EmilyPeruana

EmilyPeruana has 3 years experience and specializes in NICU.

Latest Activity

1. EBM for ORAL CARE in YOUR unit

   EmilyPeruana replied to EmilyPeruana's topic in NICU

   yes, i have the nann article that was posted in that thread. just looking for additional ones. and information on exact practices/procedures in other units as i develop a proposal for our unit.

2. NG tube placement in infants

   EmilyPeruana replied to kathy62's topic in NICU

   I'd use OG tubes on infants who are on the ventilator (easy to tape to an ET tube) or those on very high flow vapotherm or CPAP. With CPAP, you need a good seal with the mask or prongs, and an NG tube wouldn't fit or wouldn't allow an appropriate sea...

3. EBM for ORAL CARE in YOUR unit

   EmilyPeruana posted a topic in NICU

   Is YOUR unit using colostrum or breast milk for oral care since some VAP care packs have been discontinued or the companies manufacturing them have gone out of business? I've read some articles recently (one from nann) about using colostrum and EBM ...

4. A Review on Jets

   EmilyPeruana replied to EmilyPeruana's topic in NICU

   After about 30 min with my jet patient, it all came back to me...yesterday, i was given a patient on an oscillator, so i must have been doing things right!

5. VAP Guard

   EmilyPeruana replied to shonda13's topic in NICU

   http://www.nann.org/pubs/enews/sept_09.html

6. Rn jobs in nashville????

   EmilyPeruana replied to medinarn's topic in Tennessee

   i would think you could find something at vandy...especially if you start applying now to start sometime this summer...if not, then in the fall...there are lots of students at vandy who work at vandy also...maybe nurses getting their masters who will...

7. Pay range and nurse/pt ratios for Vanderbilt Med surg RNs

   EmilyPeruana replied to rn51003's topic in Tennessee

   my husband and i have a 2BR, 2BA, 1100 sq ft apt for almost $900 a month. not awful. nashville homes DO cost more. but if you live a little outside the city (murfreesboro, spring hill, smyrna, etc), cost of living goes way down.

8. Pay range and nurse/pt ratios for Vanderbilt Med surg RNs

   EmilyPeruana replied to rn51003's topic in Tennessee

   i think vandy starts new grads at around $19-ish? maybe $20??? at most right now. benefits are good...insurance is good, especially if you see vandy docs, it's cheaper....Rx's are cheaper if you get them at vandy pharmacies too. you get local discou...

9. What's it like to live in Nashville?

   EmilyPeruana replied to Vida's topic in Tennessee

   the closer you are to vandy, the more expensive it is...but be careful, b/c you dont want to be in certain areas where prices are nice but crime isn't...there are some apartments in bellevue that are nicely priced and in decent areas...royal arms apa...

10. Oxygenation guidelines

    EmilyPeruana replied to nurse2teach's topic in NICU

    we set our babies' o2 sats limits at 80-95% if they are on o2, especially if they are less than 32 weeks gestation. the target sats of 85-93%. this is to protect their eyes from rop. this is backed by studies. i will post them at the end. if the bab...

11. A Review on Jets

    EmilyPeruana posted a topic in NICU

    Hey fellow NICU nurses, I've been primarying a trach baby for about 6 months who will be heading home soon. We are about to get a new bunch of new nurses so they will be orienting with her (with other preceptors) since she is our only trach baby. So ...

12. need vent tips - mainly for flipping / suctioning

    EmilyPeruana replied to asdjkl's topic in NICU

    wanna know the easiest trick to doing it - GET A FRIEND. i'm the one who always takes the hardest babies or gets assigned the most complicated chronic ones because i dont mind them and have experience with them. but i still get another nurse or RT t...

13. preventing CABSI

    EmilyPeruana replied to PrudenceNurse's topic in NICU

    we do NOT filter lipids. we do filter tpn. we clean all ports with CHG prior to administering meds or flushing. we clean the port with CHG 5-6x 360*, waiting for it to dry is annoying, but we've broken our own BSI records. we replace lipids tubing/...

14. VAP Guard

    EmilyPeruana replied to shonda13's topic in NICU

    we haven't been able to get biotin yet but our adult units and picu have it so we occasionally call them for it...but i just read an article about using EBM b/c of it's bacteria-killing abilities and everything...i may present it to our mgt this week...

15. Low Census

    EmilyPeruana replied to NicuRN73's topic in NICU

    we've had some unusual back and forths with our census too...usually we are just low in the late summer (we have a capacity of 82...in the summer, we are in the low 50s sometimes)...but when h1n1 hit, we seemed to be low while the rest of the childre...