a new 4th year college student here! in my exploratory course for my nursing degree, and i picked anything related to pediatrics or the ICU and they gave me the NICU! I'm the only student in our hospital in the NICU so it's rather nerve wracking, but I was so happy to find your channel and slowly go through all your videos. Thank you so much for what you do, it's my first shift tomorrow for my preceptor ship. Time to go through the rest of your videos before I end my rotation!
Oh yay congrats!!! And btw you have the best rotation- you will love it! I’m so glad that our channel has helped at all- please let us know how you find it. Thank you so much for your lovely comment :)
So happy I follow this channel. NICU nurse here. I just hit 1 year in the NICU and it’s a completely different world than med/surg. I’ve found this past year has been so rewarding. Your videos help me learn and reinforce all of this new information. Thank you so much Dr. Tala!!
oh yay! So glad you found us! Such a different world- really is this odd part of medicine! So happy you've also found yourself in the best field :) Thanks so much for watching and for taking the time to write to us!
Thanks for sharing. Very informative. So many conditions can be seen in the NICU and the frequency of any one condition will depend on where one is practicing. In South America I have seen lots of jaundice and respiratory distress associated with prematurity, while in the Americas I've seen lots of jaundice and HIE.
That's so interesting- the differences everywhere. That's definitely true. Interestingly the rates of diseases vary between units as well. Funny field! Thanks so much for continuing to watch us :)
Thank you so much Dr. Tala! Your videos are so awesome. Every single one has some piece of information I haven't heard about. You have a way of zooming out and allowing someone who works in the NICU really understand some of the nuances for why certain things are done. In this video, I really appreciated how you provided general things to think about prior to a delivery... anyone before a certain gestational age will require X amount of respiratory support, lines, etc. That is information I have never heard before. More content on things to think about before a delivery (abruption, previa, possible MEC) and what you're concerned about/thinking would be super helpful. I know this also has been requested but NRP and what you consider in specific emergencies would be helpful, i.e. how to handle resuscitation of cardiac infant. Thank you!!
JH- thank you so much for your well thought out comment! We really appreciate you being here and watching these videos. Different maternal situations is definitely something we need to cover- sooner rather than later. And yes! We need to get to NRP. Again thank you so much for your great suggestions :)
I'm an Ambulance Technician who support's a NICU Transfer Service. These video content's have been incredibly helpful to me to learn about the expertise of my senior colleagues & understand the conditions better. London UK
Hello Roxane. Thanks SO much for taking the time to write in and let us now. Makes us so happy these videos helped in any way. I don't think any EMTs have written to us previously- is there anything in particular you would like to see?! Thanks for taking care of the sickest babies under immense amounts of pressure!
Thanks so much mam ...myself neonatal medicine resident from India ,always watch your video in my night duty hours and it's very crisp and informative to handle babies in NICU, again thank you so much
Thank you so much for taking the time to write in! We're so happy that you're in neonatology and these videos are helpful. And thank you for subscribing! Good luck in your studies- you chose the best field!
I started in the NICU this week in England. I couldn't have come across your channel at a better time. Your content is so informative to watch with a noncomplicated delivery. I am so happy to have found your channel to help me learn and absorb all this important information. Thank you
Congratulations on your new role! You will love it!!! So happy that we are helpful in any way!!! Thank you for taking the time to write to us in your busy schedule :)
Thank you Dr. Tala! I'm a 4th year med student going into pediatrics, watching from east coast US. Your videos are so helpful for understanding bread and butter concepts for my NICU rotations!
Hi Shannon! That's so great you're going into Peds- good luck with your interviewing process. Such an exciting stage of life. Really appreciate you reaching out to comment- bread and butter is exactly what we were going for. Hope you love your NICU rotations- it really is the best field :)
Thanks so much for watching! Yes! I get so bored with most powerpoint presentations- we wanted it to be more chatty. We're so glad you appreciate it! Thank you :) (I just looked up Timonium too- never heard of that city! looks like a fun state fair!)
Helo dr tala , in USA , are you doing resuscitation and intubation for all newborns with 22 weekers regardless birth weight? Here , we are doing full resuscitation for babies with 22 wks only if birth weight above 550 gm . Thank you
Oh that’s interesting! Where are you based? 550g seems like an arbitrary number (like everything we do! We have to draw the line somewhere). We actually don’t have a weight cut off- obviously when they’re that small and young they need a 2.00 ETT probably. So as long as the parents want resuscitation and we can get the ETT in. I’m never sure what the right answer is!
I have been an adult SICU nurse since the start of my career in January 2020 and am starting in the NICU next week. It has been a dream of mine that is finally coming true. Miami, FL
Oh yay! Congratulations!!! You're going to love the NICU!! So happy you've been watching these videos before starting :) Hope you all do OK in Florida over the next couple of days- stay safe XX
Hello! I am watching from Florida. I am a NICU nurse and recent NNP graduate starting my new role in January. I have watched SO many of your videos and they helped me as a bedside nurse and as an NNP student. I recommend them to our new grad hires and seasoned bedside NICU nurses. I am truly grateful for all you do to help us deliver the very best care to our NICU patients.
Oh Carolyn- what a lovely comment to receive! We've been flagging recently with putting out videos with holidays and work etc- and we needed this sort of motivational boost! So THANK YOU so much! For writing in and for marketing for us! Ha! We hope you love being an NNP- congratulations on your new role :)
Just curious - where did you do your schooling for NNP? That is wonderful - congrats! I have noticed that many schools do not offer neonate specialty so I was curious.
yes that's very similar- the question is always - how effective is the PPV? Thanks so much for sharing. I'd love to do a video where we compare different ways of doing things in different countries. Maybe some point in the future?!
@@TalaTalksNICU what do you think how is an effective ventilation defined? To see the chest, which moves nicely during ventilation?, but sometimes you don't see this and the heart rate and saturation still increase...
Hello- sorry just saw this! Heart rate increasing is the best marker of effective ventilation in the DR. Although with the HR increasing that doesn't mean that you're definitely ventilating adequately. Ideally some chest rise would indicate you're blowing off C02 enough (since we're probably measuring sats you'll have a better idea of this). `
Hey Dr.Tala! Reaching you out from where I am doing my clinical practise as a final year med student, from Finland. You're videos are amazing to understand so-to-say "difficult concepts" in neonatology, thanks a lot!
Hello! We're so happy you're here- and thank you so much for taking time out of your super busy schedule to send us a note. Good luck with all your studies and training- it's a fun place to be!!!
Hello! Thanks so much for commenting! And that's so fun you're in Vegas. Love that dry heat! Would love to give a seminar one day- eventually we'll make it happen!
Hello! Oh that's great- so happy it's remotely helpful! I bet you see so much stuff- and you're ready for everything!!! A stressful but satisfying job, I'm sure!!
This is a great into into NICU! I really enjoyed the part about involving parents & listening to them! As a peds nurse who transitioned into NICU it warms my heart to know as a parent we can & should involve them during this difficult time. (Greenville SC USA)
Thank you so much Jaime. We agree- we identify with the parents so much and it does so much good (for them and for the babies) involving them. So glad you're watching from Greenville :)
This video was so informative! Could anyone share a place that could show me how to double check my meds on the NICU? This is a huge fear of mine. Thanks in advance!
I asked Arianna and Justin and a bunch of experiences nurses- and this is what they had to say: -Use resources like Neofax to know your dosages and ensure you're in a safe range. Here you can also check compatibility with other meds/ drips and the length of time meds should be administered over -Double check all medications with the label sent with the medication -Check to see if there is a 'final concentration' amount on the label for easy maths -Check all medications with a second nurse or ask a higher-up provider if it is a medication with which you are unfamiliar (most hospitals only require this for narcotics, pressers etc- but until you are comfortable you can do it with all of them) -Scan your meds before you give them Every emphasized the importance of Right Patient, Right Med, Right Time... Hope this helps??
Hi , Am from INDIA. My baby is 26 week 2Day premature.Now she is 29 week.she have sepsis and low platelets (45000) still not bleeding.Doctor did 3unit platelet transfusion. Is it danger? Please reply...
Ha! Thanks Kelly! Honestly we only started three years ago- so hasn’t been too long. So glad that they serve as a refresher though! Thanks for being here :)
Thank YOU so much!! It's such a vast field- we feel like it's so easy to think of content- just wish we had more time!!!! Thank you again for being so supportive :)
Hello Johncy! Thank you SO much- so glad that you're enjoying them- and you're watching from Ireland. Bet it's SO beautiful there at this time year (and always actually!)
Hello. Thank you for all your great videos. It would be very helpful to have one video about tips and tricks about setting up an IV line in neonates or an arterial line.
Hello! Justin covered a couple of these videos- with heel sticks and PIV insertion. If you go to the home page and search you can find them. The problem with arterial line set up- is that it's done quite differently in many hospitals. We could show you one way- would this still be interesting?!
Oh thank you Lisa- that is a great suggestion and one we hadn't considered- but a great and helpful topic for everyone! Thanks so much-always looking for slightly shorter topics too, we can squeeze in when we're all busy!!!
@@TalaTalksNICU you are welcome. Just curious, once a child is off nitric oxide, and now on FIO2 40% on the jet, is there a better way to transition to the conventional ventilator. It was hard to get off the nitric, but finally did. Child incubated. If there's an email I can reach out.
