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NICU Guy has 5 years experience as a BSN, RN and specializes in NICU.

“Sometimes,' said Pooh, 'the smallest things take up the most room in your heart.”― A.A. Milne

"A person’s a person no matter how small." Dr Suess

NICU Guy's Latest Activity

  1. NICU Guy


    It has become a pain in the butt. Many of the nurses in our healthcare system live in Indiana and work in KY (compact state). We have been notified by administration that we need to get our Indiana compact license before our KY license expires 10/31. KY BON will not renew our KY license. I needed to get my IN license reinstated before applying for the compact. That was a one week process. Now that I have an active Indiana license, I need a background check for the compact license. The problem is that there are very few openings for fingerprinting before mid Sept in the entire state due to the amount of nurses needing fingerprints and COVID restrictions on businesses. You must use a Identogo location in order to electronically obtain your fingerprints. I had to schedule an appointment at a location that is a 2 hr drive.
  2. I use 3M ETT tape. I chevron the EDI with the tape and then cover with Tegaderm. We don't normally use an additional OG tube. We use the feed lumen on the EDI catheter.
  3. NICU Guy

    NICU interview questions?

    What EMR charting system do you use? (Level III/IV question) What type of ventilation do you use (High Freq. vent, conventional vent, NAVA, Jet vent)? Assignment ratios?
  4. NICU Guy

    NCLEX Accommodations 2020

    That timeline seems to be unrealistic. The BON may receive all of the school's list of qualified graduates in 3-4 business days, but the BON needs to process each student's application. It takes about 4-5 weeks to receive your ATT after your graduation date (Pre-COVID).
  5. Like NP, PA requires a residency specialization. To work in a NICU, you would be required to be either NNP or PA that went through a Neonatology residency. You can not work Adult ICU and then a year later apply for a NICU or PICU position without additional training.
  6. NICU Guy


    Is your instructor using random drug names for these problems or did you misread the problem. Oxytocin is administered in milliunits. For induction of labor: Initial dose: 0.5 to 1 milliunits/minute via IV infusion. Maybe a L&D nurse can provide some input, but 4g of Oxytocin is a weird order.
  7. NICU Guy

    Any NON-accelerated second BSN programs?

    How old are your credits from your first degree? Many schools have a 5 yr expiration date on credits.
  8. Be a sponge and absorb all the information that your preceptor has to offer. Be by your preceptor's side at all times (except when they go to the bathroom). Be hands-on as early as possible in your training. Ask your preceptor to try skills as soon as they will allow you. You will progress faster by being hands-on than observing.
  9. NICU Guy

    White Pants That Pass a Tattoo Test?

    How about white bicycle shorts underneath your scrub pants?
  10. NICU Guy

    New Grad NICU RN...tips/advice!

    Here is a couple of books that are highly recommended for new NICU nurses. You don't need to buy the newest edition. Merenstein & Gardner's Handbook of Neonatal Intensive Care https://www.amazon.com/Merenstein-Gardners-Handbook-Neonatal-Intensive/dp/032332083X/ref=dp_ob_title_bk Core Curriculum for Neonatal Intensive Care Nursing (Core Curriculum for Neonatal Intensive Care Nursing (AWHONN)) https://www.amazon.com/Curriculum-Neonatal-Intensive-Nursing-AWHONN/dp/032322590X/ref=pd_sim_14_1?_encoding=UTF8&pd_rd_i=032322590X&pd_rd_r=8d184d18-2ae8-11e9-9383-b9ef8e54b940&pd_rd_w=vSjy0&pd_rd_wg=bbSUh&pf_rd_p=90485860-83e9-4fd9-b838-b28a9b7fda30&pf_rd_r=1ZCTZHZG17E2DARAD5M8&psc=1&refRID=1ZCTZHZG17E2DARAD5M8
  11. NICU Guy

    Working Weekends: How often? Seniority based?

    New grads start out working every third weekend and senior nurses work every fourth. Every fourth is based on seniority. There are XX number of nurses working every fourth. You move up on the list when nurses with more seniority retire or move onto another job. It is not based on "if you have x number of years experience, you work every fourth weekend".
  12. I have never had that experience. I get emails from the nurse recruiter stating "Please let me know days and times you are available for the next two weeks." After giving them my availability, they set a date and time. I applied for the same position twice a few months apart. The first phone interview was on time. The second was 30 minutes early. the recruiter stated that she had extra time before my phone interview time and that she would try to call me early. Since I applied for the same job a few months ago, her phone call was a formality and didn't want to make me wait an extra 30 minutes for a 5 minute phone call.
  13. So, the capitalistic healthcare system is responsible for a country full of unhealthy people choosing an unhealthy lifestyle? People in the Nordic countries are healthier, not because of their Universal healthcare, but the personal lifestyle choices of their citizens, a diet of more fish and less fast food. Explain to me why Canadians (Universal Healthcare) come to the US for medical treatment? https://www.usnews.com/news/best-countries/articles/2016-08-03/canadians-increasingly-come-to-us-for-health-care https://www.huffpost.com/entry/canadian-medical-tourism_n_5949b405e4b0db570d3778ff
  14. NICU Guy

    How did you land your first NICU job?

    I answered this question a week ago.
  15. NCLEX is a computer adaptive test. It looks at the last 60 questions to determine if you get another question. You start the test at the passing line (0 on the graph). If you answer a question correctly, then you get a question that is slightly higher in difficulty (+1). If you answer a question wrong, you get a question that is slightly less difficult (-1). After 60 questions, the computer determines "Did you remain above the pass line for the last 60 questions?" If you did then it stops and you passed. If you kept dipping below the pass line up until question 55, but stayed above after that point, then the computer looks at 56-115 and determines that you stayed above the pass line for 60 questions at question 115 and stops (you passed). If you had dipped at any point then the 60 question count starts again at that question. If you were continuously below the pass line for the 60 question period, then it stops and you failed. To answer your question, if you were at +3 at question 114 (based on the graph) and answered question 115 wrong (taking you down to +2) and remained above the pass line for the last 60 questions, then you passed even though you answered the last question wrong.
  16. NICU Guy

    Nursing may not be for me.. help!

    It depends on the hospital, the unit, and the extent of the involvement of nursing in the plan of care of the patients. I use critical thinking skills every day I work. I use it more when I have higher acuity patients. I am bedside with the patients for 12 hours. The doctors rely on me to use my critical thinking skills to advise them of subtle changes before they become critical. I am not a robot that blindly follow the doctor's orders and pass meds. The doctors have many patients under their care and rely on me to help guide the plan for the day for the patient. You have more autonomy in critical care. You will be given titration orders for many IV drips (Dopamine, sedation drips, etc) with parameters for titrating and standing orders that allow you to do certain things before calling the doctor. I may not be able to "diagnose" patients, but I can predict with high accuracy that if my patient is persistently vomiting, has a rigid stomach, bowel loops, and discolored abdomen, that they may have NEC. I can anticipate what the doctor is going to order and gather lab supplies and call the x-ray tech as I am calling the doctor. I am able to be proactive to their orders instead of reactive.

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