elizabells BSN, RN

NICU

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All Content by elizabells

  1. elizabells

    Men intimidated by RN salary?

    I have, sadly, found this to be the case a couple of times. I'm a modern girl, I'm more than happy to pay my own way no matter who makes more, in fact I get itchy if dude insists on paying all the...
  2. elizabells

    Nyph

    I applied in... May? I think? To a floor I'd been on for 9 weeks as a student. There was a long delay 2/2 issues with how the job had been posted internally vs externally (union stuff). Was...
  3. Hope that thread title makes any sense. I'm a little concerned about something that happened in my ICU today. When our open-hearts come back with their chest still open, a few days later the CT fellow...
  4. elizabells

    Out of OR procedure count question

    Thanks for all the input, guys, glad to know I'm not crazy! Now, if I can just figure out how to get this taken care of without it turning into "elizabells is a troublemaker, and the CT fellow doesn't...
  5. elizabells

    HFOV vs Jet

    We got trips the other day, by shift's end all three had 'em, and two were still on
  6. elizabells

    Fluid Changing practices

    Quite the opposite, actually, although we used to when we changed everything down to the hub q24. This policy was developed out of an ID study to reduce CLABSIs, and it's worked quite well. We've...
  7. elizabells

    Dodged that bullet...

    So, I don't know if anyone remembers me, but I was posting in here a few months ago about trying to transfer from the NICU to our peds OR and having no luck despite 5 open positions. Turns out that...
  8. elizabells

    Out of OR procedure count question

    Holy cow, noes! I meant the Cardiothoracic surgery
  9. elizabells

    Fluid Changing practices

    That does seem a little restrictive to me. We're not technically allowed to draw off of or flush a PICC, but occasionally if we need a culture we'll go ahead and do it when we change the lines if the...
  10. elizabells

    Dodged that bullet...

    New York City, actually, at the "top" hospital, and I use that very laughingly, even though I do work there already. I think everyone just knows how bad the staffing is,
  11. elizabells

    Dodged that bullet...

    Haaahaaa, I forgot about this. Funny thing, two days after I posted that they called me for an interview. I went, to be a good sport, and ended up shadowing for a day, and it was a hot mess. Like,...
  12. elizabells

    I hate NEC

    Huh, I don't know. I think adults on TPN long-term probably have so many other serious problems that even if it is an issue, it's not as bad. Or because they're bigger, and their liver/gallbladder...
  13. elizabells

    I hate NEC

    It fries their liver. Not sure of the pathophysiology of it, but if you google "short gut" and "TPN" you'll find a lot of parent blogs and such. Sometimes even kids in the NICU for more than a few...
  14. elizabells

    I hate NEC

    Me, and I still believe it. ITA with Aja re meconium aspiration as well. It's the things you don't know about in advance that are the scariest. Cardiacs, CDH, etc, those are bad, sure, but NEC, mec,...
  15. elizabells

    Policy/Practice with capped PICC

    To prevent clotting, I suppose. We switch all meds that can to PO to oral forms. If there's one that can't, (like Gent for a ROS) we'll run D5 1:1 hep at 1.2ml. That's usually only for a day or so. I...
  16. elizabells

    Policy/Practice with capped PICC

    We don't cap or clamp PICCs at all,
  17. elizabells

    Nelrp

    Nope. But then, I didn't get a phone call either, so whatever. I'm fairly certain that, given that I found out about the whole thing two days before the deadline and scrambled it together, I screwed...
  18. elizabells

    UACs and tegaderm use

    We don't cover either, just bridge. Our cardiacs often come back from the OR with tegaderm over the stump itself, and if you don't get it off soon enough the stump gets really gooey and stinky. I feel...
  19. elizabells

    HIE and the CoolCap System

    We were part of the FDA study, and our results basically showed it worked best in kids who were probably not that bad off to begin with. Which seems kind of obvious to me. But I'm going to the...
  20. elizabells

    Nelrp

    newp.
  21. elizabells

    What is the Highest Bilirubin you've ever seen?

    My highest was somewhere in the high 20s too. My first double-volume exchange transfusion, done with an intern who spent the ENTIRE three hours ******** about how much he hated having to do a NICU...
  22. elizabells

    Volunteer Cuddling

    No, Stanley, do it! Our NICU doesn't use cuddlers, because our volunteers (and NAs, for that matter) aren't allowed to touch patients, but I'd love it if we
  23. elizabells

    Is this an outdated visitation policy?

    Sounds quite restrictive to me. Makes me wonder what might be going on in the unit like, as others have said, some kind of outbreak. Then again, our unit has a free-for-all visiting policy known as...
  24. elizabells

    Nelrp

    Hey, I graduated Columbia in 2006 as well and still work at NYP - well, at CHONY. I didn't finish either. I'm going to try for NYU next year. Still expensive, but not so bad, and also no Oscar or...
  25. elizabells

    Funny Names

    Ew, dude. I hope they saved up money for the self-defense classes the poor little guy is going to need. Or wait... like... Jack Sparrow? That guy wasn't meant to be a role model,