Backtoyou2011

I took of a baby named Heaven and her middle name was Lee Princess. Heaven Lee Princess.

Correct, kind of. Once you separate babe from mom the umbilical arteries are no longer connected to the umbilical vein ( no placenta anymore). So a Med infused into the Cather will distribute via the descending aorta. I think what maybe confusing you is the difference between a UAc and a UVC. To be clear an umbilical arterial catheter is separate from an umbilical venous catheter. So if a baby were to have both (not likely but for explanation sake) we'd have fluids going through the UVC because you're right it circulates meds better an it's safer. The uac would be hooked to a transducer and only be used for abgs and other labs and monitoring pressure. Hope I made sense kind of tired, lol!

To the question about running tpn into a UAC, this is something that we will not do in our NICU unless in an emergency where no other access is available. In terms of a neonates circulation, in an ideal situation it is not different from an adults. The uac is no different than a central artline in an adult except where its inserted. The umbilical arteries are connected to the descending aorta. The catheter in a UAC ideally ends in the high position in the aorta between t6 or t9 or the low position at around L4 in the descending aorta. Once a child is born they no longer have fetal circulation because you change the pressure of the whole system when you cut the umbilical cord from the placenta and kiddo takes their first breaths ,it makes the path of least resistance through the lungs and not to bypass then through the ductus or foramen ovale. So in response to neonates having fetal circulation the answer is technically no because there is no placenta providing oxygen, their lungs are. So the aorta is carrying (in an ideal situation) oxygenated blood from the lungs ( provided they are working well) away from the heart just like in an adult. Where a premature infants circulation might differ is that the may have patent ductus or a foramen oval or many other heart defects that causes shunting of blood similar to fetal circulation or immature lungs that lower the oxygenation of the blood within the artery. But in terms of running meds into the aorta of a neonate, not the best route due to the same reasons listed by many other posters. Also UACS aren't used for more than 7 days at a time so you really wouldn't want to be relying on it for any long term infusions.

I've got all my research done, I'll start writing it next week ( a week before its due) . Too true!

Go to the board of nursing website and download the application for rn licensure. Page three of the application has the links to the two systems where you must get your finger printing done. Good luck!

I read the question wrong in the poll, but yes you will have to wipe butts and it would never deter me from a job.

I think there a variety of factors that contribute to the OP's observation. One , there just arent many African American nurses for reasons already addressed by previous posters. Second, your region really plays a big part in it too. I have lived in a very segregated community my entire life. I was one of five black students to graduate my predominately white high school. I was the only black student in my nursing class and now I am the only black nurse in my NICU (our staff is almost 120 nurses). While I don't feel like I am anyone special or grand for finishing nursing school and landing this position ( I went to school with great as equally educated people who are all doing great things) I often get comments from the parents of my minority patients about me about being an RN and asking me if I'm a nurse 'like everyone else ' on the unit. On the other hand I often find that some parents whom I've observed being more distrustful of my non- minority coworkers are more open towards me, but I can't be one to say its definitely because of my race. I believe if I moved to a different less segregated region, it simply would not be like this. However in some places, a huge racial divide still exists.

I live in Michigan and started at 26.57 an hour plus 1.50 shift differential for nights in a large magnet hospital.

It's very draining to keep you patience and manage to hold your tongue. It baffles me sometimes how easily some people have children and what they put them through. It isn't fair for the babes at all.

In our unit it is protocol to utilize a chin strap with nasal cpap, unless the kiddo keeps their pressures and 'bubbles' fine without one. I personally hate the chin straps but it really does help with the seal.

G1p2 one pregnancy but two births of two living children.

May I also mention that due to the development of technology, many users access this site via their mobile phones. I know for certain that how I type on my iPhone (and what my iphone thinks I say) is far from how I actually speak or write.

We follow Nrp also where I work, which means intubating and using a meconium aspirator. That isn't fair they should expect you to know how to do that with no training whatsoever.

We often have a lot of hats, but I really like the knit blankets. It makes the room look more homey and almost every kiddo in a crib can have one.

Since I was in a hurry to run fresh frozen plasma before my fifteen minutes was up, I didn't realize the syringe it was in was a different kind of syringe then we have on the unit. If the pump isnt set for the monojet it will refuse to recognize the loaded syringe. So I ran around the unit and tried to load it into three different pumps to no avail to realize I was using the wrong mode! I felt like a genius !