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hikernurse

hikernurse

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  1. hikernurse

    car seat challenge/test

    That is a good idea! I'll have to pass that around our unit. We mostly do car seat challenges at night too, that way parents aren't denied holding their baby if they come in during the challenge. It is an awfully long day when there is still the challenge and education unfinished on the day of discharge--both for the parent and the nurse!!
  2. hikernurse

    car seat challenge/test

    They do have to lug it in, but we do have car seat specialists who are available to place it in their car afterwards. Honestly, in all the time I've worked in the NICU, I've only seen one baby who has used the convertible car seat. I think most parents find them harder to use for newborns than the bucket kind--plus parents find the bucket kind to be cuter:rolleyes:. We've found that the car seat challenge has identified babies who are unsafe to travel--even those that appear perfectly stable. In that case, we either fix the kid or try a car bed :).
  3. hikernurse

    Wash scrubs with regular laundry?

    Like Miranda said, this is probably more of a psychological comfort than anything else, but it definitely makes me feel better. I don't even keep dirty scrubs in the family hamper although the patients I work with are not very germy (I work in a NICU and worry more about giving my patients bugs than getting bugs from them). I don't however go as far as having a separate laundry room.... I guess it's something I can control and that's why I keep doing it .
  4. hikernurse

    car seat challenge/test

    Our unit follows the AAP guidelines without exception. We do car seat trials on all our patients, even the full-term ones. The nurse assigned to the patient is the one who does the trial as part of the baby's stay. We are always in sight of the baby, though, so whether the baby is in a crib or the car seat, it doesn't change anything. Our bigger challenge is ensuring parents bring in the car seat before the last minute. It's a treat to see parents walk through the doors with a car seat in their hands, they're always grinning because they know they are close to going ____ (shhh, I can't even say the word, I don't want to jinx anything )
  5. hikernurse

    Thank you gift for a preceptor?

    The part your preceptor would appreciate most is a well thought out thank you note. (Although a gift card is also nice :)) Forwarding a note describing your experience to your department management and educators would also be greatly appreciated! Edit: llg said this better than I did and at the same time, LOL
  6. hikernurse

    called in sick

    That's ridiculous . How can people be expected to work for 12+ hours without hydration? I guess it saves taking time out to pee.....
  7. hikernurse

    called in sick

    You did the right thing, if that's any comfort!! An untreated UTI is not only impossible to work with but can lead to other problems. I'm glad you're getting in to the doctor. Nurses can and do get sick on orientation and most work places aren't going to make that a deal breaker--unless sick call always happens on a Saturday night....The pain and urgency of a UTI is not going to put you in a good place to learn and orient. Feel better soon!
  8. hikernurse

    Certifications: HOW?

    Some certifications such as CCRN require work experience first. I would imagine that "no pass off" classes are not considered as legitimate. Hospitals in my area only accept American Heart Association certification. They offer on-line tests that you can take, print off and bring to your pass-offs to save class time. My PALS certification was almost ALL pass-offs with one written test. It's a great program, though. If you are a new grad, they won't expect you to have a lot of certifications; any that will be required should be taken care of by the hospital. Have you given any thought to volunteering? That looks good on a resume. Good luck. It's frustrating trying to find a job these day. Best to you!
  9. hikernurse

    Patient's Families as Facebook Friends....

    We don't have a policy that covers that specifically, although we do have one for social networking. We do get to know and care for our babies and their families well during their stay and I can certainly see the desire to stay in touch, but I don't friend families ever. I don't give out my phone number or my email address, either. I figure if someone needs to get in touch with me they can go through the hospital. You just never know and I'm not a fan of blurred boundaries :). It seems a bit risky legally to babysit discharged patients, although I know several nurses who do it. I do follow blogs of families when given the address and that satisfies my need for follow up .
  10. hikernurse

    Dream job offer, but trip already paid for

    Just tell her the truth, that you have planned and paid for this trip and can they work with you. It probably won't be a big deal. Congratulations on your dream job!!
  11. hikernurse

    STABLE program

    There is a day class that would get you a certificate. I did look up the stable website and I didn't see any classes in Oregon. It was a bit confusing as Oregon was stuck in the middle of the Oklahoma classes. I imagine some hospitals would teach it if it were a job requirement--then they would pay for you to attend :). I would call HR at one of those hospitals and ask if it were a job requirement or just on their wish list. They are a pretty good resource for where you would go to find a class--or they might just tell you to wait until after you were hired. If you don't live in Oregon, could you take the class where you currently live? It would definitely transfer. I would recommend the book anyway, because it is very useful.
  12. hikernurse

    STABLE program

    STABLE is a program designed to stabilize babies, basically. Amazon has the book if you want to purchase it. You can also google STABLE and order it straight. It covers the basics and has some great information. We use it for our NICU orientation and find it very helpful. It is also good, and in fact designed, for hospitals that need to transport sick babies to a higher level NICU.
  13. hikernurse

    add future employer on facebook?

    I completely agree with orthonurse. It would be a bad idea to cross those boundaries. It's frustrating looking for work--especially when you've found the job you want!! Just keep it on the professional level and you'll get much farther. Good luck on the job, I hope you get it :).
  14. It's a price I'd be willing to pay for being able to sleep nights, but that's me. I hope you're able to find a way to work out your new schedule :).
  15. I work in a locked unit and when I encounter a closed door in real life (at home or an elevator, even) I'll reach up for my badge to scan it open. When I'm really deep in thought I find myself irritated that my badge isn't there and I'll have to call someone to let me in :). When I am looking at friend's/family member's babies for the first time I find myself giving them as thorough an assessment as I can without a stethoscope. I'm pretty good--often (I hope) people don't realize what I'm doing . I do stop myself before checking femoral pulses, however . When I'm rubbing my children's heads (well beyond neonate age) I still find myself absentmindedly trying to assess their fontanels and sutures. I find myself avoiding people who look like they might collapse because while I'm pretty good at CPR, I'm not sure how effective my two-thumb method would be on a patient who weighs more than three or four kilos...
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