rnkaytee

rnkaytee

Member
  • Content

    219
  • Visitors

    6,925
  • Followers

    0
  • Likes

    0

All Content by rnkaytee

  1. Nicu nurse trying to decide between nnp and pnp

    I thought briefly about PNP but didn't think my NICU experience really prepared me for it (I'm of the mind that NP students should have several years experience in the field before school; I know there are different opinions on that). In some respec...
  2. NICU Parent ID and Access

    We have access badges so parents can let themselves in. We give out 2 at the beginning (not to anyone that may have CPS involvement); any shenanigans and they get them taken away. I was against it at first, wanting "more control" over the door but ...
  3. Covered Up a Narcotic Med Error

    I read that as "I figured it out before making a 2nd error," but yes, I was unclear on that too.
  4. NPI number

    I just used the hospital's address - I will say it took me 3-4 weeks to get it when I applied 1 1/2 years ago - hope yours is faster!
  5. Umbilical Cord Cutting

    I can understand why you'd be stressed out but it doesn't sound like there were any ill effects, even if there was some small blood loss (I'm assuming you grabbed the stump quickly?). In memory of Tom Petty I'll quote you one of my favorite songs "C...
  6. Need some insight...

    1. Do you have access to a PT/OT that can assess his nippling? 2. When I was a bedside RN and needed a response, I would phrase it "I am concerned about x, y, z. Help me understand why you're not concerned." Sometimes it takes a direct challeng...
  7. I feel so stupid in the NICU, will I ever be good enough?

    First of all - I'm kind of glad you're scared and worried, it lets me know you realize what is at stake! I felt the exact same way - I remember going home one morning just thinking I would never get it, I was in over my head, etc, etc. Now I'm an N...
  8. IUGR and SUA at 37 weeks

    Per TOS we can't give any advice -- these are all great questions and I'd encourage you to speak with your OB (maybe they could arrange a NICU consult?) Hope all will be well with your daughter, I'm sorry you're going through this!
  9. I agree, some of the policies are not ones I'm familiar with or have a real rationale for, but the OP did state they had a high infection rate with IV starts/administration. I can't begin to guess the "why" behind these policies, but if OP did a lit...
  10. A 1-2 cm displacement can cause a preemie to not be ventilated, for a micro-preemie it could be .5 cm. ^^ This -- could it be your unit had a history of unplanned extubations and this 2-person turns was part of a new protocol to avoid them? I would ...
  11. Recommended NICUs?

    I worked at OHSU in Portland and loved it. A good mix of deliveries and high acuity. You could also cross train into the PICU for more cardiac.
  12. Skin care in the NICU

    We use a combo of all that has been mentioned, but I will usually order time open to air - it helps immensely!
  13. How long til you felt comfortable attending high risk deliveries?

    It was 8-12 months for me, now that I'm the NNP and am at the "head of the bed" it's another learning curve. I was lucky that I did have extensive nursing/delivery experience before I became an NNP so I feel fairly comfortable already. It definitel...
  14. What time do you do vitals at night on mother baby

    Can you share what are 'meconium vitals'? We do vitals on babies whose mom's were + for GBS.
  15. Moved to New York...trouble with online dnp

    I hope others have some words of wisdom - I had to really be careful of the same thing in my state. You can ask if your state would consider accepting your program, but it's somewhat of a long process and the program has to be willing to put in the ...
  16. I know Creighton in Omaha transitioned from MN to DNP only last year. Mine was the last MN cohort.
  17. Interview for Neonatal NP

    Since you asked, I will share my opinion. I had about 15 years of Level III experience (including travel nursing and extensive charge nurse experience) before starting my program. As an NNP, you will be looked at to be "in charge" in most experie...
  18. lying about clinical hours

    You can't teach integrity. Nursing at all levels should be based on ethical behavior in all aspects of practice, and doing the right thing whether you "get caught" or not.
  19. Creighton DNP

    I'm in the PNW so I'm not sure what they have locally - I know they had clinical sites in Arizona and Florida but this was for NICU so I'm not sure what they'd have for FNP. Good luck with your choice!
  20. Handheld blood analyzers

    We use it all the time - I wish they had an option to run a bili! We've had it for about 10 years after it was started in the ER/adult ICU.
  21. Creighton DNP

    I received my MSN-NNP through Creighton. I already knew where I was going to have my clinical placements, and they do have contacts throughout the country if you need help (although obviously more in the Nebraska area). They are helpful insofar you...
  22. I'm lost...should I do PNP or FNP??

    I have a friend who is finishing her FNP - but her background was extensively PICU. For her, she didn't want to limit herself after graduation, but will be taking a job with a population she is comfortable (in a primary care Peds clinic).
  23. Interview for Neonatal NP

    You may want to try over on the Nurse Practitioners board - it has a few NNPs that comment regularly.
  24. School Nurse Appreciation Day?

    Hi All, I volunteered to be in charge of the School Nurse Appreciation day at our elementary school. Any ideas for something school nurses would really need/want? In the past they have done a card with a plant and decorated the door. Thanks!
  25. School Nurse Appreciation Day?

    I have a budget of $20 but would probably throw something in from myself - thanks for the ideas!