elizabells BSN, RN

NICU
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elizabells is a BSN, RN and specializes in NICU.

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  1. elizabells

    LPCH-New grads?

    My inside informant tells me that at least one of LPCH's units has such low census that other units had to absorb nurses who were at risk of being laid off. So basically no outside hiring was done this year.
  2. elizabells

    Problems with blood bank

    Okay, I know I'm terrible, and I'm sorry you're having frustrations with this (and I would be BOILING mad if I were you) but I'm giggling like a fiend right now. It's late, I guess. Nothing about this yet in NYC. But our blood bank suuuuuuuuhhhhuuuuu...
  3. elizabells

    One of those weeks

    The tally from the last M&M was 18 in a month. Which more than doubled our previous high, which was 8. We took the other NEC twin off the other day 2/2 a bad bleed. On the bright side, I had the most rock-star cardiac the other day. Extubated le...
  4. elizabells

    You Know You're a Nurse When...

    You know you're a nurse when you find yourself trying to convince your cardiologist that it's different when YOU look to Dr Google for theories on what's wrong with you, not like when a REGULAR patient does it and it's annoying. Ahem.
  5. elizabells

    One of those weeks

    Jesus mercy. Now we have a neonatal leukemia. Our fellow told me today we've had fourteen deaths this month. The NEC kid died. We got another bad, bad NEC from an OSH a few days ago, and today they brought in her twin, also with terrible NEC. The he...
  6. elizabells

    One of those weeks

    So in the past week, we've had: A former 36wk TGA who was grown for a while, full feeds, used to take him off the monitor and walk him around. Then we did his arterial switch. Died suddenly just after the OR. A harlequin ichthyosis. Died. Conjoined t...
  7. elizabells

    pain management in infants with chest tubes

    Well, we do have a new TEN PAGE flowsheet for PCAs and drips... that'll fix everything!
  8. elizabells

    pain management in infants with chest tubes

    yappy, the thing that's frustrating is that we've DONE all that. JHACO hit us hard on our (total lack of) pain management this summer. The issue is a total culture change at this point. The knowledge is there, but the will is not.
  9. elizabells

    pain management in infants with chest tubes

    You guys, if I told you how hard I had to fight and kick and scream today to get ONE DOSE of PO Tylenol for a kid who'd just been circed, who was lying there going ballistic, PIPP score of 10, with no fewer than FIVE doctors at my bedside watching hi...
  10. 1. PLEASE stop pretending you understand more than the most basic English. The doctors are starting to think I'm crazy when I call them back for the tenth time to explain the gravity of your child's condition to you because you keep saying "Okay" and...
  11. "If the smell of smoke coming off you can knock me, who has smoked a pack a day for ten years, halfway off my feet and make me instantly nauseated when you come to visit your just-had-open-heart-surgery BABY, perhaps you should look into changing you...
  12. elizabells

    pain management in infants with chest tubes

    Oh, bitty, they hate me too. I got called into the principal's office and warned that my Pyxis usage was being monitored because I actually, you know, GAVE PRN's when they were ordered on an ECMO baby.
  13. elizabells

    pain management in infants with chest tubes

    Pain meds for chest tubes? Oh, that would be nice. Most of the time I can't get them to order meds when they're putting the chest tube IN, like not even lidocaine, let alone Fentanyl or somesuch.
  14. elizabells

    nursing assistants mixing breastmilk

    Man, we don't even let moms put their own breast milk in the fridge anymore. Like Steve said, triple scan with the barcode dealie. When a junior nurse screwed up EBM, they got suspended. Once it happened to a senior nurse, oh, hey, it's a SYSTEMS err...
  15. elizabells

    MRSA colonization and staff

    Nope. They were off for two weeks, paid. I do know of one woman who was actually infected while working, and the strain was identified as originating with a particular patient. She had multiple abcesses that had to be I&E'ed, and it took her a re...