johan john

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1. EYE LID CLOSURE

   johan john posted a topic in NICU

   How do u guys perform eye lid closure effectively in neonates to prevent exposure kerotopathy .any special aids?

2. Ett suction preterms

   johan john posted a topic in NICU

   How often do u suction your micros, one of the MD'S were not satisfied with me when Itold Ididn't suction my babe for the last 8hrs. actually babe was doing well and vent parameters went down as well. Do any one of u have any literature suggesting no...

3. Fall from weighing scale

   johan john posted a topic in NICU

   This happened on new year night in our unit. A case of peri asphyxia hypotonic hypoactive babe was placed on the seca scale for weighing after sponge. the nurse applied oil on her during bath. the babe kicked his leg and slided off from the scale on ...

4. Neonatal convulsions

   johan john posted a topic in NICU

   I was caring for a 26 weeker babe who looked unwell this morning ,the night nurse told me he had frequent desat during night ,he was on nasal oxygen. even I increased the o2 he was not good. he developed severe skin mottling and I observed jerky move...

5. neonatal websites

   johan john replied to Humbled_Nurse's topic in NICU

   Friends, How do u set limits on your monitor for High and low ,systolic and diastolic measurements for arterial monitoring. Mean BP we set according to gestational age. Do u have specific guidelines or protocols in your unit.

6. Weight checking

   johan john posted a topic in NICU

   friends, How often do u check weight for your extreme preemies?Our unit practises Q12h weight checks for all babies including ex.preemies for the first 5days.we place our ex.preemies in Giraffe.It does'nt have a weighing scale.while I take them...

7. Liver Transplant

   johan john posted a topic in NICU

   When does a liver transplant indicated in a neonate.One of my babies will go for an expert opinion for the same within few days.he is a postNEC case with multiple necrosed sites with adown pouring jejunostomy.feeds are ot tollerated ,mother is the do...

8. Iv Cannulation Insertion Tips And Documentation

   johan john posted a topic in NICU

   Is there any specific tips in insertion of cannula's in neonates? How many pricks can be done at a time? what is the recommendation. How can I perfectly document after insertion/ Iam not that good in naming veins anatomically? Ihave to do a presentat...

9. neonates peri.iv insertion and documentation.

   johan john posted a topic in Infusion

   Can you get me tips for peripheral iv insertion in neonates?most of our babes are ex.preterms and our docs keep uvc's and vac's for max of 10 days but sometimes they need TPN's and multiple antibiotics for long duration ,even upto two months.most of...

10. Rain-out in Humdifiers

    johan john posted a topic in NICU

    I have odserved large amount of water accumulation in the ventilator tubings,eventhough the water trapper is empty.this occludes the pressure and sometimes baby itself may be figting or the flow sensor may be not functioning.How can we prevent this?O...

11. Rn

    johan john posted a topic in NICU

    hai Friends, I just want ur valuable opinion n the following concern. we have an outbreak of Pserretiaa And acetinobacter in our unit.this is a level111 NICU,most babies below 28 weeks on prolonged ventilation.(Mst of them are ETT Secretions).D...

12. Peripheral line infiltrartion

    johan john replied to johan john's topic in NICU

    Canu suggest the practice in your units for infiltration of Dopamine, calcium, and TPN?

13. Peripheral line infiltrartion

    johan john posted a topic in NICU

    I need immediate help for an iv infiltration with sodium bicarb.the baby is acase of early neonatal sepsis who is in severe metabolic acidosis, who is quiet unstable with severe thrombocytopenia.Central line insertion was failed and had a big bliste...