KRVRN

KRVRN BSN, RN

NICU

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All Content by KRVRN

  1. Four Days of Nausea, Vomiting and Fever

    What is PaO2 on ABG?
  2. Four Days of Nausea, Vomiting and Fever

    What is her baseline mental status? What are those herbal medicines? I also want to know electrolyte levels since she has poor intake with N/V. And a UA and culture
  3. The Story of Nathan - 42 Years Later...

    Wow. A lovely story. That was obviously in the pre-surfactant days. Nowadays he'd be intubated, given surfactant, then probably extubated to NCPAP in the morning. NCPAP for awhile, then the feeder-grower thing. Amazing.
  4. Forced meds?

    Is she pregnant? If she's that developmentally delayed she may have lacked the ability to consent to sex and that might explain some of her refusal to be reasoned with as far as meds?
  5. Job interview while pregnant

    An interviewer can't ask if you're pregnant.
  6. Cna incident investigation

    NurseBlaq I thought you weren't discussing this anymore?
  7. D50 amps

    Asymptommatic? Unexpected responses? That would make me troubleshoot the equipment, switch glucometers, warm hands, question insulin overdose. Does the pt have this happen sometimes?
  8. Gloves have to go on after the hat and mask because touching your hair or face contaminates your gloves. So hat and mask go on with clean hands, then hand hygiene and then gown and gloves. For removal the dirty gloves come off before touching your ha...
  9. Turning babies Every 2 hours?

    We only q2 hr repositioning for babies on hypothermia blanket. Everyone else is q4 or even 6 hr if unslable. Micropreemies are still supine midline, but we can do a bit of a logroll tilt for their head and bodies. I don't know why, but NICU patients...
  10. Manager Insists....

    So is that okay to do? Accessing patient charts when you aren't on the clock and they aren't technically your patient? HIPAA and all?
  11. Manager Insists....

    Everything gets rounded to the nearest quarter hour. 1922 rounds to 1915 and 1923 rounds to 1930. If you are to work 12 hrs you have to clock out no sooner than 1923, otherwise you only worked 11hrs 45 min. (off clock 30 min for lunch). Definitely st...
  12. Well it should be pointed out that pumping isn't as quick and easy as going to the bathroom. You have to walk to your pumping place, plug things in, hook everything up, undo your clothes and pump. Then you have to clean everything back up, disinfect ...
  13. RVN: Registered Veterinary Nurse, what do you think?

    Over the years I've noticed that once someone starts listing off all the procedures, details, and things they know, they probably don't know as much as a nurse. Maybe it's confidence or a certain smugness, but I'm a RN. If you are a RN, you won't se...
  14. Well pumping isn't something that you can say "Oh, the unit is crazy today, I just won't take any pumping breaks..."
  15. This person outranks me?!

    You have a collection of snippets of info that you know that he doesn't. You claim he should know more than you, but not knowing several snippets of info doesn't mean much. All areas of nursing have a body of info specific to it. As others have point...
  16. Pre-employment physical

    It's very basic. Are you basically able to see, hear, walk, stand, use your hands and arms in full ROM, etc. They might check if you're color blind. If you can't do any of those they might explore what accomodations you'll need. They'll probably drug...
  17. The reason you can't wear gloves all shift is because you can't wash gloved hands. Once the gloves have touched something they are contaminated with whatever you touched and you have to take them off. Also, when you put on a pair of gloves your hands...
  18. That's not a bad nurse

    "I want the doctor to start my IV" No, no you don't. You want the nurse that all the nurses agree is the best.
  19. Rocephin Injection

    It's not as harmful as you think. When giving the vitamin K shot to a one pound baby it's easy to hit the vone and I've had our doctors say it's not harmful.
  20. ADC 605 vs Littmann class II infant

    True, a lot of NICUs have a stethoscope for each pt. My unit switched to this right after I replaced my old, cracked one. í ½í¸¡
  21. Should I commute?

    I'm tempted to respond with live rent free and drive 90 min. But are you sure you can get there on time? Let one of us SoCal drivers who doesn't know how to drive in the rain have an accident and you've just added another 30 min!
  22. Why weren't you notified of the indicated neglect? By certified mail for instance. Should you have been but weren't?
  23. Depression?

    You don't need to see a psychiatrist to be prescribed antidepressants, if meds are the direction you think you'll need to go.
  24. Hipaa violation-What happens to RN?

    It sounds like this nurse went a step or two beyone merely calling up a census list and seeing which nurse was assigned to which pt. It's mentioned that she went through charts one by one. She didn't think she was violating HIPAA (I assume) since sh...