karenelizabeth

Latest Activity

1. Alarm limits

   karenelizabeth replied to corks's topic in NICU

   Our normal limits are 88-96% for babies born below 36 weeks ventilated and recieving O2, ventilated babies above that it's 92-96% babies post term on long term O2 it's 95-100% the exceptions are always cardiac babies. The limits should be documnte...

2. Maybe I'm crazy...

   karenelizabeth replied to neonatalRN's topic in NICU

   as a NICU nurse yes we do wonder how some parents who have lost a child are doing and like to see them. Parent cope very differently some parents come back because nurses know "their" story and thy don't have to keep explaining what happened, often...

3. family centred care model

   karenelizabeth replied to Mira's topic in International

   was no prob just raided me reference lists there are some advantages of writing essays for diplomas LOL Karen

4. family centred care model

   karenelizabeth replied to Mira's topic in International

   Found them picked out ref's for KC and family centred care we have no model used in the unit I always used Oram presonally but found McGill (in Freeley and Gottieb 2000) very similar but far more positive, can't find anything else on it but if anyone...

5. family centred care model

   karenelizabeth replied to Mira's topic in International

   I'm a fanatic about Kangaroo care (KC). I offer all parents the chance as long as their child is stable, even if they are ventilated. I talk about it before hand in terms of KC and shin-to-skin contact or a special cuddle. It is my cure all help...

6. What do people find the hardest part of paediatric nursing?

   karenelizabeth replied to goats'r'us's topic in Pediatric

   Yep it is the UK way of spelling it like many words we spell them slightly different. Karen

7. How 'bout Ped Dr's?

   karenelizabeth replied to Dublin37's topic in Pediatric

   Met the odd onhe who didn't respect my judgment (or that of any nurse), but as the consultants do and we have a good relationship with them, if I have a problen I just go higher until I get the result I want I have proved on a teaching ward round I...

8. mixing formula

   karenelizabeth replied to juliekrn's topic in Pediatric

   On NICU most of our milks are comertially packed readily mixed bottles, occasionally we use a special formular prescribed by a dietition and then we have to make it up but we have a dedicared milk kitchen. Scoops are kept in sterile pots rather than ...

9. skin tags

   karenelizabeth replied to aj rn 2be's topic in Pediatric

   Skin-tags can be a sigh of a syndrome called Goldenhar http://www.cafamily.org.uk/Direct/g27.html (I assume this is what you are referring to) but it is one of many signs and on its own means little. In the UK if this was suspected bloods would hav...

10. Pulmonary Hemorrage.

    karenelizabeth replied to dawngloves's topic in NICU

    seen this a few times on nicu usually with the smaller babies, and most commonly if they are very sick and have DIC. Thankfully not always the dramatic ones sometimes it is just a small one, and most babies seem to survive but by no means all partic...

11. What do people find the hardest part of paediatric nursing?

    karenelizabeth replied to goats'r'us's topic in Pediatric

    I would add: 1. seeing a child in pain and not being able to do something 2. seeing parents in pain and not being able to do anything I normally work in Neonatal intensive care but recently while doing a specialist course I ended up working on a pae...

12. Admission criteria

    karenelizabeth replied to IttyBittyBabyRN's topic in NICU

    We resusitate from 24 weeks and intubate and admit if the baby gasps from 22 weeks. Although personally having delivered a 19 weeker at 300g I find these little ones really hard I wouldnt have wanted my daughter to go through this and yes she gasped....

13. How long have you been in the NICU???

    karenelizabeth replied to nicudaynurse's topic in NICU

    I think sometimes we are too quick to judge others. I had a long chat a while back with a Mum who we were all worried about because she spent so little tine in with her baby but she had lost the twin to her and was also quite shy so was not only pet...

14. I need to chat with a praticing nurse

    karenelizabeth replied to studenurse1's topic in International

    Feel free to Pm me I'm a Neonatal Nurse in the uk Karen

15. Help

    karenelizabeth posted a topic in NICU

    I am writing an essay on withdrawing care in NICU (it's something I would also like to take back/develop in my home base) and have been searching high and low for a nursing protocol. Finally I found the "Neonatal End-of-Life Palliative Care Protoco...