BittyBabyGrower MSN, RN

Not quite the same but we get some super chubby babies and we order the Bivona Flex for them. It is longer and flexible so you have room for tubing and such. Must have posted the same time as above lol And I have seen them in older kids in PICU.

When the nurse you are following just starts laughing before report and ends the manic laughter with Oh ****

They can garnish your last paycheck, take any PTO you are owed and turn you into a collection agency. CCF doesn't screw around when it comes to their money.

Chest tube set up and care, external shunts (ventriculostomy), golden hour care.

Here is my take just from her post, and as a former charge nurse and manager in a high acuity NICU: You seem to be over confident, that may give your charge nurse a reason to not give you sicker kids. Over cofidence can lead to errors or not asking ...

On babies, even chubsters, the saphenous ia usually pretty juicy. Put a tourniquet about midway on the calf and it should pop. Once you get the landmarks for it, it is a great blind stick spot. Scalps are are awesome also, but make sure to mitt t...

Yes, if you let it be known that you keep personal journals about work, they can be subpoenaed if there is a suit filed and you are called to give a deposition. "Oh, I don't really recall but I probably have something in my journal" Prosecuting att...

So, what is your response to my reply?

Really? You are such a troll. Lol Are you even a nurse because you just cut yourself down also. The only program I know of is in PA and only accepts 2 per year, and you have to have PA experience. You start in a level 2 for the first half and then m...

So then you should be able to see why they would want you to have experience before hand.

A neonate is classified as 30 days and under. An NNP trains to work in a NICU, so not much market to see an NNP versus a peds person. Why not just be a peds practitioner if you don't want to work NICU? Most don't carry a dual license.

Never heard of it and it is way off base. Is this a nurse? Skin to skin is NOT part of our job!

This may be true in the adult world but not really in NICU. Neonate are very different than adults. Nursery will give you a leg up in assessments, seeing the normal and picking up abnormal in neonates. Working with BFing moms is a plus also. sorry...

To become a neonatologist you have to do a 3 year fellowship, same for any speciality. It is on the same line. Do you think someone could walk in and be a neonatologist without ever working with this population? So I wouldn't say it is really too mu...

Our attendings and nutritionists don't feel they are necessary. You know there is insensible loss and we give increased daily fluids to compensate for this and follow labs every 12 hours. And you use their dry weight for calculations anyways, so t...

We only do daily weights on gainers/growers, kids on diuretics, heart kids. Any kid under a kilo gets weighed every 3rd day unless otherwise ordered. Some kids don't get weighed until stable such as oscillator, cooling, nitric. It really kind of r...

We asked about the lipids also. As long as you flush the connector, it is fine, they won't be sitting stagnant for long. We use a trifurcated filter so we just flush that Y when it is done.

Probably not. How many did you have running?

96 hours for IVF, TPN, med lines, art lines and a couple of drips. 24 hours for lipids, and a handful of drips. Curocaps on all ports.

I am so glad I work with babies!

That is awful, but we get back some kids to our PICU from places like this. They are basically a nursing home, not a rehab facility. It makes me sad to know that after we fix them up they have to go back. The last time I was up in PICU we got a li...

In our hospital only attendings can place the order, but NNPs do assist and can pronounce with the fellow. Sometimes there are are worse things than dying.

If we have patients parents/family with bedbugs they have to be cleared before they can visit. If the mom is on the floor all belongings are double bagged, she has to shower and family can not bring anything from home. In in our unit they are not ...

We chart at the bedside. And if I have to have my back to a family I just tell them, I'm listening, I just have to enter this stuff. I have over 30 years experience and I have to say I love EHR.

You have to be pretty strong in A/P for radiology, if you found this class hard, the radiology classes go even more in depth. Especially needed if you want to move into specialty imaging.