bmsrn

Latest Activity

1. Dilaudid & Zofran?

   bmsrn replied to nursing_newbie's topic in Medications

   I give it together frequently in the PACU. Are you thinking of Phenergan with Dilaudid?

2. Patient age limit?

   bmsrn replied to VintageSwagger's topic in NICU

   Level 3. 70 beds. We had someone celebrate their 1st birthday in our unit. Our docs will NOT transfer them out. When we are full we are continually transferring babies to nursery.

3. Level III to Level IV

   bmsrn replied to krenee's topic in NICU

   I work in a level III NICU. The only thing we don't do is ECMO. I'm guessing that the only thing that makes somewhere a level 4. I don't think your transition is going to be hard, since you have already had critical babies. You should pretty much ...

4. Bar Code Medication Administration NICU Style

   bmsrn replied to Mags4711's topic in NICU

   Our policy is that you HAVE to scan the patient. Every bedside has a computer and scanner. We have to scan the baby, then the med. Our ID bands are these little labels that look laminated. We usually get 2, so we wrap one around the ankle, then s...

5. Has anyone ever 'taped' a gravity feed?

   bmsrn replied to tinkerbell419's topic in NICU

   We will tape our feedings like others have mentioned if it's under 10ml. We use 4fr, 6fr, and 8fr feeding tubes. We don't use the 8fr that much. I don't think it's unsafe like mentioned above. It goes pretty slow. I personally think it's a waste...

6. Isolette Practices

   bmsrn replied to nickirn31's topic in NICU

   I only pop the top when necessary. It depends on what I'm doing and the babies size. If they are a micro-preemie I'd only open for an intubation or re-taping the ETT. I see a lot of newer nurses that open it all the time. We don't really have a p...

7. Should I take pre-reqs at CSN or UNLV?

   bmsrn replied to majorjames's topic in Nevada

   Get your bachelors degree.

8. Heparin Locks/Flushes

   bmsrn replied to salaw's topic in NICU

   We also never help lock a line. Any kind of central line will have KVO fluids running, it's usually D5w with 1:1 hep, going at 0.3 or 0.5 ml/hr. Our PIVs are saline locked.

9. New hire and pregnant... need advice Please.

   bmsrn replied to Encast's topic in NICU

   First congrats on your pregnancy. Where I work its very hard to hide it. You may tell one person but what if you don't work the same schedule as them?Besides, the minute I see another nurse always doing someone's X-rays we all know what that means. I...

10. Neonatal reference books

    bmsrn replied to amanda.j's topic in NICU

    I have both of the main ones. They each have their pros and cons. The big difference for me is that one is outline format and the other is like a textbook with paragraphs.

11. Anybody want to help me plan my career??

    bmsrn replied to kerussll's topic in NICU

    How about a family nurse practitioner. That way you can do adults or children. You can work in a pediatricians office or even a Walgreens 1 minute clinic- that would have nice hours. I agree with previous posters- get a degree in something you can ac...

12. Primary nurses

    bmsrn replied to bmsrn's topic in NICU

    That's how I always thought it was too, and that's how our unit has always been. Since people have complained about having their assignment being switched(especially when they work 3 in a row) when I primary nurse works, our unit manager decided the ...

13. Primary nurses

    bmsrn posted a topic in NICU

    How does your unit handle assigning nurses their primary? Will a nurse have their primary every day they work- regardless if the nurse who worked yesterday( and had that baby) is back today- but the primary nurse is working too?

14. Care Times

    bmsrn replied to sab7169's topic in NICU

    Surgeons and docs assess our babies when they can. I won't really say it's at their convenience. Our docs are extremely busy. They are gentle with our kids. After they assess, I just re-wrap them and they go to sleep. Our level 2 kids are usually...

15. New to level III

    bmsrn replied to Anursify's topic in NICU

    It's going to be stressful, especially since this a lot of this is new to you. Honestly, I don't see how someone can expect you to just stroll on in and NOT be stressed. You just need to take it day by day. Maybe you should look at level III NICU'...