rainbows4me

rainbows4me

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All Content by rainbows4me

  1. Anyone take the Arnett test?

    rainbows4me posted a topic in First Year After Licensure

    We had to take it twice last semester (once in the beginning, once at the end). It was a humbling and informative experience, since it was computer adaptive and said to mimic the NCLEX. First time I...

  2. New grad in the nicu

    rainbows4me replied to jas1274's topic in NICU, Neonatal

    Congratulations on passing the boards! It takes a long time to become comfortable in NICU. Some people are more natural with organization and time management than others, and as a new grad, you're...

  3. Bubble CPAP chin strap help!!

    rainbows4me posted a topic in NICU, Neonatal

    Looking for some help here... Our unit uses bubble cpap. We have been struggling with ideas for chin straps on our babies who continually have their mouths gaping open, and thus stop bubbling and...

  4. Would you consider a home birth?

    rainbows4me replied to 2curlygirls's topic in NICU, Neonatal

    Great book! I have read this book, along with many other midwife/doula/homebirth books. And yes, I am a NICU nurse, and yes, I've had a midwife birth with a free standing birthing center, and yes, I...

  5. Would you consider a home birth?

    rainbows4me replied to 2curlygirls's topic in NICU, Neonatal

    Now let's be fair. You honestly think that bad things don't happen in hospitals? That a bad birth at home would have been a great birth in the hospital?? I hate it when people assume that a...

  6. Would you consider a home birth?

    rainbows4me replied to 2curlygirls's topic in NICU, Neonatal

    To be honest - I'm glad I'm done having babies! As a NICU nurse, the blissful ignorance is gone - I have seen the bad outcomes of birth. Bad outcomes of hospital births and bad outcomes of home...

  7. Sick Time for Nurses in NICU

    rainbows4me replied to hmarandola's topic in NICU, Neonatal

    Which is an easier moral to follow if you aren't risking losing your job for calling out. Not as simple as worrying about your paycheck, it's worrying about your career, your evaluations, not to...

  8. flat line eegs...

    rainbows4me posted a topic in NICU, Neonatal

    Our unit has had a string of sad babes lately who have had huge in-utero assaults with complete neuro hits. I'm curious how other units deal this these kiddos - the ones who have flat eegs, blown...

  9. Pneumograms

    rainbows4me replied to fergus51's topic in NICU, Neonatal

    We do "5 channel studies" which along with the regular HR/RR/sat also monitor esophageal pH. Never saw so many kids diagnosed with reflux as those on our unit... wonder how many kids off the street...

  10. Stress Scale

    rainbows4me replied to KES's topic in NICU, Neonatal

    Seems like it's usually a 2-3 or a 8-10... Not usually in middle! And our whole unit seems to be that way as well - either we go a whole shift with no admission or we're getting 3 admissions,...

  11. how long have you been...

    rainbows4me replied to Tiny1Nisolet's topic in NICU, Neonatal

    A year and a half. Love the work I do, don't always love the politics of such a seasoned unit. Like yours, ours has many 25+ year veterans, many of whom started in our unit as new

  12. Knocking on isolette

    rainbows4me replied to Super RT's topic in NICU, Neonatal

    I have to agree, that while it's not my first choice, i've done it many times. Last night, in fact, I was forced to as well! When your hands are dirty and you see a brady to the 50s, sat in the 60s...

  13. what do CNA's do in the NICU?

    rainbows4me replied to Ariel70113's topic in NICU, Neonatal

    Our unit uses "technical associates", which are often CNAs. They do heelstick blood draws, Algos, car seat tests, and help with feedings, baths, weights, vitals, stocking, etc. We are a 50+ bed...

  14. Preemie resuscitation in regards to gestational age

    rainbows4me replied to d2k2's topic in NICU, Neonatal

  15. what's your policy on switching out isolettes?

    rainbows4me replied to luv-r-babies's topic in NICU, Neonatal

    seven days here as

  16. Preemie resuscitation in regards to gestational age

    rainbows4me replied to d2k2's topic in NICU, Neonatal

    We use 23 weeks and 400 grams as a cut off. Our outcomes with 23 weekers (23 and change) have not all been bad, but certainly the majority of them do not survive without major problems along the...

  17. Dopamine question

    rainbows4me replied to babynurse2001's topic in NICU, Neonatal

    Our dopa/dobuta is mixed together (same syringe) in a dosage based on the kilos of the baby in either single or double strength. I think it's similar to what Gomper's described. We then have a chart...

  18. Pulse Ox Probes Make Me Gag!!

    rainbows4me replied to KK7724's topic in NICU, Neonatal

    We don't use any pre-fab wrap pieces - we just use Coban - and a fresh piece whenever it get's old

  19. Pulse Ox Probes Make Me Gag!!

    rainbows4me replied to KK7724's topic in NICU, Neonatal

    We rotate our pulse ox probes Q3 or Q4 and I have never noticed any smell associated with our sites or probes. Perhaps it's the eight hours??

  20. Really upset, bad shift last night

    rainbows4me replied to Gompers's topic in NICU, Neonatal

    You express my own feelings/thoughts/sadness/upset of this week. I hope you find some peace and comfort. Big hug for you....

  21. flat line eegs...

    rainbows4me replied to rainbows4me's topic in NICU, Neonatal

    But my internal belief says that euthenasia involves "acting on" in order to provide death... Is stopping futile medical care euthenasia? Or is it allowing death to occur? We act on and on and on to...

  22. What things are permissable to infuse per UAC's?

    rainbows4me replied to Amandamarie's topic in NICU, Neonatal

    We use 1/2NS - and never any heparine - at 1cc/hour unless it's a wee bitty micro and then sometimes 1/2cc/hour. Now any of our UV lines always have heparine, but never the UA.

  23. A question re: Albumin Transfusion

    rainbows4me replied to mweaverrn's topic in NICU, Neonatal

    All of our blood products come prefiltered - we use the regular sized (not micro) extension tubing and never use a separate filter. Interesting...

  24. nasogasatric feeding practices!

    rainbows4me replied to Leofric's topic in NICU, Neonatal

    We change our NG/OG tubes Q48, but I have heard from some of the other level IV units we transport to (we're a large level III) that they actually insert only for the feed and then remove. They are...

  25. How soon to apply..

    rainbows4me replied to JennyRN2B's topic in NICU, Neonatal

    I started almost a year ago as a new grad (wow!! can't believe it's coming up on a year!) and I interviewed for the position in January. I had sent my stuff in to the hospital recruiter in the fall of...