ScammRNC

ScammRNC has 21 years experience and specializes in Level 3 NICU 17 yrs, Neo transport 13 yr.

Latest Activity

1. HSV

   ScammRNC posted a topic in NICU

   What is your policy on automatic NICU admissions for babies delivered via C/S to mom with a primary HSV status? Our neos are in disagreement.

2. Doulble lumen UAC v/s double lumen UVC

   ScammRNC replied to aimeern31's topic in NICU

   What is the practice if the medical team is unable to place a UVC?

3. On Call System

   ScammRNC replied to BabyRN1023's topic in NICU

   36 bed Level III. No mandatory call but it has be "threatened". If call help is needed a text message is sent out via our scheduling system. If no response, we then make direct phone calls. Unfortunately, there is not anymore incentive right now o...

4. IV securement

   ScammRNC posted a topic in NICU

   Just a general question about what everyone's ways of securing IV's are. We are looking to change our practice but would like to see pros cons from everyone. What do you use?? Stat Lock, SorbaView, tape, other??

5. Well baby transports

   ScammRNC replied to vintage_RN's topic in NICU

   We only do these kind of "back" transports if out unit is full and potentially going on diversion. But if they take place, out transport team is responsible for doing the transport.

6. Baby positioning. What do you use?

   ScammRNC replied to Lyuba's topic in NICU

   We use Z-flow, bendy bumpers and/or frogs.

7. Residual Checks/Abd Girth

   ScammRNC replied to ScammRNC's topic in NICU

   Thanks, got the articles.

8. Not closing to siblings?!?!?!??

   ScammRNC replied to aerorunner80's topic in NICU

   During flu season, We close to all visitors under 16 years of age. We recently had a mother come in that "wasn't feeling the best" and now her infant has rhinovirus. The only thing that keeps the adults out is a temp and then maybe some common sens...

9. Which Milk Warmer Do You Use?

   ScammRNC replied to mgturtle's topic in NICU

   We use Penguins. Gave up the pitcher with warm water quite a few years ago.

10. Residual Checks/Abd Girth

    ScammRNC posted a topic in NICU

    Recently 2 members of our medical team went to a feeding conference and heard from a leading expert in NEC that his hospital does not check residuals or abdominal girths. So now we are looking into possibly changing our practice. What is everyone el...

11. Maximum bedside visitors

    ScammRNC replied to guest769224's topic in NICU

    We allow 4 at the bedside and a parent has to be present in that number, but we also have private rooms so crowding is not an issue. Parents can also designate up to 4 people that can be independent visitors. Of course with palliative care, it is l...

12. Single vs. Double lumen

    ScammRNC posted a topic in NICU

    My unit has always used double lumen UAC's, but after a change in suppliers we now have a difficult time obtaining a waveform on our in-line BP. Hardly ever works the first few days and it doesn't matter if it is a 23 weeker or a 34 weeker. Does an...

13. skin to skin with UVCs

    ScammRNC replied to marpcurn's topic in NICU

    Right now our policy is to not hold with either a UAC or UVC, but that policy is being revised. It will be changed so that it is based on the stability of the baby. If a baby has a UVC because of blood sugars or the inability to place a PICC then i...

14. What do NICU nurses consider "viability"?

    ScammRNC replied to Summers_Off's topic in NICU

    Our neo's will not attend any delivery of any infant

15. 4 lb Car Seats

    ScammRNC posted a topic in NICU

    How do other units handle discharging infants that are less than 5 lbs? We typically require the parents to purchase 4 lb car seats or the infant will be placed in a car bed. But we have had physicians at times "OK" a baby that weighs a couple of o...