We don't get cross trained but float to peds areas. If you want specialized, go NICU. If you want a broader spectrum, go PICU. Keep in mind most places won't let you transfer for one year. I've...
You just have to find a balance. And yes, you miss out on stuff, but it come with territory. Make plans for your weekends off and remind friends and family you have work weekends, so if they are...
NicuGal replied to mrscreixell's topic in NICU, Neonatal
For ones who don't make parents gown and glove for isolated kids, do you limit where they can go in the unit while they are there to visit and do you have single rooms? I wish we could do this but we...
NicuGal replied to mrscreixell's topic in NICU, Neonatal
We do a 3 minute scrub, as does everyone entering the unit. Wash or gel in between. We glove for hands on care, line handling and breast milk handling, blood draws. But we do hold the babes for...
I asked our docs about this and they also stated that it is not the blood transfusion itself, but the anemia that causes the gut problems. Most of our kids who get blood are pretty sick to start...
If my 16 year old can give a ride mooching friend the boot so can you. This girl expected my daughter to take her to the college with her for classes, never asked. My daughter was nice about it...
I started out on 5 8's on nights, talk about no life. And most nights we weren't out on time or were mandated to work a double and had to be back that night. Fast forward 5 years and we were allowed...
NicuGal replied to alexisjaneen99's topic in NICU, Neonatal
Good for you! Take AP classes or college classes if they offer them. My daughter did all her prerequisite classes in high school and was able to start her upperclass classes her freshman year in...
NicuGal replied to tinkerbell419's topic in NICU, Neonatal
It is a body fluid and is treated as such. As a parent, if I found out my child was fed another's EBM and that it was from a high risk mom, someone's head would
NicuGal replied to tinkerbell419's topic in NICU, Neonatal
We now have to scan all our milk. I was the charge nurse when we had a few errors before scanning started. As above all parents were notified, the nurses were counseled and written up for one of them...
Very good points. How low were the hcts? If they have really low crits, the blood is going to be shunted to more vital organs and you could see feeding intolerance and gut symptoms. Good
We have never made them NPO. If we only have one peripheral line and we can't start another for some reason we check glucoses every 30 minutes and restart IVF as needed for an hour. If we have a...
NicuGal replied to Coffee Nurse's topic in NICU, Neonatal
None of us sign on to take care of these older babies, but they are our patients and usually do better with a team that knows them. We have had 3 or 4 older kids on our unit and it feels like a...
NicuGal replied to Coffee Nurse's topic in NICU, Neonatal
Never. Sometimes we send them to Children's rehab across town, but our attendings hate our PICU and peds floor. We do try to only give one other kid with them and everyone pitches in to play. We...