AnonRNC

AnonRNC

NICU

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  1. Given the RBC, WBC and occult blood your patient probably does have a UTI - or a GI bleed. There's more to a UA than just the bacteria count and
  2. First of all, a resume isn't a legal document; you can put whatever you want on there. However, in the interest of not shooting yourself in the foot, it should be a positive, but fairly accurate...
  3. Vent. Should I feel bad about not picking up shifts?

    You were hired for two days a week. That's the end of your obligation. The fact that you sometimes pick up a third day is very nice and helpful to your
  4. If possible, after you're hired, after you've completed orientation and before the baby makes its
  5. How to reduce bruising with Epogen sub q

    We give epo pretty regularly in the NICU and I'm not aware of a bruising problem. Reviewing these two websites, it doesn't look like bruising at the site is much of an issue, although blood clot...
  6. My patient coded, and it's giving me nightmares!

    It's normal to be disturbed by a particularly bloody code. Codes are vastly different than an expected (and "permitted") death. It's only been a couple of days; I think you are quite normal to still...
  7. I did. And my nursing instructors made my life hell for it. Of course, they had seen many bright-eyed students as you describe. But I knew what I wanted - to take care of sick babies - and here I am...
  8. Positioning for HFOV

    We flip every 12 hours so they are lying on the other side of their head. Within that 12-hours we may (leaving the head in place) rotate the body to prone or supine (i.e. prone with head to right then...
  9. 24 weeker - how bad is it?

    Another sad reality is that the first day or week can be a "honeymoon" period, with the baby cruising along on low vent settings and 21% oxygen. Fast-forward 10 days and the same baby may be on the...
  10. would this be useful?

    Please use a very stretchy stitch that can fit a range of sizes. I am not patient about sorting thru a huge bin of hats for the one that fits the baby just right, and I never use the ones that aren't...
  11. New Here! Need nursing advice

    Why don't you see if you can get CNA/PCT (nursing asst/patient care tech) certification and a job in whatever area interests you? Observe the nurses and see what you think. CNA/PCT is not all heavy...
  12. Question about signing MAR

    That's exactly what I
  13. Suggestions Please!

    I'm not a recruiter or a manager, so take this for what it's worth: 1. Have you applied for NICU in the facility that you currently work? We have successfully transitioned nurses from adult ICU and...
  14. Any CHOC NICU RNs? I have a few questions!

    And CHOP is Children's Hospital of
  15. Please critique my application essay?

    Financial aid vs. application to specialty = very different. Agree with all that Netglow said, and... Also will add: Paragraph 5, rather than saying you "never felt challenged" (sounds egotistic), say...
  16. Blue top lab tube....no heparin!

    Bad, Wooh,
  17. Med Surg and miserable...:(

    I think I may understand your feeling: when I worked "Medical" (with occasional surgical kid thrown in for good measure) at the terciary pediatric center, I felt like I had to know a LITTLE bit about...
  18. sizure like activity after fainting

    I've seen it twice in "fairly" healthy adults (both with well-managed chronic illness, but who were not "sick" but were visiting family). The first time I was SURE it was a seizure and made a big...
  19. Nursing Superstitions?

    ALWAYS be completely set up for the sickest admit you can think of...it will never come. Never say "bored." (I'm off for the next couple of days, so I can say it - for now.) If you really are bored,...
  20. How far would you commute?

    Off the top of my head, my answer was "60 miles" but that is assuming 12-hour shifts, that I love the job and the people and that the commute time would be under 2 hours. I work in a specialty area...
  21. Tips for a good shift!

    Prep your uniform and lunch/snacks the night/sleep before. Get up on time. Leave on time. Arrive on time. Plan, PLAN, PLAN as soon as you get report. Find what you love about your job and focus on...
  22. I agree that you are right to be worried. You need a documentation system. You need physician orders and/or a protocol for monitoring. You need to know which physician to contact if there are problems...
  23. The biggest problem I see with scanning meds has been echo'd by my co-workers: we spend so much time making the scanning system work that we neglect to check the "rights" one by one. On the other...
  24. Ever Think Nursing Might Not Be Enough?

    I suggest ICU (med, surg, neuro, trauma, peds, neonatal) for a while. There is a lot more patho-phys in these area. Remember too that nursing school is focused on the basics. If, after a couple of...
  25. first code

    I learned to compartmentalize - both my feelings and the tasks. Have you watched "Finding Nemo"? The ditzy fish Dory (Ellen DeGeneres) sings "Just keep swimming. Just keep swimming." That's my code...