vintage_RN BSN, RN

NICU

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All Content by vintage_RN

  1. vintage_RN

    Nurses make me sick

    me...on night shift...as I shove my 2nd slice of cold leftover pizza into my mouth at 1:53AM: "dude...settle
  2. I started out in adult med-surg for 3 years and then went to the NICU. I'll never work with icky adults
  3. vintage_RN

    Male Adult ICU Nurse Transition to NICU

    We have a few males in our NICU. I would suggest trying to get into a level 3 or higher NICU (I think you have level 4 in the states?) because you will see more critical babies and "true ICU" patients...
  4. vintage_RN

    Challenges of working in the NICU?

    My challenge may just be the place where I work and the culture. I came from adults where I did everything...IVs, venous draws, central line dressings, complex wound care etc. In the NICU I work in,...
  5. This is a tough one...on one hand I can see her position...because I have felt that way and it isn't fun. I work in a large NICU, and it is very catty. There is a "cool girls group" like we're in high...
  6. vintage_RN

    Charge RN

    Our charge RN does not take an assignment. We have 2 charge RN per shift (67 bed NICU)...they cant possibly take that many responsibilities
  7. vintage_RN

    Orientation time?

    Our orientation is 30 shifts plus about 2 weeks of in class and some other education days mixed in
  8. Just curious as to the practice at other hospitals, whether this is standard or not. Here we do RSI (rapid sequence intubation) for all intubations....Atropine, Fentanyl and Rocuronium (or...
  9. Its night shift and this is where my brain is going. Just some fun at 3AM... What are some common misconceptions and/or truths about your specialty, or that you have about other specialties? For...
  10. vintage_RN

    When was your a-ha moment?

    I did a high school volunteer placement in the NICU, filing papers and whatnot. But I got to sit in on rounds and listen and see what it was like there. It made me want to be a nurse and work in the...
  11. vintage_RN

    Anyone from SickKids Hospital in Toronto?

    I work at another children's hospital in Ontario and we only hire
  12. vintage_RN

    2 yrs CLABSI free

    We do all those same things as well. I was a little harsh with saying 45 days. Our longest ever was 130 days, which we just had another one so we're back to 0. I wonder what the variance
  13. I have to agree with what the others have said here. I understand how it can feel to be overwhelmed, and feel like there is no one supporting you. It isn't a good feeling. Your preceptors, experienced...
  14. vintage_RN

    2 yrs CLABSI free

    What are you guys doing to go this long? We usually manage to make it around 45 days or so before we get another
  15. vintage_RN

    Which Milk Warmer Do You Use?

    We use little plastic beakers with warm tap water, put the feed in a plastic bag into the beaker. We also have very high NEC rates. I don’t know what the correlation would be, as the feeds are...
  16. vintage_RN

    Positioning an older, chronic lung baby

    We use poseys to secure vent tubing to the
  17. all of our Intubated babies are RT/RN handles. We’ve see our unplanned extubation rate decline dramatically since introducing
  18. 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...
  19. 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...
  20. 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...
  21. 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
  22. 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
  23. 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
  24. 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
  25. 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...