LilPeanut MSN, RN, NP

NICU/Neonatal transport

NNP

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All Content by LilPeanut

  1. LilPeanut

    How to CYA

    LilPeanut replied to cinja's topic in General Nursing

    I'm with janelle. How would you need to CYA other than documentation? If I'm having issues with management, document those. I would never record a conversation with a manager. If it got to a...
  2. LilPeanut

    How to CYA

    LilPeanut replied to cinja's topic in General Nursing

    Chart documentation, that's what it's there for. If it's not documented, it's not been done, legally
  3. LilPeanut

    Spinoff, NICU levels - does the definition need changing?

    LilPeanut replied to LilPeanut's topic in NICU, Neonatal

    ice: I think a lot of it is the geography of the states. You have people who are potentially 2-3 hours from a major city, and while they have a small country hospital nearby, that hospital doesn't...
  4. LilPeanut

    Unit Coordinator vs Nursing Assistant

    LilPeanut replied to mcknis's topic in General Nursing

    I actually started as a UC in our Children's ER. It was fabulous, I learned all the tests and procedures, and the UCs there were part of the trauma team, so I got to go in on all the critical and lvl...
  5. LilPeanut

    Undigested -vs- Partially Digested Residuals

    LilPeanut replied to Love_2_Learn's topic in NICU, Neonatal

    Of course in our NICU, we'll occasionally have issues because the 1.5ml q4 bolus feed isn't being pushed down with enough air and the reason it's not digested is because it never reached the tummy...
  6. LilPeanut

    male nurses in OB

    LilPeanut replied to newnurse33's topic in General Nursing

    In some cases, it's a valid example. Is it kosher for a woman to work on a urology
  7. LilPeanut

    male nurses in OB

    LilPeanut replied to newnurse33's topic in General Nursing

    This also reminds me of the "debate" about whether men should be allowed to be childcare workers or elementary school teachers. I think it all comes down to people being prejudiced against men who...
  8. LilPeanut

    Would you recommend your NICU/hospital?

    LilPeanut replied to futuregaspasser's topic in NICU, Neonatal

    I work at Children's hospital in Columbus Ohio and I love it. The staff is wonderful, both nursing and drs. It's a lvl III with 47 beds (trying to figure out how we can get to 50 ) We do ECMO and...
  9. LilPeanut

    Spinoff, NICU levels - does the definition need changing?

    LilPeanut replied to LilPeanut's topic in NICU, Neonatal

    On that same thought, I've wondered many times about whether our hospital should consider accepting transport of imminent micropreemie moms prior to birth. We're the best equipped to deal with them,...
  10. LilPeanut

    can nurses intubate?

    LilPeanut replied to mommy2BCD's topic in NICU, Neonatal

    Bah. Lost a post. Essentially, I agree with gompers and BBG, it really seems pretty insane and I would think it is very much risking a license and unbelievable that a regional transport center...
  11. LilPeanut

    male nurses in OB

    LilPeanut replied to newnurse33's topic in General Nursing

    There could be someone who had been assaulted by a brown person, or had a family member who was murdered by someone who was fat, or a myriad of other things. But to judge everyone by the standard of...
  12. LilPeanut

    male nurses in OB

    LilPeanut replied to newnurse33's topic in General Nursing

    I want to hear more about how you should be prepared for someone of a "different race" doing an exam????? Personally, I prefer OB-GYNs, because I had a bad experience with a male when I was younger,...
  13. LilPeanut

    Spinoff, NICU levels - does the definition need changing?

    LilPeanut replied to LilPeanut's topic in NICU, Neonatal

    There is standardization with trauma centers, right? your NICU sounds a lot like our II+s here. And I agree, it's amazing the variation that there is out there in what the NICUs actually
  14. LilPeanut

    ethnic question

    LilPeanut replied to firstclass's topic in General Nursing

    They're likely curious about your accent and are trying to be friendly. Maybe they speak your native language and would love for someone to practice with, but they're wanting to confirm that you are...
  15. LilPeanut

    can nurses intubate?

    LilPeanut replied to mommy2BCD's topic in NICU, Neonatal

    You can't be a lvl III if you don't have docs there round the clock, at least this is my understanding. This is what prevents most of our II+s from being considered IIIs, they have NNPs, but they...
  16. LilPeanut

    can nurses intubate?

    LilPeanut replied to mommy2BCD's topic in NICU, Neonatal

    Personally, and I'm just a student, so grain of salt and all, but it really sounds like the nurses are practicing outside their scope at that hospital. I can't imagine that a hospital is keeping...
  17. LilPeanut

    HIV&lactation in US:question

    LilPeanut replied to nsnvbella's topic in Ob/Gyn

    Everything I've heard from research is that if the mom exclusively breastfeeds, meaning absolutely no other things going into that baby's mouth and tummy, there is very little/no risk of transmission,...
  18. LilPeanut

    Weird L&D story..

    LilPeanut replied to anita2812's topic in Ob/Gyn

    It's actually really important for moms with competent cervixes but preterm labor to NOT get cerclages. I go into labor at around 19 weeks. My cervix behaves exactly as it is supposed to in the...
  19. LilPeanut

    Former NICU moms becoming NICU nurses?

    LilPeanut replied to fmrnicumom's topic in NICU, Neonatal

    I'm on my way to being a NICU nurse and I was a NICU mom. I think because my son was sick, but it was never truly touch and go with him, it's made it easier for me. Those situations aren't so raw...
  20. LilPeanut

    Ethical Issues?

    LilPeanut replied to chicabochica's topic in Patient Safety Issues

    Maybe I'm being obtuse - what's the ethical issue for family members being present at a
  21. LilPeanut

    Failed Abortions

    LilPeanut replied to Kalico's topic in NICU, Neonatal

    I'm sorry, I have to call BS on this. I'm a cynic, I'll freely admit it. But abortion is not the formost choice for birth control here. It has never been legal to smother infants. I just feel this...
  22. LilPeanut

    Near Term Case Study

    LilPeanut replied to darynash's topic in General Nursing

    Well, you do what you have to do. But ask me if I'm having more kids: HECK NO! They said once could have been a fluke, twice was a pattern, and I cannot do 6-7+ more months of bedrest. I just...
  23. LilPeanut

    Near Term Case Study

    LilPeanut replied to darynash's topic in General Nursing

    I'd been in labor since 19w+5, receiving terb pump, indocin etc. day I delivered I had an amnio and lungs weren't mature but I had no fluid left (almost couldn't get enough for an amnio) so they put...
  24. LilPeanut

    Near Term Case Study

    LilPeanut replied to darynash's topic in General Nursing

    Born at 34w+1, grunting at birth, put on bubble cpap, began to decline and was intubated in order to surf him. Extubated the next day back to bubble cpap, staying on that for 2 days, then NC for 1...
  25. LilPeanut

    Failed Abortions

    LilPeanut replied to Kalico's topic in NICU, Neonatal

    I agree, I don't think there is really any hope for a true 21w. The alveolar sacs just aren't developed. We've recently lost 2 chronics in our NICU that were 24 weekers. They lived almost a year,...