ckey01

My NICU is working on expanding our use of developmental care products and we're starting with Freddy Frogs. I used them at my last hospital, but I don't think we had specific guidelines for their use. Our medical director is very hesitant to introdu...

What level is the NICU? Short answer is no, that isn't enough time. My residency was almost 6 months long and a mix of working on the unit with a preceptor and class work. It seemed like pretty much the perfect amount of time to at least get you some...

I'm one of three guys in my NICU and was the first in about 7 years when I started. I started as a new grad, which is the route I would definitely recommend if you intend to stay there for the long haul. NICU is an entirely different world and it's b...

We don't do daily x-rays on our intubated kids, but we do get them at least weekly. I was surprised when OP said it had been 2 full weeks.

If you let the commute stop you, I think you'll regret it. If your heart is really in the NICU then you need to take your shot and get in there.

If NICU is your goal then you should do whatever you can to start in the NICU. It's an entirely different world and while the skills you develop in peds would definitely help, the best option is to learn in the NICU from the very start. While the co...

Yep, totally possible. I started in a Level IIIc NICU right after graduating with my ADN. Just need to find the right hospital and start networking hard until you can get recommendations.

Agreed, that is not a safe assignment. I work in an extremely busy level IIIc unit and our oscillator kids are always 1:1.

Congrats on the pleasent first day! What field did you move too?

Cup of coffee w/ fruit snacks and some mini-muffins after my first round of assessments. I'll then eat lunch around 2am with a cherry coke and then have a granola bar real quick near the end of my shift.

Nada. But then, I work weekend nights and management always forget that we exist so I didn't really expect anything.

It entirely depends on the baby and what might be causing them to desat. If it's a bigger baby and reflux causes them problems, then sitting them up or stimulating them is usually enough to get them to stop periodic breathing and bring their sats bac...

Similar to the others, we do not use heparin in our PIVs. PICC, UVC/UAC, and central lines we use 1u/mL in whatever fluid is running. We also flush 2nd ports with 1ml of heparin every 6 hours.

Our charge nurses do not take an assignment. They have a multitude of duties involved with staffing and admissions and help out around the unit. We are a 107-bed Level III NICU so we get a lot of deliveries. Because of that we have a dedicated resus...

Same here.

We don't have any kind of blanket over the cooling blanket, but we do use bendy bumpers or something to give them some boundaries. We haven't had any trouble maintaining proper esophageal temps when using them.

Pretty much this. If it's an assessment time I'll reposition the peanut on their other side to see if it helps.

You'll get a phone call telling you you're in the residency and everything you need to complete before your start date (NCLEX, physical, immunizations, etc). You then show up at orientation on your first day and sign your "official" offer letter.

If it's anything like the NICU residency (which I completed earlier this year) then you won't sign your actual contract until a month or two after you've started.

We change lines for clear fluids every 72 hours (bags every 24). TPN and IL lines are changed every 24.

Another one here!

I think you're being a bit paranoid. I had to submit a declatory order to the Texas BoN when I started nursing school and got the same letter you did. I had no problems getting my license after taking the NCLEX.

I start Monday as well. Would definitely appreciate any advice as well!

I just completed my last semester clinicals and senior preceptorship on the Med City PCU. They're a fantastic group of nurses on that floor. Very supportive to all the students so I'm sure you'll have a great time.

Dec '12 graduate here. You should buy it. I used it all 4 semesters for the math exams that you'll have at the beginning of every semester.