jlb_rn

jlb_rn has 1 years experience.

Latest Activity

1. advice for barcode scanning of infants

   jlb_rn replied to kimbittybabyrn's topic in NICU

   we don't use barcodes, but unless the patient is off the unit for testing (in which case they do get an ID band on their person), their identification is attached to their ekg leads so that it can be positioned outside of any blankets / clothes / swa...

2. the best ETT securing methods and devices

   jlb_rn replied to ligucis21's topic in NICU

   We only use NTT for our older (usually chronic) population - probably at least 6-8mos old. I think the cardiac ICU at our hospital almost exclusively uses NTT.

3. salaries for duke and UNC hospitals

   jlb_rn replied to jsnj2009's topic in North Carolina

   i currently live in central nj and work in pa (philly). i grew up down south and occasionally contemplate moving back. i was researching unc/duke medical system the other day as well as the cost of living in nc and i will say this - the cost of liv...

4. What kind of scrubs do you wear?

   jlb_rn replied to grlgid's topic in NICU

   I work at a children's hospital and our hospital policy is "kid friendly". We do need to wear scrub bottoms, but the facility is liberal with regards to tops. most nurses wear some sort of t-shirt or scrub top - solid or prints. Nothing too form f...

5. Pneumogram guidlines.

   jlb_rn replied to dawngloves's topic in NICU

   Our pneumograms are done mostly on night shift for an 8-16 hour period. We do allow holding by the parents and we feed however the baby is currently feeding (PO, NG, etc) but since night shift involves less patient activity in general, there are sti...

6. the best ETT securing methods and devices

   jlb_rn replied to ligucis21's topic in NICU

   Must say I agree with the previous poster on all points. Also, I like how with tape the tube can be secured slightly off center & moved with each re-tape to prevent gum breakdown.

7. the best ETT securing methods and devices

   jlb_rn replied to ligucis21's topic in NICU

   The majority of the time, we use tape; kiddos with a ton of secretions will sometimes get a neobar. Personally, I prefer tape for no reason other than that's my comfort level. Whenever I take care of a kiddo with a neobar, I'm amazed at how much of...

8. PICC TKO Rate

   jlb_rn replied to NicuCourtney's topic in NICU

   Minimum that I've seen in our unit is 0.5ml/hr continuous infusion with heparin & 0.45NS 1:1. 1ml/hr is what I see most often, though, with the aforementioned solution. As another poster stated, we also pull PICCs ASAP once they are no longer ...

9. EBM for ORAL CARE in YOUR unit

   jlb_rn replied to EmilyPeruana's topic in NICU

   our unit follows the instructions noted in the article with regard to frequency and procedure for our NPO kiddos (ventilated or not). also, at the end of the NANN article, there are reference articles - perhaps you could do a lit search for those art...

10. UVC, TPN, Antibiotics questions

    jlb_rn replied to Obnurseamber06's topic in NICU

    Yes - instances where peripheral access is an issue, the docs will consider ordering meds centrally.

11. UVC, TPN, Antibiotics questions

    jlb_rn replied to Obnurseamber06's topic in NICU

    We treat a UVC as any other centrally placed line and bi or trifuse fluids as needed; if it's a double lumen, we'll run continuous sedation via the UVC as well. The hospital at which I work does not run antibiotics centrally unless we are treating a...

12. Pros/Cons to Working Night Shift

    jlb_rn replied to madden52's topic in General Nursing

    each facility is different, but my opinions in critical care as a new grad: PROS - shift differential, free parking, more laid back environment, more independent decision making (r/t docs not actively walking the unit at all hours of the night) CONS...

13. Question for those who work the 11pm-7am shift

    jlb_rn replied to NewestRN_OnTheBlock's topic in Geriatric

    erm, pardon my ignorance (i work in critical care so my patient load is 1-3) but where do you work that you are responsible for 60 patients? I didn't even know that was possible - how do you provide nursing care for 60 patients in 8 hours? sincer...

14. Nurses and Eczema...help :(

    jlb_rn replied to stellina615's topic in General Nursing

    I have the same ailment on my dominant hand at the knuckles. I haven't found anything to cure it, but after trying various meds & creams the thing that keeps it under the best control is liberal application of Palmer's cocoa butter lotion & e...

15. Graduate Nurse Job at CHOP?

    jlb_rn replied to k.morris's topic in New Nurse

    calling to check on things is a definite from my experience - also, you have to apply online from what i had been told (granted, this was 2007/2008) they only considered applications submitted from their website. i was also advised as a new graduate...