umcRN BSN, RN

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All Content by umcRN

  1. umcRN

    Tips and Tricks: Language Barriers

    Interpreters! However I have found the "Google translator" app on my phone useful in a pinch! I had a family once that was clearly overly distraught that their infant daughter was not being fed one...
  2. umcRN

    more meconium???

    I work in a NICU not at a delivery facility so I can't say there has been an increase in mec babies but after two years of working there I can say I do not think I would want any future pregnancies to...
  3. umcRN

    Poor kiddo, fat necrosis sucks :(

    The ones that get me are like one we have right now - SMA diagnosed shortly after birth. You look at him and he can move his eyes and you can tell he's in there but he doesn't do much else
  4. umcRN

    Poor kiddo, fat necrosis sucks :(

    I had a baby once like that. Never actually saw it in any of our cooled babies but she came from another facility. Poor thing could barely move her arms/head at all (went all the way up her neck)....
  5. umcRN

    Pediatric New Graduate Internship Programs?

    I love my patients :redbeathe and have made some very good friends here. Yes there are cliques. Yes there are some management issues (where isn't there?) but I haven't seen those issues universally in...
  6. umcRN

    Pediatric New Graduate Internship Programs?

    I will add that I also work at CNMC, almost 2.5 years now, While I have not worked elsewhere to compare, I have been happy here. I won't stay forever but that is because I relocated here and would...
  7. you can apply for license in another state and have your boards apply for that state. My advisors helped me out with it but I took my test in MA but got a license for DC. Unfortunately I can't...
  8. umcRN

    central line needle-less connector changes

    we change it with the weekly dressing change if not being used for blood/tpn...so not q72
  9. umcRN

    Breast milk via GT

    I may have our policy printed somewhere, i'll have to dig around a bit... in any case our lactation consultants all agree that fresh breast milk is good in the refrigerator for 4 days and thawed for...
  10. umcRN

    When adults whine....

    something else of interest...hospitalized kids really don't whine as much as you would expect them too. even those who have every right in the book to be miserable. Why I take care of them instead of...
  11. umcRN

    Breast milk via GT

    and good for that mama...she should be proud of pumping so much 6 months
  12. umcRN

    Breast milk via GT

    "Fresh" breast milk is good for 4 days...it was 3 but apparently it has been extended Thawed breast milk is good for 24 hours however should be re-refrigerated after thawing IMO breastmilk should not...
  13. umcRN

    PICU without wearing a gown?

    I work in a children's hospital and float between all the ICU's (NICU, Cardiac, PICU) and as other have said, gowns are NOT standard, even in the NICU. Only when pts are on contact isolation for...
  14. umcRN

    extension feeding tube use

    My hospital has no policy on changing the actual tubes so I'm wondering...what about NJ tubes? Do you change those every month too? Sometimes it's so hard to get those things in we keep them as long...
  15. umcRN

    Is a double major possible?

    also might I ask...what other major are you looking into? and are you planning on using it with your nursing career? If you are unsure of nursing you might want to get that figured out first before...
  16. umcRN

    Is a double major possible?

    I would say probably not. My school wouldn't even allow us to add a LANGUAGE to our schedules never mind a major/minor. I did compete in a Div1 varsity sport and that took A LOT of commitment to both...
  17. I wouldn't say you are wrong. If she is in her right mind she has the right to do as she wants. My mom's 93 year old aunt still lives by herself in her home and cared for her 95 year old husband until...
  18. umcRN

    When did you start precepting/mentoring?

    I had my first student 1 month after being off my 6mo orientation to NICU. It's not to bad with students...remember when you were a student, pretty much seeing or doing AYTHING made for a good day....
  19. umcRN

    Incentive Spirometery

    This may seem silly but I am looking for some tricks/tips in getting kids to use their incentive spirometry. I haven't cared for older children very long with my background being in NICU but now I am...
  20. umcRN

    Incentive Spirometery

    I blew lots of bubbles! haha but didn't know of the other ideas but will definitely keep them in mind for next
  21. umcRN

    Incentive Spirometery

    Thanks for all the suggestions! I like the bubbles in the water idea! We did bubbles and I could tell he wanted to try but it hurt too much. It was hard to get his family on board as they were spanish...
  22. umcRN

    Boston NICU opportunities

    I don't mean to sound insensitive...but good luck. I am from Boston and moved the heck out of there as a new grad to even get a job. I did land in a NICU by some grace of god but it was not in...
  23. umcRN

    What are these called?

    :barf01: blech! I have seen some pretty gnarly things on babies & kiddos - babies with all their guts hanging in a bag for the world to watch and hope it reperfuses, babies with their chests open...
  24. umcRN

    Leaving AMA

    I had an interesting AMA situation a few weeks ago. 29 year old with duchenne muscular dystrophy. Trach/vent dependent but other wise cognitively intact and normal. He wanted to sign out, he really...
  25. umcRN

    Neonatal IV question

    we have very nice, soft neonatal and preemie arm boards, I have never seen a kid scratch themselves with them. We also never cover an IV site, that includes swaddling so the kiddo is always tightly...