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Search Results Type: Posts; User: Sweeper933

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  1. OG /NG Tube Placement
    Auscultation / aspiration upon insertion, and before each feed/med. X-Ray only if it's an NJ/ND. We also chart with each VS what cm the tube is at at the nares / lips.
    Apr 22, '10
    Forum: NICU Nursing / Neonatal
  2. Transduce or not transduce?
    I also agree with the previous posters. Sometimes the first sign that the line is going bad is that the waveform stops "behaving".
    Oct 17, '09
    Forum: NICU Nursing / Neonatal
  3. NICU NURSES....labeling breast milk???
    We also double check the label with another RN. We bring the second RN to the baby's bedside, and check the breast milk label against the bedside card, using name and dob. We add the patient ID if...
    Sep 18, '09
    Forum: NICU Nursing / Neonatal
  4. Measuring urine output
    We will use a 5fr feeding tube as a catheter on our babies. Works pretty well. But we have to make sure to use the old style ones - the ones that connect to both feeding tubes and IV syringes, not...
    Sep 14, '09
    Forum: NICU Nursing / Neonatal
  5. Measuring urine output
    How do you deal with skin integrity and all of that stuff on kids with long term IVs...??? I can't imagine having to put a bag on a kid for more than a few times in a row, let along days / weeks!!!
    Sep 14, '09
    Forum: NICU Nursing / Neonatal
  6. NICU RNC
    http://www.amazon.com/Certification-Review-Neonatal-Intensive-Nursing/dp/1416036679/ref=sr_1_1?ie=UTF8&s=books&qid=1252801839&sr=1-1 That's the book we all used on my unit. Although, a bunch of us...
    Sep 12, '09
    Forum: NICU Nursing / Neonatal
  7. busy or slow
    Evidently the fun on my unit is continuing. I just got a call from one of the managers to see if I could come in to work tonight at 11pm. Evidently in the last 18 or so hours, they've gotten 35 wk...
    Sep 12, '09
    Forum: NICU Nursing / Neonatal
  8. busy or slow
    This whole week we've gotten nothing but sick term kids. Which is always a nice surprise addition to the census. At least with the preterms, you have somewhat of a warning as to their admission. And...
    Sep 10, '09
    Forum: NICU Nursing / Neonatal
  9. busy or slow
    We (finally) slowed back down to normal after being crazy/busy all year. Our census is back to normal, but our acuity is still really high. A few really sick kids and a few really time-intensive...
    Sep 7, '09
    Forum: NICU Nursing / Neonatal
  10. Measuring urine output
    We weigh the diapers if they are on IV fluids, on oxygen, under phototherapy, or on diuretics. Otherwise we just do diaper checks.
    Sep 4, '09
    Forum: NICU Nursing / Neonatal
  11. Family Support Person
    We have several social workers that just deal with our Moms / families. If Mom is inpatient on antepartum, then they get hooked up with them at that point as well.
    Aug 29, '09
    Forum: NICU Nursing / Neonatal
  12. full assessments vs. monitor vitals
    Even when it's an "off" time (non feeding or vitals) we still chart a lot of stuff each hour - bed temps, hr, resp rate, O2, IV status.... And for the first hour of our shift, we always chart their...
    Aug 12, '09
    Forum: NICU Nursing / Neonatal
  13. Stoma trouble
    The wafer is the donut shaped piece of duoderm that gets cut out to go between the skin and the bag. It gives the bag something better than just skin to stick on to. It also helps protect the skin...
    Aug 12, '09
    Forum: NICU Nursing / Neonatal
  14. Stoma trouble
    Have you tried using stoma paste? It's used to fill in the gaps between the wafer and the bag. Works well when you have a tight area to work in and it's hard to get a good seal between the wafer and...
    Aug 12, '09
    Forum: NICU Nursing / Neonatal
  15. "Never trust a 35 weeker"
    Both twins were either 8 and 9, or 9 and 9
    Aug 12, '09
    Forum: NICU Nursing / Neonatal
  16. I Passed the RNC!!!!!!!
    I know there's a ton of the "I passed the RNC" threads going on... but I'm super excited and just wanted to start a new one!!! Yay for me!!!!! :yeah: :up: :balloons: I did study a lot...
    Aug 8, '09
    Forum: NICU Nursing / Neonatal
  17. NICU- how much math?
    All this math talk makes me really glad that we have our own NICU nutritionist with us during rounds every day! They are the ones who keep watchful eyes on all of the kcal/kg/day according to the...
    Aug 8, '09
    Forum: NICU Nursing / Neonatal
  18. "Never trust a 35 weeker"
    And it continues... 35 4/7 twin girls, born right at 2000 when I walk in the door. I get twin B - who is a champ. Sugars a fine, temps are great, eating 15-20cc q3h PO, planning on sending her up...
    Aug 5, '09
    Forum: NICU Nursing / Neonatal
  19. full assessments vs. monitor vitals
    Well we never make q4 vitals due at 7-11-3... because then it would always be due during shift change - no matter if it were a 8 or 12 (or 4) hour shift. Because of this - vitals are never more...
    Aug 3, '09
    Forum: NICU Nursing / Neonatal
  20. full assessments vs. monitor vitals
    Most of our babies get hands on vitals every 6 hours. Either 8-2, 9-, or 10-4 depending on what their q3 eating schedule is. When they're unstable (on HFOV), they get hands on vitals every 4 hours....
    Aug 2, '09
    Forum: NICU Nursing / Neonatal
  21. Monitoring system
    We (finally!!!) have the Philips monitors. Touch screen functions are nice. As previous poster mentioned, it can be a process to view more than one baby at a time on a monitor. However - the layout...
    Jul 31, '09
    Forum: NICU Nursing / Neonatal
  22. FOOTPRINTS
    We do footprints at admission / as soon as the baby is stable enough / has no IVs on their foot. As far as getting the ink off - we have found that the hospital lotion works extremely well! Just put...
    Jul 29, '09
    Forum: NICU Nursing / Neonatal
  23. Your NICU design - love it or hate it?
    I can't imagine not having windows!! Anyway - I like the design of our unit. We have 7 big rooms, each being able to hold 4-9 babies. Your assignment is always all in the same room, so you can see...
    Jul 29, '09
    Forum: NICU Nursing / Neonatal
  24. New PDA Treatment Recommendations??
    We also only treat when they're symptomatic. If they're able to get Indocin, they get that, along with fluid restriction (usually at 80/kg/d). If not / if Indocin doesn't work, we'll ligate if...
    Jul 29, '09
    Forum: NICU Nursing / Neonatal
  25. Funny Names
    Twins (boy and girl) named Jack and Jill. Every time we say their names we all start hearing the rest of the nursery rhyme ...
    Jul 26, '09
    Forum: NICU Nursing / Neonatal


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