Finallyat40

Finallyat40

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All Content by Finallyat40

  1. Teaching Hospital recommendation for Texas

    Finallyat40 replied to sivan's topic in Texas Nursing

    PARKLAND! in Dallas, wonderful supportive teaching facility....and if you don't see "it" there...it probably doesn't exist! They have extensive orientation programs for new grads and their pay scale...

  2. Death rates in your NICU?

    Finallyat40 replied to babyNP.'s topic in NICU, Neonatal

    We usually have 12-14 a month, but then we'll go a couple of weeks and have none....we are a county delivery hospital with upwards of 16,000 deliveries a year and an average census of about 75. These...

  3. Any tips on being a preceptor?

    Finallyat40 replied to SJW's topic in General Nursing

    Having been precepted and now being a preceptor here are a few things that I try to do: 1) Remember that they have graduated from nursing school and passed the boards, therefore, they are not...

  4. Dallas RN Position - Parkland Vs. Baylor

    Finallyat40 replied to TK80's topic in Texas Nursing

    Can't wait to see you in January....glad you decided to come with us!

  5. Please jelp with "new mom" class

    Finallyat40 replied to babynursingrn's topic in Ob/Gyn

    I would definitely cover the following: Braxton Hicks contraction vs. real contractions, how to tell, when to call, etc. My hands and feet are swelling, what does this mean? What is a mucous plug,...

  6. Accidental Extubation

    Finallyat40 replied to twizzlers67's topic in NICU, Neonatal

    Happens to everyone, some more than others! Just keep your ABC's in mind, get the tube out and off the face, make a good seal and bag the baby up, while at the same time letting someone know you need...

  7. Dallas RN Position - Parkland Vs. Baylor

    Finallyat40 replied to TK80's topic in Texas Nursing

    Well, I might sound a bit jaded....but it's because I am! I graduated from nursing school in '04 and have to admit that my entire time in school, my absolute intention was to work at big Baylor in...

  8. Group One background checks

    Finallyat40 replied to OBGYN Legal RN's topic in Texas Nursing

    One thing that keeps getting missed about Group One is that they aren't only there for the hiring of nurses....most of the hospital systems run EVERYONE through Group One...from environmental services...

  9. Vancomycin & lipids

    Finallyat40 replied to NICU_babyRN's topic in NICU, Neonatal

    We give our vanc with lipids all the time, unless you have a double lumen and then we put it through there. Amp is definitely not compatible with TPN, it causes a precipitate that can actually clot...

  10. NICU anxiety....

    Finallyat40 replied to Jacobero's topic in NICU, Neonatal

    Congrats on your move into the NICU world....it's a wonderful place to be! One thing that I've noticed about NICU nurses is that they tend to be very protective....both about their babies and their...

  11. Any Of You That Have Had Shoulder Surgery?

    Finallyat40 replied to mammaoftwo's topic in General Nursing

    Boy, can I say, been there, done that! I was all set to start nursing school in August, fell down some stairs and ended up having total rotator cuff repair on August 21st! The doctor told me not to...

  12. "She does it because she cares about me"

    Finallyat40 replied to Tait's topic in General Nursing

    That says everything about why we do what we do! Thanks for sharing!

  13. Is forney to far?

    Finallyat40 replied to kimhaw's topic in Texas Nursing

    I live in forney and work at parkland...day shift, the commute is about 35 minutes....it's not really bad....not much traffic, most of it is highway driving....I think it's the best of both worlds...I...

  14. Sympathy card given to patients with fetal demise

    Finallyat40 replied to freedom4's topic in Ob/Gyn

    Paula, I'm truly sorry for your family's loss. Please take the opportunity to allow yourself to grieve. Just a thought, go pick up a Christmas ornament that would be special for Shirley and give...

  15. Sympathy card given to patients with fetal demise

    Finallyat40 replied to freedom4's topic in Ob/Gyn

    Hi Sunny, First off, as someone who's experienced both sides of this firsthand, I applaud you for wanting to be therapeutic in your response. Believe it or not, medical personnel are the worst about...

  16. NICUs in Dallas?

    Finallyat40 replied to Shenandoah's topic in Texas Nursing

    I currently work in the NICU at Parkland (which is the county hospital). We have a Level III, and the only things we don't do are ECMO and cardiac (those kiddos go to Childrens). I honestly don't...

  17. Does anyone have a "script" to deal with this? (more)

    Finallyat40 posted a topic in NICU, Neonatal

    I am an active member of our units bereavement committee and in an effort to more therapeutically help our families, we are wondering how other units deal with this: The baby at your bedside is...

  18. sensitive, "morbid?" question for labor-delivery RN's...

    Finallyat40 replied to christen13's topic in Ob/Gyn

    Not a morbid question at all.....I am going to answer this from a NNICU standpoint rather than L&D, but we work very closely in conjunction with each other in these situations. We will clean up,...

  19. Paid for precepting?

    Finallyat40 replied to Happy2bRN05's topic in General Nursing

    We don't get paid per se, but we do earn 8 hours of comp time for every 200 hours that we precept....I'm too tired to figure out how much that is, but it's definitely not very much. I love to...

  20. Clear TPN?

    Finallyat40 replied to EricJRN's topic in NICU, Neonatal

    Our first day TPN does not have MVI in it, therefore it is not yellow, but it does contain all the other nutrients, especially proteins, this is not a special order bag from the pharmacy, but rather...

  21. Communication with Parents

    Finallyat40 replied to Loralai's topic in NICU, Neonatal

    I don't know if this will be of much help or not, but on this forum, we are not to give any medical advice. What I'm hearing from you is that you're not asking for that, you're simply asking the best...

  22. When Is Enough Enough?

    Finallyat40 replied to RainDreamer's topic in NICU, Neonatal

    Oh, I can so relate to your feelings. There is a fine line between caring for a patient and doing everything in their best interest and playing God. We do have an ethics committee in our hospital,...

  23. Standards of Care

    Finallyat40 replied to VickyRN's topic in NICU, Neonatal

    I second the Core Curicullum for Neonatal Nursing....great reference, easy to understand and especially good for someone new to the NICU and/or nursing.

  24. Safe Harbor

    Finallyat40 replied to woody62's topic in Texas Nursing

    The first and most important part to this story, which happened in a hospital very close to me, is that the nurses did NOT file safe harbor.....they refused the assignment, based on the acuity and...

  25. Need topic for teaching project :)

    Finallyat40 replied to aronld1's topic in General Students

    Okay, your community is primarily over 40...how about some of the following: Prostate Cancer Screening cover the importance, how often, what age, incidence of death based on age/culture, etc....