ittybabyRN RN

Latest Activity

1. Can an R.N. just be PLOPPED into ICU to work???!??

   ittybabyRN replied to ShimmaShimma0304's topic in General Nursing

   I don't think this person realizes how dangerous this could be, you don't just "learn" icu while you have a crashing patient, the drugs, drips, procedures and even certain scopes of nursing practice are very different and doing so would put these pat...

2. How often do you change clear fluids? Pressors in particular!

   ittybabyRN replied to NICU_babyRN's topic in NICU

   We change drips every 72 hrs, if we think the kid will bottom out we start the drips running on a new pump for a few minutes and then change over quick

3. Funniest real orders you have seen in a chart?

   ittybabyRN replied to nilepoc's topic in Humor

   well I guess in the nicu we don't do that, anyways turns out the resident had written orders under the wrong pt

4. Funniest real orders you have seen in a chart?

   ittybabyRN replied to nilepoc's topic in Humor

   "Glycerin suppository, PRN" for a baby with an Ostomy!

5. Ratio?

   ittybabyRN replied to NebraskaRN's topic in NICU

   I would also like to know. I am a new grad...well I guess I was a year ago anyways while I love my unit I get pretty bored with the feeder/growers and am looking into travelling/working elsewhere eventually. Would love to work in a level 3 that is m...

6. Transitional feeding guidelines to bolus feed

   ittybabyRN replied to rnaffah's topic in NICU

   We also start with bolus feeds and see how they tolerate it. It can also depend on the baby's attending on how they are fed goes too. No set protocol

7. Ratio?

   ittybabyRN replied to NebraskaRN's topic in NICU

   I work in DC in a 54 bed level 3c unit. We have 46 private rooms and 2 4bed pods. We have level 2/3 mixed (no stepdown or intermediate area). We often have 1:1's, the usual is 2:1 and rarely we have 3:1. A 3:1 assignment would be feeder/growers only ...

8. Tape on the ET tube tearing skin

   ittybabyRN replied to canesdukegirl's topic in General Nursing

   I work in nicu and some of those supposed to still be fetuses have the same type of skin. We use replicare as a barrier under the tape and a special adhesive remover that unsticks the tape from skin to get it off w/o tears

9. Is this safe?

   ittybabyRN replied to resilientnurse's topic in Pediatric

   I'm pretty sure that's something you need to claqrify with your pedi but I will tell you, I work in nicu and we use albuterol nebs all the time, not sure about the others though

10. Guidelines/ Requirement for one to one Nursing Care in a NICU

    ittybabyRN replied to ona fofah's topic in NICU

    I don't think we have any policy, just depends on how acute/busy the pt is. Any hfov/cooling/ecmo/cvvh, pd kid will be 1:1. Kids on pressors may be paired depending on how stable they are on their pressor. We pair vents if they're stable as well and ...

11. older babies in level 3

    ittybabyRN replied to nicu4me's topic in NICU

    Movies?! Yipes! I work in a private room unit and not even the parents get to watch tv!

12. older babies in level 3

    ittybabyRN replied to nicu4me's topic in NICU

    Once in the nicu always in the nicu, I have spoken to a few nurses where I work since I've only been here a year, kids never get tx to picu, if they are d/c and readmitted and no longer nicu material (over 3moos) they will go to picu but kids never t...

13. Funniest real orders you have seen in a chart?

    ittybabyRN replied to nilepoc's topic in Humor

    For a chronic ex-preemie now almost 8 mos old, blind, trached, frequently agitated. Mom had discovered that the smell of cherry chapstick helped to calm him down so the nurse, joking around with the resident said "I think i'll need an order for that"...

14. Are there PAs in the NICU?

    ittybabyRN replied to AnnieOaklyRN's topic in NICU

    We have PA's. They work on the same team as the NNP's under the same attending and have the same scope of practice (at least I haven't noticed any difference between having an NNP baby or a PA baby)

15. Cross train in PICU?

    ittybabyRN replied to aerorunner80's topic in NICU

    We had to cross train to PICU and CICU as soon as we got off orientation (6mos). I have to say, I liked the CICU better and hope to try working there someday, and when I floated to PICU they gave me a 14 year old!:uhoh21: I did not speak up and while...