rnkaytee

rnkaytee

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All Content by rnkaytee

  1. "Houston we have a problem" This just got very real

    rnkaytee replied to Esme12's topic in Disaster Preparation

    I don't understand why there isn't more supervision/training/equipment/etc for this - the CDC treats this as a Level 4 virus in their research labs which requires a much higher standard of PPE but...

  2. "Houston we have a problem" This just got very real

    rnkaytee replied to Esme12's topic in Disaster Preparation

    I don't get why regular floor nurses are taking care of these patients? Seems like the CDC would have nurses who've had extensive training and the best equipment for these

  3. Attending high risk deliveries as a NICU nurse. Traumatic experience

    rnkaytee replied to TigerGalLE's topic in NICU, Neonatal

    We've all seen deliveries that horrify or sadden us - I can pretty much guarantee something like this will happen again if you stay in it long enough. Honestly, some nurses that I work with are...

  4. Being Asked to Come in and Work as CNA...

    rnkaytee replied to NurseQT's topic in LPN, LVN Corner

    I work in Peds/NICU and we are occasionally floated out as aides (the ratio here is 1:10!). We hate it - we haven't done that kind of work in years and really probably aren't the best choices. Also,...

  5. clinical question for neonatal nurses

    rnkaytee replied to Lisa252's topic in NICU, Neonatal

    We really try to wait until mom has colostrum to start any gut-priming feeds - we do a LOT of hand expression instead of pumping for better amounts. We don't put any of our feeds on a pump so we...

  6. Light Cycling for ROP

    rnkaytee replied to tkrahn's topic in NICU, Neonatal

    Here's another article that I found when I googled "light cycling in the NICU and ROP". The first paragraphs seem to suggest that light cycling doesn't do much, there's one study that shows a...

  7. Light Cycling for ROP

    rnkaytee replied to tkrahn's topic in NICU, Neonatal

    I didn't read over the whole site (wowza!) but it would be pretty easy to look through the actual articles that are cited (page 2) and see if they're useful. Can you get in touch with a doc who...

  8. Light Cycling for ROP

    rnkaytee replied to tkrahn's topic in NICU, Neonatal

    Have you looked into just light cycling for growth? I think there's pretty good research supporting that if nothing else. When my son was in the NICU some articles I read did implicate early light...

  9. Beginning in a level 3 NICU..any tips?

    rnkaytee replied to ARN2908's topic in NICU, Neonatal

    Any new employee to our NICU that stays quiet and observes only without question raises a lot of eyebrows This! I know how much nursing students get about the NICU - which is hardly anything in...

  10. STABLE Course

    rnkaytee replied to UCAFblue's topic in NICU, Neonatal

    Hi there - I'm a STABLE instructor and love teaching it - I always learn something new! It is in a lecture format with some interaction when we do the lab module. We also try to include lots of real...

  11. NICU resources?

    rnkaytee replied to tkim's topic in NICU, Neonatal

    I'm on "baby ANN" on FB - the moderator doesn't post a lot but it's pretty interesting case studies and everyone contributes what they think is going on with the baby. I'd also suggest you join NANN....

  12. What do NICU nurses consider "viability"?

    rnkaytee replied to Summers_Off's topic in NICU, Neonatal

    After our first baby was born at 28 weeks we had to do a lot of thinking when I got pregnant a second time. After seeing these babies and what they go through, we wouldn't have resuscitated less than...

  13. Aspiring NP, but scheduled for a 2016 BSN graduation

    rnkaytee replied to paddye's topic in Advanced Practice

    There are a lot of threads about this topic and if you search you can find a lot of info about the 2015 DNP requirement. I researched it myself and called the AACN in Washington DC who made the...

  14. Delivery hospital vs. Children's Hospital NICU

    rnkaytee replied to marmaduke's topic in NICU, Neonatal

    I've worked both and my first instinct was to tell you to go for the Children's (non-delivery) hospital. I do LOVE deliveries and the initial stabilization but I think you'll see more/do more for the...

  15. Nursing Student Issues

    rnkaytee replied to WanderLust07's topic in Patient, Colleague Relations

    Wait - did you nap as well or am I reading this wrong? THEN, I had a nap for 1.5 hours and got up, she then went to sleep from 4-currently sleeping (it's 6) and we finish at

  16. Heparin containing maintance solutions and flushes for PIV

    rnkaytee replied to 01bgent's topic in NICU, Neonatal

    We use 1 u/ml of Heparin in our central lines - if I dc a UAC/UVC and start a PIV I won't get too bent out of shape if the heparin runs for a while, but it's not ordered that way normally for PIVs....

  17. (Not so) Daily Affirmations

    rnkaytee replied to Bortaz's topic in NICU, Neonatal

    The way I see it is that these patients can't speak for themselves so the nurses, who are at the bedside and usually know the baby best (besides parents) are the ones to advocate for them. That leads...

  18. NICU Nursing / Neonatal - BSN preceptor by XelaRN

    rnkaytee replied to XelaRN's topic in NICU, Neonatal

    We routinely do this for the BSN nursing school here - it's usually a 6-week practicum. Maybe contact the unit manager directly and see what they can help set up? Usually your instructor will also...

  19. Can't find many NNP programs anymore - What's going on?

    rnkaytee replied to beccabeth741's topic in NICU, Neonatal

    It depends on if the program is set up to be on-line. But beware - the biggest difficulty I'm finding is that my state (apparently one of 20) requires the university to be approved before I can do...

  20. There has to be a BETTER WAY to obtain a blood sample.

    rnkaytee replied to lady3's topic in NICU, Neonatal

    Here's a study showing benefits of venous draws versus heelsticks - Neonatal pain response to heel stick vs venepuncture for routine blood

  21. There has to be a BETTER WAY to obtain a blood sample.

    rnkaytee replied to lady3's topic in NICU, Neonatal

    We do always use sucrose, swaddling and non-nutritive sucking during blood draws - that helps quite a bit. Also, I use a cut-off butterfly and do a draw off the dorsum of the hand and drip the blood...

  22. Bar Code Medication Administration NICU Style

    rnkaytee replied to Mags4711's topic in NICU, Neonatal

    We put a bar code on a Posey band so it's pretty soft even for tinier babes. We have a card with a barcode taped at the top of their isolette to scan (we just quietly lift the cover and

  23. How long until day shift on your unit?

    rnkaytee replied to 24gaDalek's topic in NICU, Neonatal

    I've worked night shift for 14 years (except when I travelled, then it was day shift - go figure). I do like working nights but nights doesn't like me anymore! The only postings now are for a...

  24. Cause of uneven pulse/ox wave form

    rnkaytee replied to anon456's topic in PICU, Pediatric

    I don't know if I've seen it necessarily in that pattern but the most frequent causes are low temp of the extremity, poor perfusion or needing a new pulse ox/position

  25. Transition From ER to NICU?

    rnkaytee replied to cna to crna2b's topic in NICU, Neonatal

    Does your current hospital have a NICU? I'd start by maybe asking the unit manager for a shadow day? We've had one ER nurse that has transferred in. Quite frankly, it didn't go so well, but only...