...
  19. NeoFax Question

    Your pharmacy should have a source other than neofax. Usually if there is no information it is considered a no. We also use the peds drug handbook. And plain D10 is different than TPN as you know....
  20. You are better off interviewing a nurse at a hospital. You don't know if someone on the Internet is a real nurse or a super googler wanna be hairy old man. Not that I am any of those, but I could...
  21. Travel Nursing and Family

    I have a friend who is a dialysis nurse and her husband is a firefighter. They decided to travel when her husband's cancer went into remission. They had 3 kids, 2 in middle school and one in high...
  22. Holding with art line

    Do you have a practice council or educator/CNS at least to consult with? This sounds like something that needs to be run past them. Like some of us said, we really only use art lines on sicker kids...
  23. HOB elevation

    We have had Neuro kids go home elevated. Our OT/PT set up some sort of wedge for them. As we all know, there is always an exception to every rule. Neuro kids, trached kids are just a
  24. Holding with art line

    Our attendings feel if the baby has an art line they are not stable enough to be held. We really warn parents about UVC's. They can not hand the baby to anyone else without assistance since we have...
  25. How much is a normal raise

    There is no normal, 2-3% is COLA. Sometimes we don't even get that. The joys of working for a county