Sorry you had such a rubbish day, we've all had babies we struggle to forget for one reason or another. I think as the others have said, you can't presume to know the back story, but it's so hard to look at that little one and feel completely at peac...
Hi, hope I'm not too late, been away from here for a while. I finished my ANNP MSc last year. The questions for my interview put me in different situations, one about a reg doing something you didn't agree with in the middle of the night, one about s...
Various nappy sizes, tape measure, vest/hat, little doll about the size of a smaller prem. ECG dots and a picture of a little prem with the same dots, for size comparison.
We start with eg 1ml every 2hrs, then go up by 1ml every 8/12/24hrs depending on how small/sick/tolerant the baby is. So a little AEDF/IUGR 24wkr would start on maybe 0.5ml/2h and go up to 1ml/2h 24h later. Yesterday I started a 34wkr on CPAP 2mls/...
This came up recently as mid-transfer an NNP was asked to help at a serious RTA that happened right in front of the ambo, well baby inside with RN looking after it. This is WELL out of my comfort zone after not caring for adults since 2002 and kids s...
Interesting to hear your perspective as this is my norm :) We've just started e-rostering and most units locally are too. Nurses here do all vent changes as standard, the medics wouldn't have a clue. With feeds, what is the 'q' and how would you do i...
Thanks for your replies, it's really interesting reading the different practice. When I started out all our vented patients were on morphine and midazolam (Versed). Ten years later and we tend to use morphine when they are uncomfortable on the vent a...
Hi I'm a trainee ANNP, 11yrs NICU nurse practice. It all depends on the unit you go to, there is a great variety of acuity and levels. So the NNU I work in is a big tertiary level based in a womens hospital. A tertiary level will vent, HFOV, iNO, pr...
We use a blood giving set which has a spike and filter within the set, its pretty easy to spike and attach a syringe to, then we unscrew the syringe and push into the baby via whatever access. I've been to a delivery resus once where they couldn't fi...
Hi all, Do you give your babies sedation for ventilation and if so, what do you give? This is for continuing ventilation, not intubation itself. We give Sux and Fent to tube and then morphine for pain/synchronicity if they aren't going to come off qu...
We use the badger system (UK), all our care is on the computer, monitoring, fluids, blood gases + lab results automatically input to the baby notes then we add our own notes as we go along.
That's really interesting thanks, we tend to transfuse at least one baby each day, at least 10-15 pw I would estimate. This is a 50 bed NNU. We only use EPO for JW babies, with the recent evidence of increased ROP our consultants are wary of it. I kn...