Mofe'ny

Mofe'ny

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About Mofe'ny

Latest Activity

  1. IV Volume Control Sets

    What about switching to all syringe pumps? That is what we did and it is SO much easier. Not only for buretrol issues, since the pump will alarm when the syringe is near empty, but priming fluids and adjusting drip rates are now simplified. We love o...
  2. Lemon swabs for oral care? Opinions, please!`

    We don't use lemon swabs either. Normally just gauze and H2O then some Sweet-ese if it is a fussy kid.
  3. IM Vitamin K & filter needles

    Yes, that is how we do it.
  4. And how was YOUR day?

    ((((((((((HUGS))))))))) Hope they are both feeling better. Try to get some sleep--- that normally helps too.
  5. Do you use the rule of 6's still?

    6 x wt in Kilograms x desired dose in mcg/kg/min divided by desired amount of fluid ml/hr equals mg of dopamine to add per 100 ml of solution The STABLE program recommends this for dopamine calculations, and references this to the NRP program. Instea...
  6. What is your biggest nursing pet peeve?

    Family members (normally Grandmothers) that ask 5 times how long the baby is--- while I am trying to make sure the baby has a 5 minute apgar of more than 2. Then they get upset that you haven't measured them yet. The younger the baby's gestational a...
  7. Indocin infusion

    Ok, Maybe this will help. I just read about this the other night. I am quotingfrom "Neonatology: Management, Procedures, on- call Problems, Diseases and Drugs" 5th edition by Tricia Lacy Gomella page128 "Several methods are currently being recommende...
  8. q3hr bolus OG/NG feedings

    We run all feeds on a pump over 30 minutes unless otherwise specified. We also use silastic tubes, that, according to policy, can stay for 30 days. I have never seen one last that long before it got pulled out. Another question- the textbook that ...
  9. Hang time for breastmilk

    Our continuous feeds are also changed Q 4 hours. HMF is a charge item here though. So, Kristy, any new info from Similac?
  10. Medication checks

    We also double check all meds and co-sign the MAR of any drugs that we mix. Pharmacy mixed meds do not have to be co-signed. This policy changed within the last two years. We are not allowed to do any K-- only the doc or NNP's can mix that. Our me...
  11. C-Reactive Protein

    We've been using CRP's for about 6 months or so with admissions. At the ANN conference in Vegas I heard that when doing a CRP on a baby less than 24 hours old, it could be positive due to maternal factors. I am now trying to find documentation of t...
  12. What do your coworkers do to annoy you?

    Well, what really gets me is when I got to work the other night and was told," I am so glad to see you, this kid has not quit screaming all night long, and I am sick of it." My sweet response" Babies CRY!!!" I didn't add----- Especially in the N...
  13. What do your coworkers do to annoy you?

    Well, what really gets me is when I got to work the other night and was told," I am so glad to see you, this kid has not quit screaming all night long, and I am sick of it." My sweet response" Babies CRY!!!" I didn't add----- Especially in the N...
  14. Telephone orders...read back and verified...

    Whoa, we had our survey mid february. Guess what! WE have a selfinking stamp that says, "Read back and verified, _______________ RN / LPN" And with several doctors we have been told to have 2 people on the phone when taking any orders from these ...
  15. OH MY GRACIOUS!!! I HATE JCAHO! We just had our survey MId February. OK, the night before the surveyors were to come through our unit, our manager came through with a list of things to be done including: "Clean the wheels on all the IV poles." And...