katierobin23

katierobin23

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All Content by katierobin23

  1. picu/nicu/peds

    katierobin23 replied to gladysh Rn's topic in Pediatric

    NICU here, but it's all what you prefer. I like the high acuity of intensive care, but I wouldn't want to take care of all age ranges like you would in a PICU. I like that my age range is 22-40ish...

  2. What's the biggest mistake you've ever made as a nurse? What did you learn from it?

    katierobin23 replied to Mini-Murse's topic in General Nursing

    Day two on orientation in the NICU (my first job as a nurse), I assessed an IV all morning and didn't see anything wrong with it. The site wasn't red or leaking....but the leg was swollen, badly. The...

  3. Hypothetical Situation

    katierobin23 replied to Bortaz's topic in General Nursing

    Nothing worthwhile to contribute, I just have to say that my coworkers and I often joke that we could write a book...this 'possibly hypothetical' situation sound like it would be a great chapter in...

  4. Kings daughters va

    katierobin23 replied to Princesspink88's topic in Virginia Nursing

    You might have better luck in the Virginia nursing thread. All I know about CHKD is that they were wonderful when my cousins were micro preemies there but that was years ago...long before I knew to...

  5. Baths on your unit

    katierobin23 replied to debstmomy's topic in NICU, Neonatal

    We do weighs every night unless the baby is really sick and unstable. Baths are every other night once stable. We always use sterile water. Johnson's and Johnson's is the soap we have, but it's at the...

  6. Whats your NICU experience?

    katierobin23 replied to jackiei3's topic in NICU, Neonatal

    This was a week I experienced not too long ago. Night one: Decent shift, I don't remember the details...average night. Probably what most nurses think of when they think of working in the NICU. A few...

  7. 2014 camp work thread

    katierobin23 replied to Alex Egan's topic in Camp

  8. The lowest O2 saturation I've ever seen

    katierobin23 replied to SaraBart's topic in Critical Care

    I work with babies, so it's different, but there's one in my unit now who occasionally still has a 'Mac attack' and sats single digits. She's always been really sensitive and would go from 99% to 9%...

  9. When is the busiest time in NICU?

    katierobin23 replied to choco_noire07's topic in NICU, Neonatal

    We do baths at night, unless the family is there earlier and wants to help (and as long as the day shift nurse is able/willing to do it). I personally do my weights and baths around the midnight round...

  10. What nipple do you use for thickened formula

    katierobin23 replied to Ethanavery's topic in NICU, Neonatal

    Yeah, the hospital stocks the Avents. It has three settings, the one that is pointing to the baby's nose is the one it's "on". I is the slowest, II is medium, and III is fastest. We also use 3-hole...

  11. What did you do before?

    katierobin23 replied to jm0914's topic in NICU, Neonatal

    New grad here too! Don't give up

  12. Nurses Provide Christmas Cheer in the NICU

    katierobin23 replied to tnbutterfly - Mary's topic in NICU, Neonatal

    Wonderful :) thanks so much for

  13. Nesting Micros who are on Phototherapy Blankets

    katierobin23 replied to jpeters84's topic in NICU, Neonatal

    We don't put micros on blankets, they have to be 1500 grams or more. Any baby smaller than that would go under Neoblues or spotlights and be nested as usual, but we do our best to not obstruct skin...

  14. NICU

    katierobin23 replied to TinkRN8's topic in NICU, Neonatal

    We don't use stat locks. We change TPN/IL every 24 hours, along with all tubing and any drips on the same

  15. When is the busiest time in NICU?

    katierobin23 replied to choco_noire07's topic in NICU, Neonatal

    Very much agree with the precious post. There is no way to know when is going to be busiest during a shift. As far as unit-wise, that varies too. A month ago we had 67 babies and had a hard time...

  16. Carseat for babies under 4lbs

    katierobin23 replied to jnick31's topic in NICU, Neonatal

    I had a long response typed out, but it wouldn't send. In short, graco click connects and chicco keyfit are the best fit for littles that I see. The Combi shuttle is one that I know off hand that...

  17. New Grad Trying for NICU

    katierobin23 replied to UCAFblue's topic in NICU, Neonatal

    North Carolina seems to be more new grad friendly than other places if you're seriously considering a move. I moved 1000 miles away, but got into the NICU right out of nursing school. Worth it. And...

  18. MRSA Best Practices?

    katierobin23 replied to Mags4711's topic in NICU, Neonatal

    All babies. We only get babies in by transport if they started in our unit and had to go out for surgery. They get swabbed on readmission and then back into the every 2 week

  19. MRSA Best Practices?

    katierobin23 replied to Mags4711's topic in NICU, Neonatal

    1. We swab nares on admission and then every two weeks. We used to do umbilicus as well, but just had a policy change. Once positive, we don't retest. I've seen parents request a repeat, and we'll do...

  20. Delayed cord clamping

    katierobin23 replied to RNlove17's topic in Ob/Gyn

    In my hospital, delayed clamping is also standard practice. I see the benefits of it, but I also see the downsides. I'm in the NICU, and trying to get a blood sample on a kid that was delayed is...

  21. L&D nursing an NICU

    katierobin23 replied to cxe008's topic in Ob/Gyn

    I don't have experience doing both, but I just wanted to let you know that my first job out of nursing school was in the NICU so don't give up hope :) when I started my new grad program there were...

  22. What do you do about leaks?

    katierobin23 posted a topic in NICU, Neonatal

    I've found that most of the incubated babies I take care of have substantial air leaks...does anyone have any good tips on how to minimize them? It seems like I'll get the baby positioned and get the...

  23. What nipple do you use for thickened formula

    katierobin23 replied to Ethanavery's topic in NICU, Neonatal

    We used to do that, but it was decided that it was too inconsistent and dangerous, so we switched to the avent with the variable flow nipple. It works well because some babies do better with the...

  24. Cooling Blanket for HIE

    katierobin23 replied to HarleyNrs's topic in NICU, Neonatal

    Actually, I looked up our policy and it's against it to put anything underneath it. They're worried about the shift of the water inside the blanketrol and uneven

  25. Cooling Blanket for HIE

    katierobin23 replied to HarleyNrs's topic in NICU, Neonatal

    Our policy says that one flat hospital blanket is allowed, but I've never seen it