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Baby Wrangler

Baby Wrangler

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Baby Wrangler specializes in NICU.

Baby Wrangler's Latest Activity

  1. Baby Wrangler

    Length Boards

    We do! The docs, NPs and the dieticians use it. It looks like the things they use to measure your feet in a shoe store lol. I will try and find out tomorrow when I'm at work which brand it is.
  2. Baby Wrangler

    Dr. Brown Nipples....

    Can't management shell out to get a dishwasher just for pumping equipment and bottles? We just got one last year for the moms to wash their pumping equipment and baby bottles. You can disassemble the Dr. Brown's and stick the little pieces in a mesh bag that you can put in the dishwasher. Like someone said, ain't nobody got time to be washing bottles if you have three bottlers, plus dumping all the dirty water into the sinks lead to Serratia in the pipes. Plus this way, the moms can wash the bottles themselves.
  3. Baby Wrangler

    Physical Demand

    There's very few nursing jobs that don't require lots of standing unfortunately. Especially like other posters said, when you have an emergency you're on your feet the whole shift drawing up meds, taking bloodwork, doing procedures, etc. There's also a lot of contorting your body involved I find. Our single patient rooms are fairly small when you factor in how much room the ventilators, IV pumps, isolette, photo light, etc. takes. One of our RTs sliced his forehead on the metal shelf holding up the transcutaneous monitor while trying to adjust vent settings.
  4. Baby Wrangler

    Any NICU's hiring in Chicago?

    I'm in Canada but one of my colleagues just came back from the states and she said that the nicu where she worked, Ann and Robert Lurie children's hospital are usually hiring. I don't know if that's "north of the loop" haha, but it is in Chicago.
  5. Baby Wrangler

    Conversing with parents in NICU

    I'm not the most outgoing person either but often times it's the caring attitude and attentive listening that is more important to parents than constant babbling and incessant small talk. I mean, their baby is in hospital and they are not there to make friends with you. That being said, some small talk can help parents feel more at ease with you and their environment. I usually try and focus on the baby. If you've just met them and baby is in a stable condition, you might ask (if baby has an unique name or something) how they came up with that name, have siblings met baby yet (obviously first make sure they haven't had a twin loss or something), if they live far and how their commute is going, etc. If I've had baby a couple of times, I might say oh they've gotten bigger since I saw him last, he seems to really like his soother, he looks like he's going to have your hair colour. You'll find parents are happy to go on about their babies at length. Also, try and converse while you're doing something. It makes like less awkward and less like you've rehearsed a speech. Something like when you're changing a diaper or taking a temperature, that gives you something to do but doesn't require your full attention like bloodwork or ETT suctioning. Also involve parents more in the care and give them teaching tips. That way you won't feel like they're staring at you waiting to fill the silence. Hope this helps. From one introvert to another. :)
  6. Baby Wrangler

    Diaper Rash

    We use a zinc barrier cream called Zincofax, but that's just for like mild diaper rashes. We also use Aquaphor, which is glycerin mixed with sterile water, or Critic aid cream for worse rashes. Once I had a primary baby with a really bad bum rash though which didn't improve after days on the above, and we put colostomy powder mixed with zinc cream and the rash was gone after three days. Yup, we somehow got colostomy powder from adult ICU. What can I say, nurse are resourceful . It worked wonders though.
  7. Baby Wrangler

    NICU Documentaries

    Hi fellow Canadian! :) Another documentary that I would suggest you watch is called Keeping Canada Alive, and it's free to stream on the CBC website. It was just filmed in May of this year, and it's about the different areas of the Canadian health care system seen through the eyes of different patients/health care providers. It's very good, I've watched three episodes so far. I think that they may feature NICU in future episodes. I think it's a good watch for a new nurse too. It sounds like you have your heart set on NICU, but it gives you a good overview of what it's like working in different areas too.
  8. Baby Wrangler

    Vent: parents

    Family "centered" not family "controlled" . There are limits.
  9. Baby Wrangler

    Nursing Model

    Wow! 160 beds! That's the largest nicu I've ever heard of. Our nicu which is a level 3 only has 54 beds at max capacity (which it almost always is). We've been pretty short staffed lately, but it's usually two babies to three babies per nurse unless they're critically ill and then they're singly assigned. We have one charge nurse, one resus nurse, one flow nurse whose job is to call all the level 2 hospitals in the province and arrange transfers, and if we're lucky one resource nurse (usually not). The turnover rate is pretty high so I'd say almost half our staff has less than 2 years of experience. It can get pretty scary sometimes when I'm considered somewhat senior with three and a half years of experience. Our new staff get two weeks of in class training and then around three months of preceptorship where they follow one preceptor around on all her shifts. We do primary nursing, so you can pick up primary babies and they try their hardest to assign the baby to you whenever you're on. Otherwise if you have a vented baby, it's usually assigned with a cpap or a room air kid. They try not to assign double vents unless we're slammed. But primary nursing really helps with the continuity of care. I just transferred my primary to another hospital yesterday after three months of taking care of her. I miss her already. We have PICC nurses (only six out of 160+) that insert PICC lines on their own and a quality safety nurse.
  10. Baby Wrangler

    New nicu nurse in need of advice!

    Not so much things to look up beforehand but what I found helpful was to write down the things you learn every day after a shift in a notebook, like procedures, what you need for procedures, tips your preceptor gave you, what are the norms for vital signs etc. By the end of your orientation you'll have a book full of facts to fall back on if you forget something! :) like a safety blanket you can bring to work with you. Plus it helps you to debrief after a crazy shift.
  11. Baby Wrangler

    NICU pearls

    Do you guys notice any difference between them and the other kind? It would be nice if all our babies that needed cpap could be on RAM. No more nasal breakdown.
  12. Tinkerbell, I think you should look for another nicu job. You've stuck out your year at this place and working somewhere where you're short staffed to the point where you can't provide quality patient care is not worth it. Our unit was really bad at one point too in terms of staffing and I constantly felt like I was struggling to stay afloat in a sea of tasks. Like we're talking a ten minute food break the whole shift, running around like a hot mess, no one around you to help because everyone is in the same situation. It's not worth it. And if my place hadn't improved (luckily it did with our new NUA) I wouldn't have stuck around. That being said, I am single with no dependents so maybe I'm being naive.
  13. Baby Wrangler

    NICU pearls

    We have ram cannulas too but I was told by our RTs that because it's less of a seal around the nose it doesn't actually provide the same amount of pressure as the mask cpap. We generally only put our babes that can tolerate a lower cpap pressure on them. That being said, the babies that can tolerate them love them!
  14. Baby Wrangler

    A few questions on medicines management

    Do you mean prepacked as in stock meds? That's what we call the medications that are in our med room that are not prepared in a specific dose for a specific baby. We generally only use them on admits on nights. Otherwise, pharmacy prepares all the meds for the babies. They come in specific labelled doses for specific babies and are delivered to their room in that baby's own med bin. We do have ampicillin, tobramycin, flagyl etc in stock for admits during the night. Other stock meds that we have are like epinephrine, narcan, adenosine and other emergency meds. Our intubation meds are all prepacked in that way. For narcotics, the nurse carrying the keys for that day will accept the pharmacy delivery of narcotics for that day and cosign the delivery with the pharmacy tech. We're only allowed to have a certain number of narcotics in the med room at one time and it's the resus nurse that usually keeps track of the number of narcotics needed and how many babies are on narcotics at a time and they let pharmacy know when we need more. For all other medications it's pharmacy that keeps track of stock. I'm curious as to how it works in the UK, tinkerbell419. Pretty much the same?
  15. Baby Wrangler

    Made first big mistake at work :(

    I think Apple is talking about the T-piece that you would attach to the IV catheter of the PIV. We generally change the T-piece of a PIV (and prime it with saline) after giving a blood transfusion because it's hard to flush all the remaining blood out of the old T-piece. Apple, don't beat yourself up about it. I'm sure that you will remember this from now on. It sounds like you had a busy shift with the 23 weeker and that's why you forgot to prime the T-piece. At least it wasn't the whole tubing set or whatever and the baby wasn't hurt. I wouldn't say that the air in a T-piece is negligible because it isn't but it's also not a huge amount. There isn't a single NICU nurse that hasn't done something that we've felt bad about and on the list of terrible things yours isn't even close to the top. Just take it as something that you'll never forget to do again.
  16. Baby Wrangler

    Your worst nightmare (Part deux)

    Agreed! I work NICU and once had a dream that it was shift change and I had apparently forgotten to feed a baby the entire shift. I think it's related to workload and insane assignments.