prmenrs RN

NICU, Infection Control

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All Content by prmenrs

  1. prmenrs

    Nicu resuscitation nursing

    Paper towels. Just don't accidently throw it away. Find the clock in the room, use that for your time. You have the time of birth, so you can extrapolate age in minutes. We had a stamp w/all the...
  2. prmenrs

    Interesting study

    https://www.forbes.com/sites/leahbinder/2019/10/17/harvard-researcher-says-this-inexpensive-action-will-lower-hospital-infection-rates-and-protect-us-for-the-flu-season/?fbclid=IwAR2U1Ytqt9_OnkrocMCUxA...
  3. prmenrs

    Flu is CRAZY

    I don't think it's too late to get a flu shot. Might help! Maybe the Health Dep't would be interested in putting on a flu shot clinic @ your school site, or someplace near by. Just a suggestion. If...
  4. prmenrs

    appendicitis

    I think old school docs used to call appendicitis, "the great pretender". It was almost expected that 1 out of 4 appy's turned out normal. I went to the ED w/abd pain, they worked me up, (the 3rd guy...
  5. prmenrs

    Non-invasive NAVA and PPV *New Grad*

    It's not a stupid question! Talk to the Resp Care and/or more experience nurses, and develop a "game plan" in your mind. Stupid questions are way better than stupid
  6. Start w/observations: position, color, activity, O2 sat, what equipment, what drips, IV site(s). Resp status and support. Then tactile: gently place your hand on their back to count resp; place...
  7. prmenrs

    Reasons for an unplanned extubation

    Visualize the length of the trachea below the cords. How much wiggling would it take to maneuver the ET tube out? Some babies are even strong enough to "tongue" it out. Part of your assessment is how...
  8. prmenrs

    Positioning an older, chronic lung baby

    These work well. And they have a variety of styles to fit different cribs/incubators, etc.
  9. prmenrs

    When Nurses Dream...and Have Nightmares!

    I had repetitve nightmares for years. Most involved blank charts @1830. I retired in 2002; as of 2015, I was still having them. Certain staff members featured in them, some positive, more not...
  10. prmenrs

    Flu Shots

    I always seemed to be in line behind the needle phobic customer. So I would hold their hand and try and keep them calm. Don't go w/the hip--no one has time for that! Positive attitude: this is going...
  11. prmenrs

    No more lifting

    As a NICU nurse for many years, the patients may not weigh a lot, but, the equipment is another story. And, when you lift a baby who has a couple chest tubes, an ET tube, and pacemaker wires so...
  12. 30 or 40 years ago, TB was "on the decline" also. Then, along came AIDS, and, whamm-o, TB was back, better than ever. Don't trust it. Having been one of the people who unwisely thought we had the...
  13. prmenrs

    Ever forgotten to feed a baby?

    Aug 6, 2018 by llg, PhD, RN llg has 40 years experience as a PhD, RN and specializes in Nursing Professional Development. 639 Likes; 13,085 Posts; 58,214 Profile Views I also dreamed once that a very...
  14. prmenrs

    Nurse as a Patient?

    Scared and angry. And taking it out on you, and everybody else. Suggest a Team conference and team approach. Charge nurse and/or supervisor should stop in periodically just to chat. Head off the...
  15. prmenrs

    How to get NICU job without experience?

    This is a great idea. Not only will you get experience w/"normal" newborns, you will learn a LOT about breastfeeding. That's a really useful skill
  16. prmenrs

    Is it time to stop? Adult to Neonatal.

    I have often said that neonates are like a whole 'nother species. While some of your ICU skills are useful, your whole ability to look @ a pt. and "know" something is off is just---gone. And, no one...
  17. prmenrs

    Wise One Liners

    My signature line: Never, ever trust a 35
  18. prmenrs

    I’ve hit a new low...

    Frozen
  19. prmenrs

    BLS renewal—ouch

    I am/was in horrible shape. No argument. But, I never remember being sore doing CPR in a code, or a regular CPR recert. It was just that one instructor certification that nearly did me in. I must have...
  20. prmenrs

    BLS renewal—ouch

    That was truly the worst cert/recert ever. I'm positive they don't do it that way
  21. prmenrs

    BLS renewal—ouch

    When I got certified as an instructor, we used a manikin w/a strip that printed out the side. They checked that all your compressions, and breaths were correct. After a few tries, I passed. Then we...
  22. prmenrs

    would you tell a manager how toxic her floor is?

    I believe it's a mistake to burn bridges. You never know when, or how, it might bite you in the
  23. prmenrs

    Vaccination for clinical

    OP has left the building. We can stop "educating" him/her,
  24. prmenrs

    Our Lady of Lourdes 2019

    I saw this on FB:
  25. prmenrs

    Vent

    One of the best education sessions I conducted, back in the day, was the "glo-germ" demo. The idea was to teach effective handwashing. Participants coated their hands w/this neon oily stuff, and then...