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vintage_RN

vintage_RN

NICU
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vintage_RN has 3 years experience and specializes in NICU.

I love tiny humans

vintage_RN's Latest Activity

  1. vintage_RN

    Positioning an older, chronic lung baby

    We use poseys to secure vent tubing to the crib.
  2. all of our Intubated babies are RT/RN handles. We’ve see our unplanned extubation rate decline dramatically since introducing this.
  3. vintage_RN

    New subspecialty (ELBW and Neuro) NICU certifications?

    I find it a bit weird and unnecessary. In Canada, they have just only released the NICU nursing speciality exam through the Canadian nurses association last year. I feel like NICU is so specialized in its own right that you don’t need all these sub specialties Maybe transport because that’s a whole other ballgame, but not the others.
  4. vintage_RN

    Gastric residuals/ NG placement

    We do not routinely check for residuals. That being said, I do check placement via aspiration prior to each feed. This means sometimes I do get residuals when I do that. Often when I tell the docs they give me hell for checking, but you have to check placement somehow!
  5. vintage_RN

    Day shift ICU to night shift NICU? Please Help!

    Not sure what level you work in @adventure_rn...I’m in a level 3 in Canada (tertiary centre, highest level with all the sickest babies of the region)...and we have a lot of codes, we’ve had at least one every shift this set alone! Lots of very sick babies. A baby died yesterday. Babies that get NEC, perf and need a bedside OR....this happens often in my unit. It’s pretty much always crazy. But I do agree that not every baby is critical like in an adult ICU, we do have lots of feeder growers. I would advise the OP to find out what level the NICU is so they can know what kind of acuity they’ll be dealing with.
  6. vintage_RN

    What is the "tension to ET tube" in NICU setting

    Yikes! This is something I’ve never heard of and definitely not something we do in our NICU. Actually all intubated patients are a 2 person RT/RN handle due to having many unplanned extubations.
  7. vintage_RN

    Thermoregulation

    We don’t swaddle any of our little ones, only once they’re old or term babies. How can you assess their belly and skin/colour/breathing without waking them up all the time?
  8. vintage_RN

    RPN (Ontario) to BScN

    I worked part time as an RPN and did the bridge full time. It was busy, my last year when I had consolidation placements I had 1 day off a month. But I did it. And it’s worth it.
  9. vintage_RN

    RPN (Ontario) to BScN

    I did! And now I’ve been working in the NICU for 2 years and I love it. Best decision ever.
  10. vintage_RN

    What's your favorite nursing task?

    I like seeing stuff come up when I suction an ETT. I like making my patient a nice bed with clean, matching cute linens. And getting my babies all snuggled up with their positioning aides to make them look all cozy (im in NICU)...it’s very satisfying. NICU nurses are very anal about their linens and bed appearance!
  11. vintage_RN

    Does ANYONE like the hospital?

    I work in the NICU and love it. I can’t imagine not working there.
  12. vintage_RN

    venting...

    That assignment sounds crazy, and we have some pretty crazy assignments in my NICU. I’m in a 63 bed level III and very rarely are patients 1:1, only if they were actively crashing or very very sick. A HFO/NO would usually be on a 2 baby assignment..for instance last night I had a PPHN baby on NO/pressors and a 29 weeker on CPAP. Tonight we’re short and I have the 29 weeker, an old ex prem who is now 6 months old, trach vented and waiting for discharge and an older prem who had NEC on CPAP and has ostomy refeeds, lots of fluid balance stuff...this is a typical assignment although it would be 2 babies if we weren’t short. It’s not uncommon for us to have 4 feeder-growers either.
  13. vintage_RN

    NICU (Pros and Cons)

    I also wonder this a lot. One is my coworkers ex primary patients came back in to visit. He was born at 25 weeks and is 7 now. He has CP, severe autism, developmental delay, epilepsy, G tube etc. Not much quality of life. I wonder how many of my patients end up this way.
  14. vintage_RN

    ACLS

    A quick google search of available courses in your area should help you with that.
  15. vintage_RN

    New Grad Nurse Hired in Complex Care Unit

    Just remember that everyone was new once. The first day is the hardest. Ask lots of questions, The only stupid question is one that isn’t asked. Respect your preceptor and other coworkers, who have been working there and nursing much longer than you...they have real life knowledge to share and is very valuable, even if it isn’t exactly “by the book.” Regardless of where you go or who you are, it’s hard to be new....thankfully you aren’t new for long. Good luck!
  16. vintage_RN

    RPN (Ontario) to BScN

    I can’t speak on which courses you get credit for...but what are your career goals? I was an RPN for 3 years while I completed the bridge (I did it right away)...the reason I did it was because my ultimate career goal was to work in the NICU right from the start. I worked as an RPN on a surgical floor...there are many areas where RPNs thrive. I didn’t find I learned much more in the bridging program apart from essay writing, critiquing research and leadership...which are all valuable, but not things I really needed to work on the floor. I would evaluate your ultimate career goals in nursing, and if you need to be an RN to reach those goals, then go back and complete the bridge.
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