cathys01

cathys01

NICU, CVICU

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All Content by cathys01

  1. From the Texas Board of Nurse Examiners: Sec. 301.152. Rules Regarding Specialized Training. (a) In this section, "advanced practice nurse" means a registered nurse approved by the Board to practice...
  2. Just looking for a little advice

    If you are just doing your first semester of nursing school, then I probably wouldn't be making any decisions on what you want to specialize in...just yet. There were so many things I enjoyed during...
  3. PBL curriculum

    Forgive my ignorance, but what is
  4. Interview questions

    As a graduating nurse, I didn't get any (medical) questions or case scenarios pertaining to neonates -- because nursing school didn't cover most of what we have to learn to work in the NICU... Got...
  5. Why are jaudinced babies harder to start IVs on>

    Had this exact issue today with a jaundiced baby - couldn't get an IV to save our lives (or his!), everything blew - even if we'd get a wonderful blood
  6. Blood glucoses

    On admission, then 2 hours after admission. Two hours after a dextrose% change in TPN or other fluid. ac feeds when going off IVF to full feeds. 1hr or so after making a baby NPO and starting IVF....
  7. Online NNP programs?

    I don't have mine, but if I decide to pursue that route, I am looking at UTMB (University of Texas Medical Branch) in Galveston. They have an online NNP program....
  8. manual temps vs. temp probe

    We do manual temps for ALL babies at least Q3, no matter if they are on a radiant warmer, in an isolette on ISC, in an isolette on NTE, or in an open crib. This manual temp is in addition to any temp...
  9. I don't know where the $200K figure came from, but from what I've seen, that's WAY off! I make a little less than a new NNP and I'm working as a staff nurse weekend days (with a weekend contract)....
  10. BSN a prereq?

    Definitely the accelerated BSN if you already have a Bachelor's degree (1 year). The LPN-RN-BSN route would take much longer (1 yr for LPN school, 18 months for LPN-RN transition, 18 mo-2 years for...
  11. Do you use warmer beds?

    The bubble bed looks like a barbeque grill!!! We use radiant warmers for admissions and vented kids (term to micros). We move up to isolettes as they are more stable and need less intervention, and...
  12. Nothing Left....

    When I got off orientation and was "resourcing", I was on admission almost every shift for the first few months, and it really helped me with my admission skills (though I didn't like it at the...
  13. Floating to NICU... how to be helpful?

    In our hospital the NICU nurses do sometimes get floated to Newborn nursery, but nobody else ever floats to our unit. We use PRN nurses, overtime regular nurses and agency nurses if we are short and...
  14. NICU staffing

    Let me also clarify that we do all help each other out if it's needed, and our charge nurses will usually jump in and help out with our other kids if needed. Anybody with a free hand helps with...
  15. NICU staffing

    Today I had 26 week twins. One on an Oscillator and one on a Jet. Both with sterile lines (one had a PICC and one had a UVC), PALs, PIVs. Standard fare in our NICU (a little busy though!). I've...
  16. Medication error causes 2 deaths in Indiana NICU

    If we get a new admission that needs umbilical lines, or if we have a kid that gets a new PICC or PAL, we mix the fluid on the unit, usually 1/4NS with 0.25 or 1 unit of heparin/ml. We probably use...
  17. Infection Control

    BabyNurse, why would you not have to scrub before entering the
  18. Infection Control

    Some of our infection control protocols: All IV fluids are changed Q24 hours. All lines are changed Q72 hours. Lipid lines are changed Q24 hours. Everybody (nurses, doctors, visitors) must do a 3...
  19. Co-bedding

    Our unit encourages co-bedding of twins/triplets - only if they are all stable. We've cobedded kids with PICCs and
  20. Can parents spend the nite??

    Our unit is only "closed" between 6-8am and 6-8pm for shift change. Parents can stay at the bedside the other 20 hours a day... We do have "rooming-in" rooms for the kids/parents getting ready to go...
  21. IV Infiltration

    I have had two IV infiltrates in my 18 months in the NICU (within two weeks of each other - about a year ago). Both were on chronic babies getting TPN/Lipids. Both went bad within 1 hour (we do q1hr...
  22. short person wanting to work NICU

    One of our Neonatologists is a tiny, tiny lady and she does great with the babies. We do have step stools at various places around the unit and some of the shorter nurses will just put one in their...
  23. Glucose Testing

    We don't have an accu-check on our unit, but we have an ABG analyzer that does lytes/glucoses. Unfortunately, we have to obtain 0.3ml in a cap tube just to get a glucose...way more blood than...
  24. Best way to get to NICU

    Yes, NICU's take new grads in residency/internship programs. You may have to do some hunting to find one that is currently hiring, and be aware that it is very competitive (at my hospital, the NICU...
  25. looking for bath protocols

    We currently do bath nights on Tues, Thurs, Sun. We also do weekly FOC/Length on Sundays. Night shift (7p-7a) does the bathing, and we have trouble getting a full staff on bath nights because nobody...