prmenrs RN

NICU, Infection Control

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All Content by prmenrs

  1. prmenrs

    Child bitten by another child

    My son bit another kid. Very out of character for him. The teacher called me, wanted to know if he had any communicable diseases. I wanted to know more about the incident. The nurse told me my son was...
  2. prmenrs

    The "How was your day" question

    If I had a really sick baby, sometimes I'd ask them to pray that my patient would get better--if that would be appropriate. I might tell something funny that a baby did (usually related to pee, poo,...
  3. prmenrs

    Being called an idiot

    ps- use the calmest voice possible under the
  4. prmenrs

    Being called an idiot

    "I wouldn't go so far as to say THAT, but, the term on the consent is "procedure". Care to clarify so I can get it signed for you, or do you want to come in, and consent the patient yourself? Thank...
  5. prmenrs

    Walking tall today

    Sadness. Sounds like you all did everything right, and the resus went well. Don't know what all happened beyond that (and I'm NOT asking, cuz it's none of my business); 26 wks is very immature, and...
  6. prmenrs

    cloth hats

    As a former Infection Control Nurse, I'd feel better if I knew those hats were washed after each day; bring a clean one in every day. Hot water and bleach. If you get body fluids on it, change it....
  7. prmenrs

    Walking tall today

    Way to
  8. prmenrs

    Looking for Guidance on Mistake

    I would have held the discharge. "Come back tomorrow, bring your car seat and the baby's clothes; be prepared to spend 2-3 feedings." Pass on in report, if they don't show, have Social Worker call...
  9. prmenrs

    newborn readmits back to NICU

    If they get re-admitted for RSV, NO!!! We did have a baby who was very complex, finally d/c'd w/home nursing, vent support, etc. Two days later, Mom called me @ home, asked me to come; long story,...
  10. prmenrs

    Would you work alone?

    You'd need to check w/your state's regs, but in most places, the hospital can't do this. Level II's are still "special care", and are required to have 2 RNs. Some places require 2 "licensed...
  11. prmenrs

    How Long To Do Cares

    Take your cues from the baby's behavior: if s/he is giving finger splays, or other avoidance cues, take a time out. Do as much observational assessment as possible before touching the baby--If you...
  12. prmenrs

    bathroom accidents

    I'd be really careful w/this one. Might give another student an excuse to bully him on the playground. You want him to be more self-sufficient, not humiliate him.
  13. prmenrs

    bathroom accidents

    Does he have an IEP? Can he be assigned classroom aide or a personal aide, whatever it might be called in your district? Someone who is assigned to toilet and clean him? Maybe w/a one to one...
  14. prmenrs

    Neonatal/Pediatric Organization

    These are the professional associations for neonatal nurses; I suggest you peruse their sites for student memberships, scholarships, etc. This one is partnered w/NSNA, so that might be of interest:...
  15. prmenrs

    Hostile work environment - Violent Doctor

    Key phrase: Write it up!! Every single time. I can't even imagine. Patients are awake during C-sections, implications being that such an incident would frighten Mom and every other family member...
  16. prmenrs

    Not closing to siblings?!?!?!??

    @aerorunner---oh, dear. Do you have an Infection Control Practitioner? Can you use that
  17. prmenrs

    Not closing to siblings?!?!?!??

    If some baby gets a virus and dies (not an unlikely scenario), bring on the lawyers. Not a good thing. Check w/other units in town; what are they doing? If they are closing for flu season, you can...
  18. If you're going right into a BSN program, you may be able to get a preceptorship then. Trying to get a CNA job in a NICU is a great way to go,
  19. It's important for the entire team to view any error as an "organizational error"; where in the stream from order to pharmacy to nursing unit to patient could the error have been "interrupted"? Errors...
  20. prmenrs

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  21. prmenrs

    Under the knife... again

    Best Wishes for an optimal
  22. prmenrs

    Code Blue: What Should I Do?

    Another big tip from when I was a superviser: if you have Med Students, put the biggest one on the chest--s/he can see all the action, and it frees up a nurse for someother task! Pharmacy should show...
  23. prmenrs

    Code Blue: What Should I Do?

    Practice! Not the whole code, just the 'getting going' part. The more you do it, the easier you can just drop into action The nurse whose assignment the patient belongs to will be quizzed numerous...
  24. For sure, I would do it, hopefully, get more schooling, do it
  25. prmenrs

    Brian Short News

    (((NRSKarenRN)))