prmenrs RN

NICU, Infection Control

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All Content by prmenrs

  1. prmenrs

    Switching to NICU

    NRP is Neonatal Resuscitation Program. Neonatal Resuscitation Program - Home Most NICUs will put you in a new grad type program if you are coming from adult nursing. All your experiences (fantastic,...
  2. prmenrs

    Best Hallucinations Thread

    When I was a new grad, I worked on a floor that took care of kidney transplants. Mind you, this is ~ 1968! One of the anti-rejection meds was made by injecting pt's blood into horses (yes, horses),...
  3. prmenrs

    Chart for developmental milestones of fetus?

    https://www.google.com/#hl=pl&gs_rn=9&gs_ri=psy-ab&tok=aP_voR0Fm6dx6Oy7C4usgQ&cp=8&gs_id=u&xhr=t&q=fetal+development&es_nrs=true&pf=p&sclient=psy-ab&oq=fetal...
  4. prmenrs

    First day-fish out of water!

    Adults and neonates might as well be 2 different species. If you've spent that much time doing adults (in addition to nsg sch, which focus almost exclusively on grown-ups), you WILL feel like a "fish...
  5. prmenrs

    Chart for developmental milestones of fetus?

    Also Gretchen Lawhon:...
  6. prmenrs

    Chart for developmental milestones of fetus?

    I'm not really sure what you're looking for, but you might try to find references from Heideliese Als. http://www.childrenshospital.org/cfapps/research/data_admin/Site2265/mainpageS2265P0.html...
  7. I have long thought Dr. Oz was a bit full of [something], but lately his eyes are getting even darker brown.
  8. prmenrs

    Parents!!!

    My son was in the NICU for 3+mo, had 4 surgeries, and still continuing issues. He is now nearly 30. Much of this stuff has resolved, but if we go to see a new HCP, I print a 1 page document...
  9. prmenrs

    did the md's pen go into v-fib??

    All the nurses were told to BUY name stamps, the docs were given theirs free. grrr. Guess who used them the most? not the
  10. prmenrs

    Do you know where you are?

    I listened one night to a med student trying to a work-up a young man who came in w/a headache r/o meningitis. Med student: Who's the president? pt answers correctly. Med student: who was the...
  11. Good Luck, Lunah! Looking forward a "wetting down" party--or whatever the Army calls
  12. prmenrs

    Has this ever happened to you?

    "OH! I am soo sorry!!" "That's the last time I eat a bean burrito for breakfast. Please forgive me!" Then [try] to carry on w/why you were in the
  13. I'm hoping you are interested in getting an education, not just piece of paper. Gen'l Ed classes teach to think abstractly and process info in an [hopefully] unbiased way. IMO, that is the beginning...
  14. prmenrs

    NICU transfer from Critical Care

    You may have already done this, if so, I apologize; I think you need to shadow a nurse in the NICU so you can see what the physical demands of the job are. Depending on the layout of the unit, you...
  15. prmenrs

    Which book?!

    If you're going for AACN certification, I think the core curriculum would be helpful. You can do the NCC cert w/M&G,
  16. I liked Cherokee, Tafford, and Landau. I like a pastel print w/coordinating pants. I worked in NICU and didn't like really splashy loud patterns--too overstimulating for the babies, imo. I also had...
  17. I'm thinking like Esme--some pt fainted, ?had a seizure, hit their head, etc, etc. Won't likely happen again for the next 999 pts, but, "just in case". Like the guy that fainted and hit his head...
  18. prmenrs

    Mystery Baby

    No disrespect, but some areas of the country use Speech Therapists for oral-motor issues, and some use OTs. And, imho, an experienced neonatal RN can teach a newbie OT/whatever a LOT! We are...
  19. prmenrs

    Mystery Baby

    I think this is a Haberman feeder which is a good one for kids w/feeding issues. Use some chin and cheek support if the suck is weak, or gets weaker as the feeding continues. Good
  20. prmenrs

    Mystery Baby

    I'd suggest a pediatric OT or Speech Therapist who is an oromotor specialist try working w/the baby. Might try feeding her side-lying or the OT/Speech might have an idea. Be the squeaky wheel till...
  21. prmenrs

    Breast milk storage in NICU

    Some states may require you to go to a "lab grade" refrigerator and freezer. Our small (10 bed) unit had to do this. These have a graphic recorder which provided a weekly chart of temps. @ the very...
  22. prmenrs

    Things You Didn't Learn in Nursing School

    I remember thinking I wished they'd taught me more about plumbing and electricity, esp re: catheters and other tubes and
  23. prmenrs

    IV insertion issues

    @Jean Marie: Those are great tips for an adult pt, but it is very different for neonates. 24g are standard, 26 for a baby 4k) who doesn't have a high crit, which r/o most customers. We routinely...
  24. prmenrs

    After Nursing: Is There Life Out There?

    You know I'm always including you and your family in my prayers. You deserve all the best things, and sometimes it gets tiresome to feel like you're pushing a boulder uphill ALL the time. I think...
  25. prmenrs

    Almost passed out during clinicals!!

    It's happened to most of us, esp in nsg school. I blacked out once, felt "wierd" a couple time. Menstrual cramps contributed to my episodes, but, really, I think every nurse has something that s/he...