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RNin2007

RNin2007

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RNin2007's Latest Activity

  1. RNin2007

    Length of Nicu Admission

    How intermittent are the feedings given via gavage? We sometimes send kids home on gavage feedings (after parents are taught how to do so). We also had parents not long ago that were very adamant on not having a G tube and the baby went home on NG feedings (he would probably eventually need one because he had severe HIE, and no suck/gag reflex). But it wasn't something that we could force upon the parents at that point.
  2. RNin2007

    One of those weeks

    Oh wow, so sorry - that is truly a bad week.
  3. RNin2007

    Outcomes for Periventricular Leukomalacia(PVL)

    Wow you surely know a lot about this child...but as you know we can't give out medical advice. I will just share a few "off topic" things about my own child who has PVL. He also scores above the standards on state testing. He is quite intelligent. He has ADD (not ADHD) which is treated by medication. He also only last year learned to ride a two wheel bike (he was very fearful up until this point of learning how to, despite my attempts to bribe him with $50 to ride LOL!). I think he has a sensory processing disorder due to his prematurity and MANY problems (8 surgeries before the age of two, need I say more). He isn't OCD, but he does chew his nails and would play video games 24/7 if I let him. I would say he also fixates on certain subjects, such as science. He is an overflowing river of knowledge when it comes to the most random of facts. His ADD is managed by a neurologist, and we see a pediatric psychiatrist every two years for testing, and he has an MRI every two years in addition d/t hydrocephalus (no shunt, he had an ETV at the age of 2). He also has a hard time making friends and he does talk nonstop. He just turned 12 last month and he was a 2 lb. 2 oz. 29 weeker. He is a handful but an amazing kid. Again...no medical advice but thought I would just share with you - more on a mom level here I guess.
  4. RNin2007

    I need someone to Interview, A NICU nurse for school

    Understand a lot of students post here wanting the same thing....manners in how you are asking for help go a long way. Also you might utilize the search feauture to find some of these answers.
  5. RNin2007

    Why I want NICU-good reasons? (long)

    Lots of agreement with PPs, as a mom of 3, and mom to two micro-prems, NICU is definitely not a place to work because *you love babies* (as was said), however it sounds like you have thought it over well and are on a great path! I love my job and can't imagine do anything different for many of the reasons you describe. :) GL and keep us posted.
  6. RNin2007

    Outcomes for Periventricular Leukomalacia(PVL)

    Quick add....my 11 year old was a former 29 weeker and had/has PVL and hydrocephalus. He had his shunt removed at 2, and is completely normal. He scores above average on state testing in school and has NO medical issues from being a preemie.
  7. RNin2007

    5 babies die in India hospital

    That is so sad
  8. RNin2007

    Octuplets

    That is why I questioned it. I've only been a nurse for a year and a half and wasn't sure. Sorry for not knowing this.
  9. RNin2007

    Octuplets

    I heard that the state of CA paid for her IVF? Did they not even screen this mother to see if she was a good candidate? What is the screening criteria? It does not even seem ethical to transfer 8 embryos. She'll probably sue Kaiser for malpractice and live happily ever after.
  10. RNin2007

    Octuplets

    Yeah, our local news said they would be in the hospital for about 2 weeks. The smallest was 1 lb. 8 oz. and they were born at 30 weeks. Um .... we'll see about that!
  11. RNin2007

    Preemie Mom turned NICU Nurse?

    I am a mom to two preemies (26 weeker and 29 weeker) and they were my inspiration for wanting to be a nurse. I love my job, and really can understand what parents are going through. You have to have good boundaries (don't expect every parent to experience what you did in the same way). Honestly I very rarely share my personal experience with parents. I don't want them to *compare* or expect that their preemie will have a simlar course as mine did. For instance my 680 gram 26 weeker did great, came home a month before her due date...my 29 weeker was a trainwreck and had 8 surgeries, 5 for hydrocephalus and was in the NICU for 4 months (that could really scare a parent). I'm lucky that both of my kids are doing fine today - you would never know what they went through. I think the most important thing is to keep good boundaries.
  12. RNin2007

    Still not comforatble with NICU

    I've been in the NICU for a year now (this month) and I feel the same way you do. My orientation was very slow...we are a small unit as it is, and I had NO admissions on orientation, and only one level 3 patient. I feel exactly the same way you do and i'm glad i'm not alone. We are finally starting to get busy and i'm trying to take as many of the micros as I can. I am starting to feel slightly better, but still not very confident. I also go home and my brain is spinning...wondering if I forgot something or didn't do something right. I feel slow at some skills that I haven't gotten to do much (e.g. assisting with line placement). I think it will get better as time goes on and everyone learns at a different pace. I don't feel like i'm unsafe or anything like that and i'm never afraid to ask questions, but wish I had more confidence.
  13. RNin2007

    Maybe I need some reassurance...

    Definitely get bored if I have a stable vent patient and nothing is going on with them. :grn:
  14. RNin2007

    Maybe I need some reassurance...

    Wow, you had two vented patients that night? When we have a vented patient it's a 1 on 1 assignment (however we are a small 26 bed unit). That sounds like it was a rough night, I can only imagine. I am really starting to enjoy level 3, and learned a lot taking care of this baby. I try to ask for as many patients like this that come in since lately they are few and far between.
  15. RNin2007

    Bubble CPAP?

    We use bubble cpap and monitor it also by checking frequently. I've not been around long enough to follow kids toaster heads lol but I have my own 29 week preemie who spent a fair number of days on CPAP and has a very slightly noticable toaster head at 11 years old...but not that bad really. There's my 0.02 for what it's worth... ETA: his nose is perfectly fine! spent 3ish weeks on CPAP
  16. RNin2007

    Maybe I need some reassurance...

    I'm learning right here reading these replies...this is so helpful to me. Appreciate all of you who are chiming in on this, because my level 3 orientation and number of vented patients i've had has been very limited. The tubing was propped on another sandbag and I always take a look at my patient when sats drop to make sure whatever support they are on (CPAP, NC, etc.) is correctly positioned...but its a bit more of a mystery with an ETT and a baby this small. There was no clot in the tube, which is what I expected since we were suctioning thick secretions all night long. I did watch the tube for kinks and tried to be sure that the tube was in optimal positioning while he was prone. The only other micro i've cared for (while I was on orientation) was so sick that she didn't move really...which also leads me to really concur with what Steve said about the baby possibly needing something for pain ...sedation. I'm really learning still, and it really did make me feel bad to have to reintubate my patient two days in a row, especially when he had a blood tinged residual which im sure was from the trauma of being re-intubated . Again thanks for your reply.
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