ilstu99

ilstu99

NICU

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About ilstu99

ilstu99 specializes in NICU.


Latest Activity

  1. Returning to my first love

    Interview around. Take tours of the units. Meet some staff members. Get to know the managers a little. They'll be loving you, so you need to decide if you love them. Then go with your gut.
  2. Fluid Changing practices

    Medium. There are multiple providers on the floor during the day, and usually a couple on nights and weekends. They do all dressing and equipment changes PRN. It seems to work for us. If I need a culture or there's an issue, I just ask if they have a...
  3. Fluid Changing practices

    Either an NNP or an MD.
  4. Question about soap.

    We don't use soap until they're > 1500g. Under 1500g, we use the soft gauze, and warm water (also the Enfamil stuff, left in the isolette). When they move to soap baths, we use an Aveeno baby bath.
  5. LOW Census

    We were pretty slow at the end of August to the middle of September, but we've picked right back up. I swear, there must have been an IVF party somewhere about 6 months ago. We're packed to the gills with multiples.
  6. No longer shadowing, but WORKING :-)

    It sounds like it's going well! That's awesome. Those itty bitties don't seem to know they're so tiny. They have a lot of 'tude! Let me tell you...the first time someone asked ME for an opinion, or for a hand...I was like..."ummmm.....pardon?" I prob...
  7. What is the Highest Bilirubin you've ever seen?

    So far - 26. My favorite resource RN had a transfer admit who was at 34. I don't want to even imagine!
  8. Fluid Changing practices

    We change at the bedside. Clean technique, plus mask. TPN/clear IVF tubing Q72. IL/insulin/aminosyn tubing Q24. RN's don't change anything other than the tubing on any central line. Any other changes - especially claves and hubs....are done by prov...
  9. Starting a week from Monday! Plus question..

    Are there less-popular, alternate locations for the NCLEX in your area? I drove a little farther, but it was worth it. Less traffic, cheaper hotel rooms, and less people to take the "good spots." If no....do you have your orientation schedule? Is it...
  10. Policy/Practice with capped PICC

    We don't use heparin in our unit. All lines not in use are flushed Q6. I think there's a thread very similar to this one a little farther down the page.
  11. Duoderm as adhesive tape?

    We use the Vigilon, too. I :redbeathe:redbeathe:redbeathe it. It reminds me of a burn dressing. Super easy to work with, can be cut to size quickly, and holds with just a little webril. The BEST part, is that when it's time for a change, it just sli...
  12. Is this the best decision?

    "Normal" is relative. A normal term baby doesn't look anything like a "normal" 28-weeker. Some of the skills you will use will cross over, but much of it is exceptionally different: the terminology, the procedures, the population, the assessments, th...
  13. UACs and tegaderm use

    No...no covering. The stump dries, and the access spots kind of shrivel around the lines. Nature's little Tegaderm. We don't even bridge, or tape the lines down. We put tape around the line, and suture that.
  14. Is this an outdated visitation policy?

    Ours is a closed unit with an open floor plan. No windows for "viewing." Parents are allowed 24/7, except during shift change. Parents can designate 2 "support persons," if they wish, who also can have access 24/7. All other visitors must be accompan...
  15. Volunteer Cuddling

    No. Our volunteers don't do any patient care. The only babies that our techs are allowed to hold are in cribs, so generally the grower/feeder population. Even then, we still practice developmental care and cluster our hands-on interventions. The only...