AnonRNC

AnonRNC

NICU

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  1. Arrive early so you can cool off in the AC and stop sweating before your interview. Consider using a public bathroom (off the main lobby/entrance) to change into your clothes if you're SURE you won't be seen in casual attire.
  2. And the award for most asked question goes to...

    Baby delivered by caesarean section with Father in attendance. Father witnesses any resuscitative efforts and walks to NICU along side baby in transport isolette. On the unit, we slap ECG leads and pulse ox on the baby, maybe grab a stethoscope, and ...
  3. O2% to admin initally on apneic/resp distress preemie

    Pardon me, I wasn't clear: 40% is our "somewhat higher" for preterms. Term babies are started at 21%. Yes, if the HR
  4. O2% to admin initally on apneic/resp distress preemie

    The NRP book just says "somewhat higher" for premature babies. My facility has decided to start at 40%, but that's arbitrary, not evidence based. In general you titrate to oxygen saturations. The other hard and fast rule is that if you start chest co...
  5. Mental health days

    These are two different things. "I have great plans next Tuesday and will call in sick" is NOT a mental health day. "OMG, I'm so exhausted and depressed by my job that I cannot possibly go to my job today," IS a mental health day.
  6. What can you tell me about NEC?

    umcRN is right: the benefits of enteral feeds outweigh the risks. But when the bad outcome hits YOUR patient, it's hard to remember that.
  7. Pens are easy to replace, your license is not.
  8. PMFB-RN, thank you for your service.
  9. What can you tell me about NEC?

    NEC is terrible. You did what you could. It's an insidious disease.
  10. Sexual Orientation Question

    I just want to say thanks... Because of this thread, I had yet ANOTHER conversation with my kids about safe sex...and found out that one thought the Pill protected against STIs. I will continue to have these conversations w/my kids.
  11. Nursing Diagnosis

    However, to address what I believe MIGHT be your point. Yes, nursing diagnoses can be a bit awkward, but they serve as our profession's language and lead to NURSING interventions, which promote health along side (or sometime in spite of) medical inte...
  12. Nursing Diagnosis

    Then articulate your point in plain English or professional nursing language.
  13. Nursing essay

    Actually..... I like this bit the best:
  14. Nursing essay

    Why DO you want to be a peds nurse?
  15. Being pressured to work more hours

    This is a nice opportunity to practice your firm, assertive voice. "No, I'm sorry. I cannot. I have another commitment at that time." Hopefully, you won't need to stay on at that facility for long - it sounds like a mess!
  16. What is the correct title?

    When we get a new attending, I say, "Hi, I'm Anon. I'm concered about Patient Smith who has...blah, blah, blah." The best attendings respond, "Hi Anon! I'm Joe. Let's do these things for Patient Smith: etc."
  17. Certifications...

    If you want it for YOU, get it!!! (Mine reimbursed the test fee after verification of "pass" result, and pays an extra $1.25/hr.)
  18. Unsanitary practice?

    Everything I've ever read has said that sanitizer is okay UNLESS HANDS ARE VISIBLY SOILED. Then you need soap-and-water.
  19. We all have our place.

    Marydc, I have the utmost respect for psych nurses. On my heirarchy, they are at the top. I mean, really!? I work NICU - I can't even handle patients that can talk! More seriously: you are right; we all have our niche. And I hope that the newbies can...
  20. Nurse Overdosed NICU patient

    For any sort of malpractice judgement to be awarded, there must have been harm, so there is no legal issue in the situation you describe. Regarding discipline of an employee: policies vary among facilities. One med error is not usually grounds for te...
  21. how to deal with loss in the NICU

    Most babies go home and are perfectly healthy and normal. The few who die... are ready for it, and it is usually a relief to me when they do. I cry at home. Once in a while at work. When I cry, it's not for the baby (I believe they are in a better pl...
  22. This is such a personal decision. I can only give you my thoughts. I was very pregnant with my first child when I finished nursing school. The faculty was helpful in placing me in clinicals that finished early in the term so that if I did have compli...
  23. Anti-intellectual & hyper-sensitive. WHY?

    I think it started when they stopped keeping score at kids' soccer games and gave ALL the kids a trophy!
  24. Define "helping people" (turning tables)

    Okay, I'll bite. I went into nursing because ever since I was a little kid I thought nurses were cool. I went into nursing because I hated sitting at a desk for 8 hours a day (which I did for several years). I went into nursing because each tidbit I ...
  25. Thank Goodness for doctors with a sense of humor :)

    When I worked inpatient Peds, we used to say that when they had seizures.Inappropriate humor (in the right place: never around patients or families) has the wonderful effect of helping us process the horror we see in our jobs. It lets us blow off ste...