rnkaytee

rnkaytee

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All Content by rnkaytee

  1. "You are now a stepdown nurse too"

    rnkaytee replied to SummitRN's topic in Critical Care

    I know the ICU nurses routinely float to the step-down tele unit where I work. They actually start in Tele before they can train in the ICU so for them it's not such a hard transition. Does your...

  2. Mistakes Are Inevitable: No One Is Perfect.

    rnkaytee replied to Ruby Vee's topic in Nursing Professionalism

    And then watch the Julie Thao video (it's on the bar next to it). She was criminally charged with manslaughter after infusing epidural solution via a peripheral

  3. Anyone live in a picky state?

    rnkaytee posted a topic in Student Nurse Practitioner

    I live in Washington and applied to an on-line program in Missouri 4 months ago (accredited by CCNE). They let me know today that Washington doesn't recognize their graduates. It's a major...

  4. Anyone live in a picky state?

    rnkaytee replied to rnkaytee's topic in Student Nurse Practitioner

    Well my dream is dead (yes, hyperbole). Creighton University isn't willing to get approval either (after saying 2 weeks ago they would) and I can't find another NNP program that is Master's and...

  5. Cleaning Isolettes

    rnkaytee replied to danielle.smith0219's topic in NICU, Neonatal

    We've never cleaned our own - housekeeping comes and does it. We change our isolettes once a

  6. Anyone live in a picky state?

    rnkaytee replied to rnkaytee's topic in Student Nurse Practitioner

    Yes, I've talked to the DOH a couple of times. Apparently around 5 years ago, there was an influx of on-line programs conducting clinicals in Washington state without anyone at BON/DOH realizing they...

  7. Anyone live in a picky state?

    rnkaytee replied to rnkaytee's topic in Student Nurse Practitioner

    Thank you so much for that list Juan - very

  8. Anyone live in a picky state?

    rnkaytee replied to rnkaytee's topic in Student Nurse Practitioner

    It's the University of Missouri at Kansas City - it's fully accredited by the CCNE on their website. It is an on-line school with local clinicals but from what I heard fairly reputable. It's just...

  9. Speaking of tape residue...(and other pet peeves)

    rnkaytee replied to Bortaz's topic in NICU, Neonatal

    1. Anyone who doesn't tab their tape pulls back a bloody stump. 2. Yes to everything else! We have housekeepers who clean our isolettes so they're usually okay to start but we also wipe down...

  10. Timing of antibiotics

    rnkaytee replied to asher315's topic in NICU, Neonatal

    We have a goal to get antibiotics infusing within 1 hour of ordering so waiting the 2 hours would defeat that purpose - we just give Amp and then gent right after - we also stop HA while giving

  11. polyurethane nasogastric tubes

    rnkaytee replied to gammy1957's topic in NICU, Neonatal

    We use orange tubes that can be left in for 1 month and tape them with a piece of tegaderm on their chin to protect the skin and then a piece of tegaderm over that - works really well. We also used...

  12. Isolette Practices

    rnkaytee replied to nickirn31's topic in NICU, Neonatal

    I'm assuming you mean a Giraffe where the top opens up? Isn't the point (one of many) of having an isolette is that the heat is constant. We do everything through portholes except for intubation....

  13. Feeding Intolerant Feeders

    rnkaytee replied to thisismyname's topic in NICU, Neonatal

    This has been an evolution even since I've been in nursing - we used to have very strict orders about residuals and would call the NNP with pretty much everything. We used to hold feeds for days...

  14. Baby Friendly Question

    rnkaytee replied to AngelicaHibbs's topic in Ob/Gyn

    We have our security tags on Poseys too (we're in the NICU so different locale) but I'm just wondering what the point of the system is if someone can just take off the band so easily? Am I imagining...

  15. Antepartum rounding?

    rnkaytee posted a topic in NICU, Neonatal

    I've started a program in our NICU (22-bed, Level III) where the Lead (delivery) nurse rounds on the antepartums on bedrest for PTL/PPROM. Basically, the NICU RN makes sure the parents understood the...

  16. Charge and Resus --How does your facility do it?

    rnkaytee replied to HopefulRN2010's topic in NICU, Neonatal

    Bortaz - we don't scrub, the docs just set the baby on the sterile

  17. My first ever patient passed away..

    rnkaytee replied to imaginations's topic in PICU, Pediatric

    I work in the NICU, not PICU, but I can still tell you the names of every patient I took care of that passed away. Of course you're going to think of that patient, especially if its your first. It...

  18. Safety concern

    rnkaytee replied to Armywife08's topic in NICU, Neonatal

    I sure hope you get some good feedback on this one - we float wherever we are needed however we only act as caregivers/NACs, not RNs anymore - thank goodness! Our contract states that we only have to...

  19. D25 infusion through a UAC

    rnkaytee replied to APL&D's topic in NICU, Neonatal

    I found this P&P from UCSF - couldn't find an actual article. Parkland hospital also said they go up to a D 15 max in their UACs. "Hypoglycemia can occur if the UAC tip is above the recommended...

  20. Summer/Fall '14 Admissions

    rnkaytee replied to star2601's topic in Student Nurse Practitioner

    Hi Everyone! I applied for the UMKC NNP program for Fall 2014. Didn't take the GRE and my GPA was 3.4. I've been a NICU nurse for 14 years, have my Bachelor's and am a NRP/STABLE instructor. Just...

  21. ER nurses not calling report anymore...

    rnkaytee replied to plinytheRN's topic in Patient Safety Issues

    We just moved from verbal to faxed report from our ED to Peds. It's worked pretty well, we read the fax and then the nurse calls and we chat briefly. I've found it very helpful to make sure if...

  22. Rapid Response

    rnkaytee replied to PMFB-RN's topic in MICU, SICU

    Wow - that is an incredible set of skills! At our hospital we just started a Pediatric RRT group that consists of whoever didn't call "not it" fast enough. Basically we were handed a set of standing...

  23. nursing policy on handling infant that is not bathed

    rnkaytee replied to kms6417's topic in Ob/Gyn

    I took a class about 5 years ago and was told then that if the baby was "dunked" in its own tub (i.e. pink bucket) the risk for infection was the same as if you waited until the cord dried and fell...

  24. UMKC NNP program?

    rnkaytee posted a topic in Student Nurse Practitioner

    Anybody on here applying for this program? Or any NNP program? I applied for the Fall 2014 program, just waiting on a

  25. What to review before classes start

    rnkaytee replied to adamRn79's topic in Student Nurse Practitioner

    I've read that I'll have to taking a statistics class and a health assessment class before starting the program - the stats class I can swing but anyone know about the other