JenKatt

Anyone have a contact number (outside the main HR number) at Haley?

Anyone apply for a non staff nurse position? I applied back on 2/12 for an Informatics position and am in limbo. It closed on the 20th, and now says complete (instead of pending HR speciailist). Wondering how different this hiring process might be than a floor nurse.

Thanks for the reply! I actually reworded the search last night and came upon some info on security and access given to users by an NI nurse. Yes my school does have a Phd program (I'm at Maryland). Here's the problem. I'm in Florida. I don't know anyone up in Maryland ( there's no degrees in NI being offered anywhere in Florida). So I could email my advisor or what not but didn't want to have to do that since she's crazy busy and I don't know her well. I'll forward my info along to you as the assignment was any APN in Informatics, which covers PhD'ers to. Thanks again

Hey ya'll, I'm new to the NI board and to NI. I've been a superuser in the past but just started 1. a heck of an NI job and 2. my MSN in NI. Anyways since I'm new to everything I'm in a quandary. For one thing I need to interview an NI nurse who has her master's in NI. Any takers? Everyone I know only has their undergrad. 2. I have to write an ethics paper on NI, ethical issues NI nurses face. All the lit I have found is about general informatics ethics, not specific to the ethical issues NI nurses might face. I thought about writing a paper on the ethics behind determining levels of access to the EHR/ EMR but not sure how to word it and get anything back on the lit search. Any help at all is greatly appreciated, I'm ready to go nuts! Thanks again Jen

I'm not in NJ anymore, but have worked every concievable shift and have found once you're on nights it's not so bad as long as you stick to it if possible on your days off. I really do get out by 6:15 (we work 6-6) usually earlier. I do stay awake usually pretty easily all night, but I'm more of a night person anyway. Most of us that I work with now, start with the cafeeine before work and stop by 2 or 3 in the morning. By 7 or 8 in the morning you're ready for bed. I wouldn't work days if I had to ever again. Too much crud and no shift diff. Nights is much more laid back and less insane, but you don't have as many people around so when things go bad you have to rely more on yourself and others. As far as staying awake, drink plenty of water, eat a decent meal and I find laying off a lot of refind sugars/ heavy carbs helps me not feel so slugish. And get 6 hours of sleep in between shifts if you can.

our hospital likes 2cc/kg/hr for 24 hours. once below that we start to look at it.

Before an infant can go home, often NICUs will have the parents sleep overnight at the hospital with the infant. This is to ensure that the parents are able to care for the infant and whatever medical needs it has, feeding, monitor, etc.

Just a word of warning. Your cut in pay will be painful!

Our TPN/ IVF tibing is q72 hours, our lipids are q24 and most of our med tubing is q 72, bgut our PGE's are 48, milrinone q48. pretty much whenever a new syringe or new bag has to be hung, the tubing goes with.

I'd say 20% sounds right for twins and triplets. We had a rash of multiples not that long ago. only one set of twins went home together, the other 6 or 7 sets of 2 and 3 went home at different times.

Every 48 hours? Seems a bit much. In your smaller kids, doesn't there skin getting eaten up with all of the changes? Our central line infection rate is also pretty respectable with a 7 day turn around on dressings.

Most of our bad gut kids get zantac in their TPN and reglan IV when they are placed on NPO. We also use sucrose in NPO kids unless it's a bad belly. Usually use the dip the pacifier method, but some of us do use a 1/2cc in a syringe coating the mouth.

I live down here, our hospital is involved with the conference since we are the largest NICU in the area and have a ton of NNPs. I would get a rental. There is a Radisson directly across the street for the sheraton. There's a beach front shopping/ dining area next door to the Sheraton. There's a few more hotals in the area that are all within walking distance. Having stayed at a few of them, I would still stay at the Sheraton.

Since we're a dedicated children's hospital we have a lot more resources I think. Our broviac dressings are changed by our hospital IV team q7 days or PRN at the bedside nurses request. Our PICC and midline dsgs are changed by our unit PICC/ midline nurses who also place them. Any of us can reinforce the dressings as needed. Our assessment sheets require us to chart the status of the dressing q12 hours and the date it was last changed.

We had a patient not that long ago who had a chest tube for months after a TE fistula repair. He had a chylothorax post op that would not heal and repeated surgery was not an option (it's a very long twisted story). So the little one wound up on Portagen and m,ultiple chest tubes. It finally did heal and he went home. You're role as an RN during insertion and care depends on your facility but usually requires ensuring proper placemnt of the tube after it's in (checking lung sound frequently) ensuring good oxygenation, pain control (often an uphill battle), and patency of the system. And if I wasn't coming off my fourth night on I'm sure I could think of more. Your duties during insertion includes helping if not setting up the field, making sure you have life support ready if need be. Often the infant we need sedation prior to insertion which will also fall for you to do, whether it's morphine (what we use) or something else. As far as your preceptor, if you can't talk to her, go to your nure manager and tell him/her that due to differences in personality that you would like a new preceptor. Try talking to your current one again and if you get no where, stand up for yourself and demand a decent orientation. Not only are you doing yourself a disservice by not learning, you're doing your patients as well. I'm here if you need someone to talk to that has been there and done it. Good luck! And we're all not that mean!