Tina1639

Tina1639 specializes in Cardiac ICU and now NICU.

Latest Activity

1. infection-free NICU

   Tina1639 replied to Julie Basilio's topic in NICU

   We did that in the adult unit and I thought it strange that our NICU doesn't do that. When I asked, nobody had heard to do that. I was always taught that the suction setup for ETT suctioning was a sterile closed system and it wasn't to be disconne...

2. Newborn Blood Screening Protocol

   Tina1639 replied to nurse2teach's topic in NICU

   We do our Newborn Screens at birth and at 48 hours of life via heelstick or arterial line draw. We don't draw out of any existing venous line, only arterial and waste 2cc. If I do a heelstick I will draw it up in a syringe off the heel to make sure...

3. infection-free NICU

   Tina1639 replied to Julie Basilio's topic in NICU

   What measures does your unit use to recognize and prevent VAP? In my previous unit with adults we had to go through a checklist daily of signs to look for on every vent patient, but in the NICU I'm in now, we don't have anything in place and I wonde...

4. Our NICU needs a new Kardex/report system

   Tina1639 replied to CareForBabies's topic in NICU

   We use a report sheet for shift change that is filled out each shift and updated. It starts with the history, birth date and gest. age, birth wt and current wt, recent and pertinent tests and results. It also has a place for us to check what kind o...

5. Does your facility aspirate blood before removing a sheath?

   Tina1639 replied to ALCCRN's topic in CCU

   Our unit typically doesn't aspirate first. When we pull sheaths we use a Hemcom patch which helps the site to clot off while holding pressure and depending on who is pulling the sheath depends on how they activate the patch. It needs a small sampl...

6. Verbal orders vs Telephone orders

   Tina1639 replied to DEB52's topic in General Nursing

   I work in a Cardiac ICU and we're given more autonomy to make certain decisions which enables us to write VO's and call and get PO's. I'm not sure if y'all are talking about settings other than ICU's? As I've been taught we write the order just lik...

7. mistakes made during your first year...

   Tina1639 replied to RNmaria's topic in New Nurse

   I just graduated nursing school in Decemeber but I didn't start working until March because I moved to a different state. I work in a Cardiac ICU and I was on orientation for about 3 months before I finally was on my own. I had such a hard time adjus...