KyElaine

Latest Activity

1. Vitamin A injections in VLBW preemies!!

   KyElaine replied to MA Nurse's topic in NICU

   We've been giving Vit A injections on VLBW babies for quite some time now. We have a nutritionist that researched it and encouraged our physicians to use it. It is supposed to promote healthy lung tissue. We give it Mon-Wed-Fri. At first we all hated...

2. Mystery Baby: poor feeder @ 40 weeks...help!

   KyElaine replied to lu1975's topic in NICU

   I've seen this a couple of times recently. We have a great speech therapist that worked with the kids to systematically try to figure out what the problem was. First, she tried different milk preparations. One kid liked only fresh EBM, not frozen. We...

3. Primary nursing in the NICU

   KyElaine posted a topic in NICU

   I'd like to know if most units practice primary nursing and, if so, do you like it? Our unit currently has some primary assignments, but not all. Do you follow your primary all the way through from admission to discharge? Do you get tired of the same...

4. What Type Of IV Catheters Do You Use?

   KyElaine replied to Somei's topic in NICU

   We also changed from the Accuvance to the Insyte caths and experienced the same frustrations that you describe. Over time we got used to them and our success rate went back up. I think the key is to go verrrrrrry slow, and not to advance any further ...

5. Surfactant use in premature infants

   KyElaine replied to Laura21's topic in NICU

   We tend to give surfactant in the del rm to all babies 28wks and under. Other than those, its pretty much determined by CXR and resp support needed. It seems that our docs are getting less eager to give to older babies unless absolutely necessary. As...

6. Handwashing vs HW + gloves

   KyElaine replied to SteveNNP's topic in NICU

   In our unit, we stopped "scrubbing in" around 7 years ago. At that same time, we stopped having family and visitors gown and glove. We wash with soap and water when we come in, then use alcohol based cleaner, like Purell, between all pt contact. We g...