AnonRNC

AnonRNC

NICU

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All Content by AnonRNC

  1. Why do nurses chart in 3rd person?

    I avoid the pronoun. "Mom teary, social services consult offered." But when it gets complicated, like a big social concern or inappropriate comments, I keep it simple: "Patient said... I
  2. senior practicum - not what I expected

    When I went to school, we didn't have practicums (but we did have more med-surg that you). Our "management" clinical was in LTC. We did ONE med pass and ONE day of treatments. The rest of the time we...
  3. Too attached

    I disagree with the one who said you are egotistical. You are not; you are just having inappropriate thoughts. I applaud your self-awareness and ability to recognize your inappropriate thoughts. We...
  4. Specializing as a fresh nurse?

    You have a job offer! For an area you are interested in! TAKE IT! May your dreams come true! (I never worked
  5. Dont wanna be a floor nurse..

    Perhaps you could get a job in the out-patient setting. There is less "hands-on" care, although it is still direct patient care. Personally, I think if you're interested in management, you need some...
  6. Medication Errors?

    A dose for nebulization should be drawn into an ORAL syringe. It could still be inadvertently administered PO or via feeding tube, but it could NOT be administered IV, which seems the greatest risk to...
  7. Should I stay or should I go? I don't know.

    Your job vs. your husband's job is a balanced scale. Bet when you throw in your dream city, the balance tips. Location, location, location. I also think that because he has an established career, he...
  8. Odd requests

    You win!
  9. I think if you have learned to manage your ADD to be successful in the classroom, you can learn to manage your ADD to be successful in clinicals. You sound passionate about nursing; give it another...
  10. After the first time I did chest compressions in the NICU, my charge nurse brought me chocolate and
  11. 8-hour shifts save money?

    I would argue that on 8s you can have less nurses on staff (and potentially less expenses for benefits): Eights: 21 shifts divided by 5 per week per nurse = 4.2 nurses Twelves: 14 shifts divided by 3...
  12. As a nursing student I did a dressing change on a shoulder wound that had a 3-inch island of eschar in the middle, surrounded by a little pink moat, then healthy tissue. The wound was secondary to...
  13. Any Parents Working Weekends Only?

    I've been doing just that for years. My husband works 6-1430 M-F (home by 1515). I work 7-1930 Sa/Su. It works very well for us. I've actually grown to prefer working weekends: no management, fewer...
  14. Yes, not swabbing does introduce bacteria. I just read an article that studied this in vitro (the lab - no patients). Some hubs were not swabbed at all, some for 3 sec, 5 sec, and 15 sec. Then the...
  15. It's all about survival. In order to get off nights (I didn't have any childcare, so only slept when "the baby" slept), I took a full time 3-11pm position. It was easy to find a college girl to...
  16. Orientation...blechhh

    I precept a lot. I do often quiz, such as "What are you thinking?" and "What possibilities come to mind?" I do this to get an idea of what my orientee is thinking and what knowledge gaps I need to...
  17. ma2cna = a well rounded nurse?

    OP, I think your previous experience will make a positive contribution toward your abilities as a nurse. Since you have the physical tasks ("stuff") down, you can focus on the "thinking" aspect of...
  18. help! gift suggestions

    I like the stethoscope idea. Littmann is a nice high-end
  19. CPR for the frail and obese

    You're right: if someone is so obese that you absolutely cannot get around them from the back, go to the front and give abdominal thrusts. You'll probably need to get low in order to thrust up and
  20. little clamps on peripheral IVs and PICC lines. . .

    Artsy, while this may seem like a little thing that you 'should' know, I would counter that this is a 'little thing' that many nurses let slide. I love that you are asking questions about the small...
  21. Special Care Nursery vs. NICU

    Good point about the regional
  22. drug calculations

    This practice sounds dangerous to me. When drawing up 0.07ml, you also have a bit more medicine in the syringe tip, possibly as much as 0.05ml. So if we add saline to that syringe (vs adding that...
  23. A nice little story

    It was very kind of your patient to recognize and acknowledge your work. BTW, the first few months (or year) are always hard. Just keep swimming!
  24. Special Care Nursery vs. NICU

    The Roman numeral II tells you what you need to know: that this unit cares for acutely ill babies, NOT critically ill babies. Level III is for critically ill. You'll never see a ventilator in Level...
  25. What hurt worse back or feet

    NICU - I might get carpal tunnel syndrome, but I won't hurt my back. My feet hate me