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bubbly

bubbly

nicu
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bubbly specializes in nicu.

bubbly's Latest Activity

  1. maybe being a school nurse? I know people who have started as a new grad, just have to have a bachelors degree in my state. Hours seem comparable to that of a teacher.
  2. bubbly

    First year nursing

    It doesn't really matter which nursing is the hardest and easiest bc it will vary on who you talk to. What matters most is starting your nursing career in something you really want to do and you have passion for. That will make the challenging part more worth it. As far as getting help, try to get a good feeling of the unit during your orientation and how many new grads they hire. Nobody expects a new grad to know everything. You will get the most help if you are eager to learn, optimistic, and even helping others in return. :)
  3. bubbly

    Weight checking

    My hospital's incubators have built in scales, like sweeper said. Many of our warmers even have bed scales. We weigh our babies once a shift at night. We are allowed to defer weights if they are critically ill, just had surgery, etc. We use humidity when pts are 26 weeks or less. We start out on 75% humidity and start weaning on the 7th day by 5% each shift until it is 40% (I live in south tx where it is very humid and thats about what our room humidity is at :) ). We only take our premies out of the incubator if they are getting kangaroo care.
  4. bubbly

    Time to Float!

    Ooooh I had an awful time on my first and only float so far. It was only 8 weeks after I finished my NICU orientation and I was floated to the never seen before PICU unit. Everything was completely different over there and I had no idea what I was doing or where I was supposed to go. It would be a very very long story if I told you everything I had to do that I never even encountered before. I can just say it was a much more difficult assignment than I had done in the NICU esp on my own! It was only 2 patients, but 1 was on isolation for c-diff, which just made everything that more difficult. I ended up using the PICU charge nurse CONSTANTLY in the beginning, my NICU charge nurse to come help me chart all the meds with me over her lunch break, and a NICU transport nurse to take over completely my c-diff pt- which by the way kept her completely busy until shift ended as we were still trying to figure things out in the PICU and the charts. I cried for most of the shift as I was completely in over my head and felt so unsafe and incompetent and embarrased that I was crying. The rest of the PICU nurses were soooo inconsiderate as they just gossiped at the nursing station as they saw me frazzled and in tears without any offer to help. All I cared about was that none of my patients died or turned seriously worse during my care. I do not look forward to any future floats. I would be to the point of quitting than to float again. The day I floated was seriously the worst day in nursing I ever had so far.
  5. bubbly

    post-discharge visiting

    I was curious to know what NICU nurses think about visiting and even babysitting your NICU graduates. I have heard of some nurses who will continue their relationships with babies and parents outside of the hospital even though it not encouraged by NICU management. I thought it kind of blurs the line of professionalism, even though I think its great that parents really like and trust their nurses to do that. I don't see any problem with knowing how the babies are doing at home through pictures and mail, or when the parents bring their nicu graduates back for a nicu visit. I'm just not sure about actually visiting them elsewhere and even babysitting. So what do you all think and does your hospitals have policies on the matter? :)
  6. bubbly

    oldest babies in the NICU?

    I was curious how long different NICUs kept chronic babies who did not meet requirements for lower level care facilities. Do you transfer these babies to a special pediatric floor in your hospital or do they continue to stay in the NICU until they meet lower level care discharge requirements. I am asking this because our NICU unit has and has had babies in our care for over 12 months, the oldest I think was almost 2 years before discharge. Just wanted to ask your thoughts, esp since by that age they should be treated like pedi and not neonatal.
  7. bubbly

    NICU nurses floating to PICU

    Thank you for your post meghan. My educator is new (she actually oriented with me and the other NICU interns when she was hired for the NICU ed position to see what we were learning). So I guess we were kind of her gunea pigs and she didn't really have a good understanding of the way our NICU was operated. I had asked one of the interns about if we were going to get a PICU oriention since that is what I thought I was told during the NICU orientation. She and another girl had asked the NICU educator about the PICU orientation and her reply was that it was not needed now and we were unlikely to float. Well anyways, one of the new nurses that interned with me was floated there one night, but actually ended up coming back to the NICU because she was so upset and overwhelmed by being in the PICU. I had told my charge nurse that if I was floated I wanted an orientation. I had even told my manager that I felt unsafe floating to the PICU and wanted some type of orientation. Unfortunately no one listened to me. When my manager took me to the PICU when I floated, she was like well all the NICU nurses hate it here so I am not expecting you will like it either. It was nice that I did get lots of help from both the NICU and PICU charge nurses and another nurse pretty much took over the care of my second PICU patient. Since I have already had my float shift in PICU, I guess I no longer need the orientation now since I learned some of the things the hard way. I just feel like my managers knowingly put me in a bad position and didn't care.
  8. bubbly

    New Grads after 6 months: How do you feel?

    I am just hitting my 6 month mark as well. It definitely is more scary not having a preceptor around me just to make sure I am doing everything right and not missing important details. I think I am in the 6 month slump too. Admits are still scary for me and I am so afraid of a patient dying because I have never had that experience before. I am nervous going into work a lot because I never know if my patients will be fairly good or if they are on the verge of crashing and burning. I am so afraid sometimes of my patients going bad that I often double check things, which I guess just helps me from missing things but is a little more time consuming. I still wish I was a little faster at things, but I am still able to keep up so far. What is comforting to me is having great and supportive coworkers who I can lean on for any questions or help with my patients. Some days I feel really good and confident leaving work and other days I keep going over in my head things I wish I did a little better. LOL sometimes I fantasize about doing a career that is less stressful and people's lives aren't at stake. Deep down I know that I love my job and the positive impact it can have. Sometimes it's just hard for me too see that when I drag myself to work each week praying nothing bad will happen. Good luck with your job and I hope we feel better after our first year is over. :)
  9. bubbly

    "Med Student" syndrome

    It is common for students to think that they have certain "psych" diseases when learning about them, but I am not sure about physical ones. In fact the first lecture of my psych class we were told about how common it is that students will start to think that they have some of the mental symptoms characterizing certain diseases like depression or schizophrenia, etc. My instructor told us all that if we were able to make it to school and learn, chances were great that we didn't have anything wrong with us. Healthy people all have a range of moods. The people with psych issues go to extremes and it strongly interferes with their functioning in life, school, job, and/or relationships with others. Hope that helps! :)
  10. bubbly

    Breastfeeding policy

    I work in a level 3 NICU. My unit's kangaroo care policy is a lot like csm08mms's unit policy. The only exception is babies under the bililights or babies under oxyhoods cannot be held. All parents get a kangaroo care packet in their admissions folders. Nurses are supposed to ask the parents about wanting to kangaroo care if the baby is able to. We ask the mothers to wear buttoned down shirts and no bra so that the baby gets complete skin-to-skin contact. Parents must hold the baby a minimum of 1 hour so that the kangaroo care is effective. We limit kangaroo care to only 2 people for each baby due to infection control issues. My unit has a great kangaroo care policy and Child life will bring a selection of beautiful, hand-made kangaroo care blankets that the parents can choose from and a mirror to better see the baby. :) The majority of the babies in the level 3 NICU don't get breastfed because they are too tiny, not stable enough, or just have chronic issues and can't tolerate it. If the baby can be breastfed, we need to have orders first. It can get tricky sometimes because it can be difficult to measure breastfeed intake. Sometimes we ask the mother how much she usually pumps, and then after breast feeding, she will pump and we will estimate how much the baby swallowed by the amount the mother pumped (LOL the leftovers) and how empty her breasts feel. Then we will just gavage the amount of milk we think the baby needs to get a full feeding. Breastfeeding is really rare in level 3 though. One of my babies was allowed to nipple feed as tolerated and I had to sneak over to level 2 to grab bottles and nipples because I couldn't find any on my side of the unit! :)
  11. bubbly

    EXCITED and SCARED

    Hi! Congratulations on getting your dream job! It sounds like you will do great! It is wonderful that you already have a feel for the unit since you are working there and will have other girls in your class to relate to. It's going to be challenging. You just have to take it one day at a time and know that you won't be perfect and don't be hard on yourself because of that. Every new grad I have talked to always has problems with time management and critical thinking skills at first. My biggest help has been the extremely supportive staff on my unit. It looks like you will be working with a great team too. Hopefully they will pair you with a preceptor that fits your learning style and personality. I have been in the NICU for 6 months now (wow time has been going by quickly!) and I still love it and am excited to go to work as much as I was when I first started. It's a learning experience and I love how cute the babies are no matter how tired I am! You will do fine! :)
  12. bubbly

    humidity policies/standards

    My unit uses humidity for babies 28 weeks or less. Those babies are placed in the Giraffe beds with the built in humidity system. We start them out on 70% and start weaning the humidity by 5% each shift on the 7th day. We wean them down to 40% by the 10th day which LOL is the actual humidity level in my unit. It is so humid where I live! :)
  13. bubbly

    Is this a normal work load?

    I'm sorry you have such a hectic patient load, but I admire your stamina and time management skills! I think most new grads would have drowned. Congratulations for sticking through it! How much longer do you have left on your contract before you can try something new? :)
  14. bubbly

    Med Center Housing

    If you go to apartmentratings.com, there is very good info and comments from other people who have lived there. That's the site I went to when I moved to Houston. I heard that the area around the med center has a high crime rate, so just be careful where you move to. Feel free to PM me if you need any more info! :)
  15. bubbly

    Baylor vs TWU

    Like the other posts have mentioned, Baylor hospital doesn't care where their new grads come from as long as they will be an RN. LOL if they only hired Baylor grads, they would definitely face a nursing shortage since their hospital system is so large! I actually did my nursing clinicals at Baylor during school. I saw a lot of students from different nursing schools around the metroplex at the Baylor Dallas hospital. I would advise going to the nursing school that best meets your needs. It looks like you already have a lot on your plate. I know a few people who went through the fast track program. You will not be able to work at your current job full time, and hopefully your husband will be supportive and be able to watch your child and pick up more of the household chores and know he won't be able to spend as much time with you during school. Good luck with your career change and just be aware that it will be a lot of work, but hopefully worth it all in the end if nursing is truly your passion! :)
  16. bubbly

    TWU Readmission

    Can you be more specific? Are you talking about to just the university or the actual nursing program? You may want to contact a TWU advisor for more specific answers to your questions.