Janetnzrn

Janetnzrn

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All Content by Janetnzrn

  1. NICU visitation policies needed

    Janetnzrn replied to anicu's topic in NICU, Neonatal

    Waikato Womens Hospital, Hamilton NZ nicu visitation written policy level 3, 4 bed pods, level 1&2 open room 12 cot spaces 2 visitors per infant, includes parents. no children 3 or under older...

  2. Does working at a small hospital make me less of a nurse?

    Janetnzrn replied to Jaellys's topic in General Nursing

    Absolutely not! You are a generalist, ortho and renal in the same room, paeds and copd in the next. All of those are in seperate wards in the big hospital. You are also caring for your neighbors and...

  3. Top ethical concerns to RNs

    Janetnzrn replied to BirkieGirl's topic in General Nursing

    I worki in NICU, for me it's pain

  4. Threatened by patient

    Janetnzrn replied to BSNbeauty's topic in Patient, Colleague Relations

    Years ago, I worked OB,16 yr old in labour, yelling for pain meds/epidural. Told her I needed to check her dilation and then would give her some meds and call anaesthesia. As soon as I started the...

  5. holidays... sick call...

    Janetnzrn replied to imsickagain's topic in General Nursing

    In my hospital, major holiday sick calls require a medical certificate, if you can't produce one you will be reprimanded by HR and possibly terminated if a pattern develops. We also have alternate...

  6. Self Harm

    Janetnzrn replied to mom to many's topic in School

    Please keep us

  7. Do Rn's miss having Lpn's in the hospital setting?

    Janetnzrn replied to Finestnurse, Lpn's topic in Patient, Colleague Relations

    I remember team nursing. I worked a med/surg floor, I had 10-15 patients, the team consisted of 1 RN, 1 LVN, 1 CNA. The CNA did all the personal care and meal passes, the LVN was responsible for the...

  8. New grad, do not feel challenged at all. Help?

    Janetnzrn replied to RNinCali15's topic in First Year After Licensure

    ouch OP! I'm a NICU nurse, have been for quite a while and I do a lot of charge nurse shifts. I have a lot of sympathy for your plight as I know feeders and growers aren't the most thrilling of...

  9. I really hate my job as a CNA. Will I hate / suck at being a Nurse?

    Janetnzrn replied to taraleee's topic in General Students

    No you won't! I hated my stint as a CNA. Being an RN is very different and your goal of doing mental health has no bearing on your ability to feed or toilet someone. Don't give yourself the "guilts"...

  10. Line Changes

    Janetnzrn replied to futureTBA's topic in NICU, Neonatal

    Sterile line changes for our CVLs and UVCs, evidenced based practice for the last 5 years, dramatic decrease in CONS and other line sepsis organisms. Clean for PIVs but with strict clean hub...

  11. Early Morning Nurses (and Nursing Students)

    Janetnzrn replied to oldsockventriloquist's topic in General Nursing

    I'm a light sleeper and prefer pms, but when I'm rotated to days I set out my breakfast, pack my lunch and put out my uniform the night before. Number one rule, get out of bed right away, no snooze...

  12. Contacting patient after discharge

    Janetnzrn replied to lvoro001's topic in General Students

    I used to work in a tiny rural hospital doing L&D, my kids were under 5 and at times on the playground I would look around and realise that I had been at the delivery of 75% of the mothers. Lots...

  13. Going to be fired?

    Janetnzrn replied to Meridian2's topic in Patient, Colleague Relations

    What do you think ICU is? Let me tell you there are a lot of technical stuff and loads of machines! ICU won't be a good fit. Not sure what sort of nursing would be a good fit as time management and...

  14. New Grad Shadowing in NICU

    Janetnzrn replied to NurseCait220's topic in NICU, Neonatal

    You've probably had your time shadowing, but the thing that most impresses me is someone thats done some reading on neonates BEFORE they arrive! I really like students that see something and the next...

  15. Primary Care Nursing?

    Janetnzrn replied to CryandNurseOn's topic in NICU, Neonatal

    We try to have a team looking after ours sickest or chronic babies, but we struggle with scheduling and continuity as we do 8hr shifts and we roster over all 3 shifts. I look at the literature and...

  16. I know the pros, but what are the cons of NICU nursing

    Janetnzrn replied to LynnMomNurse's topic in NICU, Neonatal

    The biggest negative will be the loss of your adult skills. After 12 years as a NICU nurse, there is no way I would be competent to care for

  17. NG tube question

    Janetnzrn replied to RNinCali15's topic in NICU, Neonatal

    We check position with every GT feed, but only check residual q4H when the baby is q2 feeding. When the baby gets to q3H feeding, we only check for position and we use pH strips for that. I work in a...

  18. ELBW Supine+Midline for ____ days

    Janetnzrn replied to Justin-RN's topic in NICU, Neonatal

    We will get our ELBW infants out for SSC while on a vent, but not with a UAC. CVL's are ok, We don't have a strict policy for our 23-26 weekers regarding midline head positioning but its generally...

  19. Psych nurses being forced to float to med surg and tele?

    Janetnzrn replied to lovetosleep's topic in Psychiatric

    All the hospitals I've ever worked in have floated RNs >25years In one hospital we got a $4 increase, another said float or quit, the one I'm working now (NICU), we float to Paeds and Post natal,...

  20. extubating

    Janetnzrn replied to MNNICU, RN's topic in NICU, Neonatal

    In my country there are no RTs, we are responsible for retaping and suctioning. So unplanned extubation is pretty rare as we are directly responsible for the baby. We also are a really good team, so...

  21. New To NICU: How was your experience?

    Janetnzrn replied to Soliloquy's topic in NICU, Neonatal

    I too was an experienced L&D nurse with lots of adult experience before that. For the first 6 mos in NICU I felt like a new grad, a bit demoralising! I studied a lot at home as my orientation was...

  22. D&C and returning to work.

    Janetnzrn replied to Lumos_Nox's topic in Health, Stress Management

    I'm sorry, I too lost a baby around the same gestation. I found work a good place for me to distance myself from the sadness. I was forced to be "on" for my patients and the concentration and busyness...

  23. So I kind of messed up

    Janetnzrn replied to oopsmybad's topic in General Nursing

    Poor thing! I would call and ask for an appointment to speak to the dean of your nursing school. Explain in person, if you can, your mistake and your ignorance of what you were given. Ask for a...

  24. Meaning of your username?

    Janetnzrn replied to Flightless Bird's topic in General Nursing

    Expat living in NEw Zealand. And so glad I do! American nursing seems to be

  25. Life, death, and dying.

    Janetnzrn replied to CardiacDork's topic in General Nursing

    I work in NICU, and when a baby is not going to make it home alive, we know it and try to break it slowly to the family. But in the end, the baby dies, but that family has to live on, and if they are...