HyperSaurus, RN replied to Manny12's topic in NICU
My unit uses them frequently on term PPHN, MAS, ECMO, coolers, post-op, or just freaking septic. We use Mepitel (or some clear thingy) to attach to the probe itself, which minimizes the contact with the baby's skin. Unlike our facility's CICU, we do ...
ET tape with cuts from the outside towards the middle (not all the way). Top strip goes on the upper lip like a mustache and the bottom strip you take both ends and wrap around the OG in a barber-pole pattern.
HyperSaurus, RN replied to Anonymous44's topic in NICU
Not all NICUs are run that way (where new grads/new to specialty nurses are pigeon-holed into level 2 babies until they've proven themselves). Even then, you'll find that NICU is an odd mix of super-stable feeder growers (even in a level 4 unit), sup...
HyperSaurus, RN replied to mauigal's topic in NICU
Oh, that’s absolutely fair. The two kiddos I’m thinking of are two and four years old. The two year old is mobile, interactive, and no trach. The four year old, I’m not sure about other than that there is a video of the kiddo singing and “helping” mo...
HyperSaurus, RN replied to mauigal's topic in NICU
I know this is old, but I'd like to update: It's rare, but we have sent a handful of 22 weekers home on room air and nippling. Two of them periodically update us, the kiddos seem to be developmentally on track. Now, I don't know what's going on behin...
HyperSaurus, RN replied to first123's topic in NICU
Daily. We don't have a consistent time like we did at my old facility. Where I used to work, it was done with the weights at the first hands on after midnight. Here, It's whenever, but must be charted and done every day. It's part of our CLABSI preve...
HyperSaurus, RN replied to guest769224's topic in NICU
Level IV's actually don't have to be ECMO capable. Tacoma General and Swedish First Hill in Seattle are both Level IV, but can't do ECMO. They do have to be able to do surgical procedures, transports, and outreach education.
I've recently gotten a new position in a larger (70 ish beds) level IV NICU after three + years experience in a small (20 ish beds) level III NICU. After a week of orientation, I have to say, I feel like I've got some culture shock going on. New char...