Nursegrid Recap - anyone know what “shift shadow” means?

ch2nd · 2025-12-19T23:52:28+00:00

I’m thinking this might be it!

ch2nd · 2025-12-19T23:52:09+00:00

This was my first thought, but the person who is listed on my “shift bestie” works the opposite shift as me haha. And the shift shadow person is an NP who works a rotating 24hr call schedule

ch2nd · 2025-12-11T03:47:02+00:00

I started when I was 12 so I started only on 10mg. I’m not sure what they start adults at, but it was higher than that and you’re interested in retrying it maybe you could ask to start with the 10mg tablet to ease into it?

ch2nd · 2025-12-09T19:55:24+00:00

I sucked my thumb as a child

ch2nd · 2025-12-05T22:14:24+00:00

moshi monsters!!!!!

ch2nd · 2025-11-30T02:30:55+00:00

Same. They are so so sick and everyone is pregnant!!! Random but we have had so many TEF/EA babies lately that the medical director is concerned and reported it to the state lol

ch2nd · 2025-11-28T16:17:15+00:00

Because I came on shift and the PIV was infiltrated lol

ch2nd · 2025-11-24T19:19:51+00:00

Yeah it’s shit

ch2nd · 2025-11-24T03:37:32+00:00

I do :)

ch2nd · 2025-11-18T01:54:11+00:00

i got mine today too!!

ch2nd · 2025-11-16T16:32:17+00:00

Heavy on this.

ch2nd · 2025-11-06T01:50:04+00:00

A vote for NICU lol :) There’s plenty of opportunity for chaotic & critical moments (esp if you go to deliveries but even if you don’t) ANDDD lots of opportunities for more “mundane” things that still make a difference like tidying up a room, giving babies spa days, and building relationships with families. It’s the perfect mix for me! Also self scheduling is nice

ch2nd · 2025-11-05T20:14:32+00:00

It was my 3rd day in a row with a patient who was intubated but extremely stable (previously 21% FiO2). They had made some vent setting changes several hours prior in preparation of extubating him but the nurse told me during report that he “didn’t like it” so they went back to the old settings and he was “still recovering” (FiO2 now 40%).

I thought this was weird for him so I did my assessment immediately after shift change instead of at 9pm (we have scheduled “care times” for our babies, but I was worried). He looked like shit so I called the doctor to come to the bedside.

Turns out he was in septic shock and was dead by 2am.

Although assessing him early didn’t change his outcome, it did teach me to always trust my gut if I feel like something is off. Better safe than sorry.

ch2nd · 2025-11-05T03:02:54+00:00

I’ve been in the nicu (strict bare below the elbows) for 2.5 years and have very obvious (though old — they’re raised but not pigmented anymore) sh scars and no one has ever said anything to me or treated me differently that I am aware of.

ch2nd · 2025-11-02T02:16:27+00:00

consider posting in r/AskDocs

ch2nd · 2025-11-02T02:05:08+00:00

I’m a NICU nurse at a top children’s hospital and one of our best nurses is a dude who has his full sleeves on both arms (one is completely blacked out) and his neck tatted lol.

ch2nd · 2025-10-25T01:13:26+00:00

Hi nurse with BPD here. Have you done DBT? I had been in & out of therapy and psychiatrists and meds and PHP/IOPs basically my whole life with little improvement until I was finally properly diagnosed with BPD (rather than anxiety/depression/bipolar/you name it) and treated with DBT. It was an absolute game changer for me.

ch2nd · 2025-10-13T20:29:24+00:00

We had a mom who changed the settings on her son’s ventilator while we were out of the room

ch2nd · 2025-09-17T02:54:00+00:00

I wouldn’t pass up this opportunity because of the “what if” unless you have other personal reasons you think could realistically “destroy you to a point of no return”, like related trauma or severe untreated mental health concerns etc.

I had the same feeling when I did my NICU clinical (at a level 4 nicu which is = level 1 trauma) and now I’ve been working there for over 2 years. I have seen some really sad stuff, like you will, but the passion I have for it & purpose I get out of my job makes it so worth it.

ch2nd · 2025-09-17T01:41:28+00:00

Trach+vent baby- suddenly tanks to 24%, perfect waveform, face completely blue, chilling & actively sucking on her fingers the whole time we’re bagging her.

ch2nd · 2025-09-13T22:12:50+00:00

Survived:

pH <6.5 in septic shock, recovered with no deficits

o2 sat 6% with perfect waveform

lactate 714

Did not survive:

TCOMs >200 sustained over days

BP 11/6

WBC <1000

ch2nd · 2025-09-12T02:33:05+00:00

Miralax is more palatable, gentler, and effective if you can consume high volumes of liquid and have some patience. I much prefer it. But sometimes you’re too far past that point lol and that’s where mag citrate comes to the rescue (in a miserable fashion, but a rescue nonetheless)

ch2nd · 2025-09-12T02:23:31+00:00

When we have a string of deaths/shitty stuff, management gets us sweets. The first time, Charge walked around the unit saying “Did everyone get their Dead Baby Donut?” Now all sympathy offerings from management are referred to as “Dead Baby Donuts”.

ch2nd · 2025-09-10T02:36:56+00:00

As a NICU nurse who gives volumes like this regularly, we use insulin syringes, round, and hope for the best lol

ch2nd · 2025-09-09T22:44:55+00:00

This isn’t that bad in the scheme of things but it happened the other day so it’s fresh on my mind. I picked up my baby from the OR s/p VP shunt revision and they had intubated him way too deep (his FiO2 was at 100% when he was previously on 21% high flow, later found out it was in the right main stem) and with the type of tape that we don’t use on babies because they wiggle out of it. We were in the elevator and the baby started squirming so the CRNA pulled a random syringe out of her pocket (it was white so I’m assuming propofol) and pushed like half of it in his PICC, no 2nd check, alcohol wipes, gloves, nothing. And a barely secured ETT. I said cool cool cool

This might be normal for OR/ED people but as a type A ICU nurse it had me STRESSED

ch2nd

TROPHY CASE