jnick31

hahaha, just realized this post was orig. from 2011. :/ oops.

These are all great responses, so many smart people out there... a question to the op, I may be way off point here but you sound fairly new to the NICU. I would encourage you to build a relationship with your Neo's or NNP's that you would feel comfor...

Sounds like you are just burned out on your current floor and want nothing to do with them. I've been there... no fun at all. I wasn't hired in the NICU until my 5th application and 3rd interview. All with the same manager/unit. If NICU is where y...

We are getting ready to send a baby home in a couple of days, but he will only be 1700g if he is lucky (super SGA) and only if he gains a full 30g per day. The only thread I could find on here for a carseat for a baby this small was closed a couple y...

That's what I thought we would do too, but the Neo told the parents he didn't want to use a bed and for them to get a carseat instead. He passed his carseat test in the one that they bought but it seems they would be rated for 5lbs and up for a reas...

I think that is how it is with any nursing position as a new grad, especially if you aren't familiar with the charting system. Just keep doing things the right way and the speed will come with time. I don't know any ICU nurses that will tell you that...

I should also say that I've never worked ER but was on a trauma floor for a while. So an ER nurse may have a better solution.

I would get the c-collar on them then and there and bring the gurney to them. To be honest, they've been stable enough to walk/ wheel to the ER, walking back to a room probably won't do any more harm than is already done, but there is that slight pos...

We have 12 babies per pod and just close all the doors and invite the parents out to the center when it's their babies turn. Works well for us but we don't have 20 people, for us it's about 10-12.

When I worked on the trauma floor, if a pt required intervention for pain more often than q 2hrs (especially with IV medication) then their pain was not considered 'controlled' I would definitely see about changing up the meds if they are needing mor...

Farther? I can never remember...

I wouldn't go in thinking the job should be yours if you rock the interview. Be confident but don't get broken hearted of you don't get it on this go around. Thank the manager for their time and ask them to keep you in mind for the next round of hiri...

Oh... and Utah, USA

1. What is it like to work nightshift? Heaven compared to days, less politics and more unit cohesion. 2. Can you tell me a little about your sleeping habit before a night shift? Try to sleep from 2-4 or 5 to be there at 1900 but it doesn't always w...

I don't work neonatal (yet) so it may be different on teeny veins. But it sounds like you might try dropping the angle (ever so slightly) after the flash, advance the whole thing about another 1cm or so and then thread the cath. Then withdraw the nee...

Alkalosis would cause resp depression in an attempt to hold on to CO2, No? Hard to say without having the H&P but I think CNL is on the right track. If her O2 was fine I would maybe start thinking either anxiety/pain or pH imbalance? maybe think...

I agree to the generational thing. I use my smart phone all the time for drug references and to look up the patho of something new. RN's please correct me if I'm wrong but I would always try to assess the situation before asking a question and know...

There have been more than a few times that my wife would be frantic when I got home because I needed to close my eyes in the car for a min and fell asleep before they were shut. 3 hrs later I was leaving the parking lot. oops.

I think you just found out why they are hiring a unit secretary. :) Maybe call and talk to the charge nurse for the name of a possible 2nd contact.

the"+" in A+ is the Rh factor. if she was R negative she would be A- (- being negative) The "A" is the type of marker on the cells, + or - after letter is Rh factor. I'm wondering if she meant to say A positive (+) and GBS negative

I might do a little stint about the conception, and maybe a little more time on the patho of the womans body as the fetus develops. then concentrate the majority of the paper on what happens to her body in the last week or two in order to prepare fo...

I think Textbook answer is Zithromax first. Real world answer is you would give all at the same time. I think of it this way... if the person were going to go to emergency surgery and I had 30 seconds to give one of those 3 meds before they left... ...

just reread the bottom half. :) Spot on with the nutrition.

re: fluid deficit v. excessive. He has edema, wet lung sounds, SOB, is tachy (may be the pain or r/t fluid) and is retaining fluid... that tells me excessive. If you wanted to use deficit, I think it would be a risk for r/t lasix admin. But you might...