Geez...quit having babies already!! - page 3

by BittyBabyGrower 2,571 Views | 28 Comments

We are over capacity in our unit...we have been needing 21-25 nurses per shift and that is not easy to cover!!!! We closed to all transports including maternal! We may be sending some of the older bigger kids to board on the... Read More


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    p.s. Steve---I think that is possibly the absolute worst gas I have ever seen in my life. What do you wanna bet that the baby has bilateral gr IV's?

    Poor baby.
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    Quote from SteveRN21
    I got slapped in the face with Elizabells' "Assignment Karma."
    Wait a sec... this is MY fault now? No ways, mister.

    I think the worst pH I've ever seen was 6.69. The highest PCO2, on my monkey, was 182. That was the point at which they started using "below 100" as a goal.

    Our census isn't as high as I've ever seen it, but the fact that 1/3 of the unit is still on contact for MRSA, with a whole weird thing going on with procedure for putting new kids in those bedspots, is making things pretty tight.
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    Quote from prmenrs
    p.s. Steve---I think that is possibly the absolute worst gas I have ever seen in my life. What do you wanna bet that the baby has bilateral gr IV's?

    Poor baby.

    He sure did... I called last night after I woke up, and they repeated his HUS at noon and found exactly that...We all knew that that's what it was. They finally withdrew support at around 1800. :innerconfThe funny thing was that he was extremely active through all this. I've never seen a kid move like that with a ABG and crit that bad...

    Definitely enjoying the MHD. They called at 11am to ask me to come and work OT, but I politely declined seeing as how I was lounging in bed with the TV on, and had already made plans for the day. Now if I can just haul my lazy carcass to the gym later I'll be perfectly happy.
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    I used to have a trached baby; she would throw a snit, bronchospasm, turn purple, etc. Out of the corner of my eye, I could see her TCM reading 3 digits. @ that point it doesn't matter WHAT the actual # is! I think that kid knocked a few years off my life.

    By the way, she's ~ 10 now, has had hearing problems, but is doing well in school (I think she's in a special class for hearing impaired, but otherwise grade level). Amazing little kid.
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    Quote from prmenrs
    I used to have a trached baby; she would throw a snit, bronchospasm, turn purple, etc. Out of the corner of my eye, I could see her TCM reading 3 digits. @ that point it doesn't matter WHAT the actual # is! I think that kid knocked a few years off my life.

    By the way, she's ~ 10 now, has had hearing problems, but is doing well in school (I think she's in a special class for hearing impaired, but otherwise grade level). Amazing little kid.
    Nice to hear that some actually survive and have some quality of life. I have to wonder, though, about doing all you all do on kids under 26 weeks. How many real success stories to do have to tell? I worked years ago in a place with a Level III and nothing under 26 or 27 was even given a cursory attempt at resuscitation. I know technology has given us the methods we didn't have then, but honestly, how do you all feel about the efforts, costs and sorrow that comes inevitably?

    The place I now work in has an NICU for 32 weeks and above, so we don't see all those horror stories you are telling. I'm really curious as to how those of you in those trenches feel about it.

    Thanks.
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    We can get into a HUGE battle over that issue, not really the topic of this thread, imo.

    The baby I was talking about started as a 32 wkr, no head problems. Issues were airway and lung related. She had a very rough start, in the hospital for almost a year, had a home ventilator, lots of support, but gradually, slowly but surely, she got better.

    She has hearing problems, in all likelihood, from antibiotics. She has a terrific quality of life, and an awesome family.
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    We've been pretty steadily busy for the last YEAR! With the exception of about a week back in the fall when our census dropped to 22 or 23, we have been at about 35 or more babies. We're a 40 bed level III. Over the summer was the worst, when we had 40+ for WEEKS. Like, over 50. Oh yeah, and a whole bunch of new nurses to precept. Fun. Luckily, we're much better staffed now and our census is reasonable now. We usually have 16-18 nurses per shift.

    We do have a bunch of itty-bitties though. A set of 24 week twins (both HFOV, one with multiple CT, etc.), a few 25 weekers. Also, we have 2 kids on insulin drips, which I have only seen once before in 3.5 years in NICU.
    Last edit by preemieRNkate on Jan 16, '08 : Reason: spelling
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    We have been running full or nearly full needing to back transport or move kids to the PICU or Peds Floor for over 5 years...our staff has grown to 90 nurses.
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    Lately we've all been having dreams of putting our kids in bunkbed bassinettes. All jokes aside our census was 80 on Sunday. We are currently working with 37-40 nurses per shift. Amid all this fun and excitement we have went to ECMO in the unit, electronic MAR's, opened a new area of the unit, and are getting ready to open another area. Before the new areas opened we were considered a 53 bed unit. HaHa! Now we are a 65 bed unit...with 80 patients. We are set for a major expansion in 2010...we can't wait!


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