essT

essT

NICU

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All Content by essT

  1. What is your nursing "joy?"

    essT replied to jamisaurus's topic in Nurses Rock

    Elvish, you are my hero for this one. I thrive on adrenaline and really love taking care of critical NICU patients. But I can't think of a greater joy than bathing one of my little feeder/growers,...

  2. Interesting cases anyone?

    essT replied to Humbled_Nurse's topic in NICU, Neonatal

    Us too. First sign I saw on admission was very mild unilateral clonus. I suspected he was a neuro baby from that moment on... This was followed by blood sugars persistently in the teens despite...

  3. Transfusion associated NEC

    essT posted a topic in NICU, Neonatal

    What is your unit's policy with regards to making babies NPO for blood transfusions? I recently transferred to a level III NICU. For the two years prior to my arrival, our unit would make babies...

  4. Transfusion associated NEC

    essT replied to essT's topic in NICU, Neonatal

    "We currently have research in progress looking at the age of donor blood at time of transfusion in relation to NEC development." Steve--yes, this has been a recently emerging concern with us, too....

  5. NICU: Enteral Feeding Warmer?

    essT replied to NICURN4Life's topic in General Nursing

    We also use Medela. Trialed the Penguin but ended up switching back after a one month trial

  6. Transfusion associated NEC

    essT replied to essT's topic in NICU, Neonatal

    Thank you everyone for your thoughts. I appreciate the insight! NicuGal and nicuguy -- As for the Hcts, two of the transfusions were routine per our unit protocol. I don't have exact values, but as...

  7. Easter??

    essT replied to breane3's topic in General Nursing

    We get paid double time for Thanksgiving, Christmas, and New Year's Day only. However our health system "recognizes" a number of other holidays -- including Easter as well as 7/4, Memorial Day,...

  8. Putting nurses in a bad spot.

    essT replied to Telenurse1990's topic in MICU, SICU

    In my old unit, we were limited to RTs to intubate and versed push for sedation prior. No MDs in the unit on night shift. Anesthesia would get called stat if RT couldn't get it; hopefully the patient...

  9. Kiddos

    essT replied to klone's topic in NICU, Neonatal

    Little Bit Sweet Pea

  10. skin to skin with UVCs

    essT replied to marpcurn's topic in NICU, Neonatal

    Our policy says no skin-to-skin with umbilical lines. The rationale is not clearly stated, so I'm not sure if it's due to patient instability or infection risk. PICCs and Broviacs are not...

  11. Coma scale

    essT replied to nowim clean's topic in General Nursing

    In our adult ICUs we assess GCS q4hr for all patients. Neuro patients are q1 or q2hr or more often for evolving status, TPA administration, and so

  12. Tolerance and acceptace of gay nurses and patients

    essT replied to anon456's topic in Patient, Colleague Relations

    Looks like toomuchbaloney beat me to it! Thanks for the

  13. Tolerance and acceptace of gay nurses and patients

    essT replied to anon456's topic in Patient, Colleague Relations

    Yes, exactly. Constitutional bans against gay marriage are being overturned at the state level very quickly these days, but no new anti-discrimination legislation has been passed. Hence, no legal...

  14. Sigma Theta Tau Benefits

    essT replied to kgg6's topic in General Nursing

    I joined for the first year just to put it on my resume and have let my membership lapse. I see no benefit to continuing to be a member, especially at that price! Now my resume says "Sigma Theta Tau...

  15. Tolerance and acceptace of gay nurses and patients

    essT replied to anon456's topic in Patient, Colleague Relations

    I am a gay woman working in a state and hospital where I could be fired just for being gay. Many states still do not have non-discrimination laws when it comes to homosexuality. I am lucky to have...

  16. Car seat test

    essT replied to katierobin23's topic in NICU, Neonatal

    Our fire department in town does car seat safety checks. We recommend that to parents if they have questions or need help with installation. On discharge, the RN carries the infant to the car in...

  17. OGT securement in intubated patients

    essT replied to JeffTheRN's topic in Critical Care

    We secure to the cheek with tegaderm. Apparently there was an accidental extubation caused by a patient pulling out their OGT and the ETT coming

  18. My favorite med:

    essT replied to kool-aide, RN's topic in Patient Medications

    I echo the previous poster who said nipride. There's something oh-so-satisfying about watching the art line pressures drop. Now that I'm in NICU... I'm a fan of surfactant of course, indomethacin,...

  19. Career Options other than Med Surg

    essT replied to skewlgurlRN's topic in First Year After Licensure

    Is there a particular type of patient you've enjoyed working with or diagnosis that interests you? Perhaps there is a specialty that suits you well. Hospital work is stressful by definition it seems,...

  20. 10 Worst Employee Excuses For Missing Work

    essT replied to sharpeimom's topic in Nursing Humor

    Years ago I had to miss my pathophysiology final -- basically the last thing standing between me and nursing school -- because we had an incident in my neighborhood and there was a SWAT team guarding...

  21. Levophed concentration and hospital policy.

    essT replied to calivianya's topic in Critical Care

    We can run levophed 4/250 through a PIV and 16/250 and 32/250 through central lines only. We don't have anyone to put in CVCs at night, though, so we're often without any options. I ran levophed...

  22. Resume Advice

    essT replied to Emilyinidaho's topic in Job Search, Interview, Resume

    There's an entire board under the "career" tab devoted to nursing resume help, and many of the posts are geared towards new grads. Nursing Resume Help FWIW, I included my senior preceptorship on my...

  23. Most drips at once

    essT replied to delphine22's topic in MICU, SICU

    For a patient with E. coli bacteremia AND bilateral PEs: Levophed, neosynephrine, epinephrine, vasopressin, versed, nimbex, heparin, insulin, sodium bicarb, 4 PRBCs, 2 FFP, and a few KVO/piggy back...

  24. Your PROPOFOL stories wanted

    essT replied to RNNCcicu98's topic in CCU, Coronary, Cardiac

    Most of our LIPs use it as their first line choice. I can't say that I've seen it cause significant bradycardia (nothing like Precedex). A mild drop in heart rate isn't uncommon, though, but I see...

  25. Should I dress up?

    essT replied to AnnieOaklyRN's topic in General Nursing

    I would dress my best. I think that any contact with a potential employer should be treated as an interview. You're a professional, an enthusiastic candidate, and can present yourself as