fulitarn

fulitarn BSN, RN

Developmental Care

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  1. California LVN Scope of Practice

    My friend works for a mental health resource center in California. They haven't been able to hire an RN because they cannot offer competitive pay. She is wanting to know if an LVN can preform the duties without an RN or MD supervising. The mai...
  2. California LVN Scope of Practice

    Thank you so much. She has already stopped the LVN from assessing.
  3. Neonatal Developmental Care Specialist

    There are study guides on the NANN website. I don't remember if I had to but them or not, but I wouldn't have passed without them.
  4. Medical kidnap? Discuss

    The CNN article was very slanted in the parents perspective. Having been in similar situations, families frequently interpret medical comments and actions in a way that was not intended, especially if they are already angry.
  5. No. And if they somehow do you can report them and would be eligible for compensation.
  6. Can they do that??

    No. According to the Americans with Disabilities Act, they have to make "reasonable accommodation" for you. You have a documented disability and can do the work you were hired to do. For them to say that you need to do more than you are able, espe...
  7. NICU visitation policies needed

    NICU Level-- III private patient rooms-- some number at bedside-- 2 (excluding siblings) Who can visit-- up to 2 people at the bedside at a time, one must be parent (or banded support person). In regular season parents can bring any adult in, no one...
  8. Vaccine controversy

    I ask them why they think the government wants a population full of persons with autism, MS, diabetes, cancer, etc. (not that I'm judging any of them). But why does the government want a population full of sick and disabled people?
  9. I'll start by saying that I have a of assault, anxiety and PTSD. Work had always been a safe place for me, until now. I was in the supply room at work one day, looking for something. This room is a locked closet at the end of a long hallway, where ...
  10. Can I please get a Parking Spot!

    The hospital with an ED closest to me does this to patients too. There is a parking garage across from the ED, and the first 2 levels are Dr parking only. You have to go up to level 3 to get to patient parking. There are 2, only 2, ED patient park...
  11. Nurses with SelfHarm Scars

    I wear 3/4 length sleeves at work, and I work in the NICU. I wear them under my scrub top. I haven't had a problem with it. As for other people asking/saying something, a snarky remark is usually easiest. I told my nieces I got in a knife fight ...
  12. Ever forgotten to feed a baby?

    I once had a dream I was taking care of a kid with osteogenesis imperfect, I was going through everything making sure he was comfortable and protected. Then I said, I need to surround him with a circle of salt, and I ran to the breakroom and found s...
  13. Beanbags out? Need proof!

    I think the main concern with bean bags is infection control. How well are they being cleaned between patients? Are bacteria growing on the inside around the beads? That type of thing. We switched to frog positioners/bean bags with a wipeable cov...
  14. Vaccination Health Concerns

    I work with a nurse who has a severe allergy and can't be vaccinated. We work in critical care and she just needed medical documentation, and what vaccines she had received. She does have to wear a mask during flu season. The hospital can do tite...
  15. Turning babies Every 2 hours?

    As a developmental care specialist I would say this sort of blanket policy is very contra indicated in NICU. The most fragile and sick babies should not be touched, let alone turned, but minimally. It also doesn't line up with clustered care times...
  16. Neonatal Nurses with visual disability

    I have to wear very strong glasses or contacts, there's no way I could work without them. Or do anything for that matter. I think it depends on the severity of your vision issues and how well it can be corrected.
  17. Clinical techs or CNA's in the NICU

    I am at a military hospital and we use non-licensed medics. They have a long orientation period with both another medic and an nurse before they are allowed to take feeder growers (doing all po/ng feeds) with po meds. Once in a while they'll get IV...
  18. Utter failure with my first baby that should have been coded

    From experience, it frequently feels like nothing goes right during a code, even if you have everyone and everything there. It sounds like you did things as best you could given the circumstances. Those ex 24 weekers frequently have issues like tha...
  19. Developmental Care Specialist

    I am head of the developmental care committee in my unit, and I have the developmental care specialist designation from NANN. What advanced practice degree would best allow me to continue and advance in this? I don't want to be an NNP, but would ...
  20. Doulble lumen UAC v/s double lumen UVC

    My facility uses DL UVC lines frequently, as often as we can get them in actually. it allows for infusion of more than one drip/pressor/med at the same time. Lots of meds may be incompatible but have terminal site compatibility. We do not use DL U...
  21. Baby positioning. What do you use?

    I love the positioner, but it is frequently not used correctly. A lot of nurses use it as an alternate mattress rather than a positioner. When it's used correctly it's great. Our unit unfortunately doesn't have them, but we use the prone positione...
  22. Self harm and NICU

    I have self harm scars as well and work in the NICU. I am able to wear a 3/4 length shirt under my scrubs which covers most of them. I work with a devout Muslim who wears the same thing. Your management should be willing to work with you. As for the ...
  23. G/j tube spray

    It's stomach contents so basically it's vomit.
  24. Any 22 weekers out there?

    NRP specifies that there are no state or legal requirements for resuscitation age.
  25. How to cope with Hand Psoriasis

    I have severe eczema on my hands and have similar problems. I've had to take days off due to severe outbreaks. It sounds like you need to find a good derm to get things under control. Once the outbreak is under control it is easier to manage futur...