LilPeanut MSN, RN, NP

NICU/Neonatal transport

NNP

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All Content by LilPeanut

  1. LilPeanut

    Orientation classes vent

    So I'm in my NICU specific orientation classes, which is a huge YAY! Tuesday was my first day; basically the classes go on year round, when you are hired, you start the classes wherever they are in...
  2. LilPeanut

    Orientation classes vent

    On the good news today, the clinical educator came by and saw me at work. She apologized for the last class and the reason she hadn't said anything to them was that the manager for all the NICUs was...
  3. LilPeanut

    Partial Birth Abortions--NOT an abortion debate

    I feel very strongly that this is a decision that needs to stay between a woman and her practitioner. I would like to think I would know what I would do when faced with a situation such as those that...
  4. LilPeanut

    Question about working in NICU

    It all depends on the hospital and facility, you have to contact your local ones and find out for
  5. LilPeanut

    panic-attack reaction to compazine

    *waves hand* EPS to phenergan too. First was given it while on complete bedrest in the hospital. They finally sedated me so it would wear off. *shudder* No phenergan or compazine, please....
  6. LilPeanut

    "Customer service" and nursing

    You have encapsulated my thoughts, very nicely said. Perhaps the real question is then: why are adult hospitals so vastly understaffed in comparison with peds? And for those who were concerned with my...
  7. LilPeanut

    "Customer service" and nursing

    That is exactly what I'm talking about
  8. LilPeanut

    "Customer service" and nursing

    I would argue that since a pt. has a family, and as nurses we look at the whole pt., including their psychosocial needs, that the patient is the family as well. That's how we're trained at my...
  9. LilPeanut

    "Customer service" and nursing

    No, she was reprimanded for never going back to talk to the original pt. That's where the issue was. No one asked for it to be done in the middle of the crisis, but afterwards, a small explanation...
  10. LilPeanut

    "Customer service" and nursing

    Also, customer service does not equal giving them everything they want. Even when I worked retail or other service related jobs, you couldn't give people everything they want. It's all about how you...
  11. LilPeanut

    "Customer service" and nursing

    This is amusing, but totally untrue. Yes, we have mom. baby-daddy mom's boyfriend. Mom's mom. Mom's dad. Mom's sisters and brothers. Baby's sisters and brothers. Auntie from out of state,...
  12. LilPeanut

    "Customer service" and nursing

    psycho-social needs are part of patient care as well.... I'm wondering how so many peds areas do it so well, while adult areas
  13. LilPeanut

    "Customer service" and nursing

    To use your example - your manager told you that after the other pt. was stabilized, you should have gone back to the first pt. and explained what happened. Why is that an unreasonable expectation?...
  14. LilPeanut

    "Customer service" and nursing

    Playing devil's advocate: So if you know all the research, but have no patience for the families and dealing with the service oriented aspects of nursing, how do you intend to get anyone to listen to...
  15. LilPeanut

    Predictor test for NCLEX; need advise

    We had to take the HESI at my school, but it is not required to get a certain score to graduate. It has a high positive predictive value, but that doesn't mean it's perfect. After we took it,...
  16. LilPeanut

    Is It Crazy to Have 3 Part-Time Jobs?

    Just make sure they don't feel it is a conflict of interest, if you are working for a different hospital or provider agency. I think it will be busy, but there's no way to see whether it will work...
  17. LilPeanut

    wearing gloves when feeding neonates

    well, it is for pt protection to wear gloves - if the germs are not being properly cleaned from the hands, then they will be passed from baby to baby. We do MRSA cx q tues, but it takes a few days to...
  18. LilPeanut

    wearing gloves when feeding neonates

    Our NICU also requires gloves for all pt. contact, and I have the same concerns about the babies not receiving the human touch. The reason in our NICU is because of MRSA outbreaks, but I also am...
  19. LilPeanut

    Can nurses wear skirts?

    I read that article and it was about nurses in Croatia. Now, having visited a third world hospital recently, things are not as they seem always - nurse is a term used very loosely around the world....
  20. LilPeanut

    IV air bubble compensation

    PICCs and other central lines do NOT rest in the left ventricle. They are going up through the vena cava and resting right at the entrance to the right atrium. If your PICC is resting in the left...
  21. LilPeanut

    Moral Issue Question...

    I forget that NICU abbr have different meanings in different specialties (what.....the world doesn't revolve around the NICU????) Bronchopulmonary dysplasia, a common disease of the lungs in...
  22. LilPeanut

    Moral Issue Question...

    I think there are a couple important facts to remember: Cardiac cells have automaticity. They do not need brain function to continue to fire and contract. They just need O2 and perfusion to keep...
  23. LilPeanut

    Question about ages in the NICU and PICU

    Much like others, typically we only accept transfers (or the occasional precip from our Children's ER) though if someone has a "newborn issue", sometimes we'll take them. It just depends on the...
  24. LilPeanut

    Husbands or S/O's at routine exam

    I think it should be up to the patient. I'll even go so far as to say that I really don't think we need to do all that history-taking. Who cares if someone had abortions, previous pregnancies, etc.,...
  25. LilPeanut

    CA ED Ratio??

    I'm in Columbus, I worked as a UC at Children's, and then had clinicals at OSU-E. I'm a NICU girl at heart though The ER is a fabulous place too, and if I wasn't so NICU, I'd totally be