Cute little patient in the NICU. Mom’s basically your typical first-time mom, wide-eyed, scared, excited all at once. Dad is an MD who works in the hospital. In this hospital. He knows what can go wrong. And therefore he tries to will all the bad away. Day 6 in the NICU he asks for a mask because he has a tickle in his throat – doesn’t want to spread germs to his newborn. We provide one, and remind him Continue reading
I never realized how subjective that question really is. Recently I took care of a sweet boy with trisomy 13. Mom called again and again, looking for updates that would give her some indication of what she can hope for. He’s already made it past a month of life, defying the very few odds available as guidance. Continue reading
Often interviews start off with this question, and your answer will set the tone for the interview. It’s easy to fall into the trap of the easy answer – the basics. I’ve been a nurse for xx years. I like to cook. I graduated at the top of my class. But that’s not what the interviewer wants. They’re giving you an open floor to tell them why you’re the best candidate. Continue reading
1. Ask your co-workers if they need help. It’s easy to get caught up in your own assignment, and of course there will be days when all you can do is keep your head above water. But if you’re not drowning, check in with your coworkers. And when you ask them if they need anything, they’ll respect you for it. They’ll appreciate you. And they’ll be that much more likely to offer their own help when you need it.
Baby had a small pneumothorax. Symptomatic with sustained tachypnea and difficulty maintaining oxygen saturation. I expected a chest tube insertion, but the doc wrote for a ‘nitrogen wash-out’ under oxyhood instead. What. is. that? Continue reading
Safe sleep needs to start long before we thought. In the NICU. At 32 weeks, according to new guidelines from the American Academy of Pediatrics. Once a baby is moved from an isolette to an open crib, the head of bed should be flat, no blankets, no positioners, and no side-lying or tummy sleep. Back to sleep every time, starting at 32 weeks. It’s going to take a lot of education and prodding to steer unit culture that way.
Seriously y’all. In one day we admitted 4 known NAS babies. That’s 4 babies whose moms told us about the drugs they were using. Think we’ll come across more this week whose moms didn’t tell us, but the babies are withdrawing?
And yesterday there were 4 sets of twins. That’s 8 twin babies in 1 day. Browsing through our census at the babies we have, the Baby-A and Baby-B’s are everywhere right now! Yes, it’s a big unit, but sheesh! Twins are falling from the sky!
Great nurses problem solve, even when no one asked them to. Yesterday I was working with a baby whose only current problem is that he’s having trouble eating. Mom was there with her 2 other kids, and the feeding specialist showed up. The siblings (ages 6 and 8) were distracting mom while she fed the baby and the feeding specialist had the deer-in-the-headlights look, wondering what to do about this circus. Continue reading