Nurse Kelly’s Notes

Nurse Kelly’s Notes Hi! I’m Nurse Kelly and I hope you grow to love NICU and perinatal nursing as much as I do!

02/11/2026

Let’s review MILRINONE!

✨ Milrinone is used in the NICU in babies with: Heart failure, post-cardiac surgery in the setting of decreased cardiac output, and pulmonary hypertension (including in the setting of congenital diaphragmatic hernia)
⭐️ Milrinone ↑ myocardial contractility and ↓ afterload by ↑ cAMP through phosphodiesterase III inhibition.
🛑 Milrinone is contraindicated in renal failure, or patients with history of ventricular arrhythmia.

Share this post with a friend who wants to learn more about Milrinone!

02/03/2026

Let’s review total fluid calculations together!

Share what you think is the right answer in the comments! The correct response will be pinned tomorrow!

02/02/2026

Even the ones who basically self-nominate do this 🤣

01/29/2026

Let me tell you about a time when I made a mistake as a NICU nurse! I share this because I think that it’s important to acknowledge our mistakes, accept responsibility for errors, and learn from them so that we can prevent them from happening again.

This situation happened to me a while ago, but it’s the first time that I’ve discussed it publicly. In this case, I immediately acknowledged that I made an error, submitted an occurrence report, and learned the importance of clear communication. Thankfully the patient did not suffer any harm from my error.

What is your hospital’s inclement weather policy?Ours is basically “get to work safe and on time or else, and bring your...
01/24/2026

What is your hospital’s inclement weather policy?

Ours is basically “get to work safe and on time or else, and bring your own pillow and toiletries to sleep here without emergency pay.”

Thinking of everybody who’s affected by this storm, especially those of you who have to work. Stay safe!

01/23/2026

Orienting to the NICU can feel like drinking out of a fire hose, but it doesn’t have to be that way!

Nurse Kelly’s Notes Neonatal Intensive Care Nursing Bundle has been used by new NICU nurses and NICU nurse preceptors worldwide to make the transition to the world of neonatal intensive care smoother! With over 175 pages of colorfully illustrated evidence-based information, knowledge checks, case studies, and memory tricks, it’s THE resource that new NICU nurses need to succeed in the NICU!

Tap the photo to purchase yours today!

Heard we’re going back to 2016? There are clearly parts that I loved, but also several parts that I’d prefer not to reli...
01/15/2026

Heard we’re going back to 2016? There are clearly parts that I loved, but also several parts that I’d prefer not to relive (both personally and professionally as a NICU nurse)!

01/12/2026

This will be an unpopular opinion to some people, but assigning a new nurse the sickest patient is extremely unfair for that nurse, the patient, and other members of the team. I hate when units do this - it’s a completely inappropriate way to learn and puts the patient at risk.

(This is an old video of my son. He thought it was hilarious and was not hurt.)

01/07/2026

⭐️ share your guess in the comments! The right answer (along with an explanation) will be shared tomorrow!

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