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Search Results Type: Posts; User: LilPeanut

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  1. HIPAA and talking about patients
    But your coworkers, being that they are coworkers, know much more information than anyone in the general public has. ie: On my unit you can say "Oh my God, it was so much like bed 5, it was...
    Mar 30, '09
    Forum: General Nursing Discussion
  2. Mispronouncing a word makes you less of a nurse
    I will say that it does make you look less intelligent/educated when you cannot hold a conversation with proper grammar. It doesn't mean you are not smart or educated, but it will appear to others...
    Mar 30, '09
    Forum: General Nursing Discussion
  3. HIPAA and talking about patients
    I have a similar issue. We had a patient die (a primary for me) and I posted on facebook about it. We call all our babies "Friend", so I said I was "sad that Friend died and wished his family peace...
    Mar 30, '09
    Forum: General Nursing Discussion
  4. trach+ spit fistula/esophagostomy?
    Hey, has anyone out there run into any babies with both? We have a baby with a spit fistula for an unrepaired EA, and he also has tracheomalacia and really needs a trach. But, no one has dealt with...
    Feb 24, '08
    Forum: NICU Nursing / Neonatal
  5. Do you medicate for intubation?
    I think we use sux because it wears off faster than the vec.
    Jan 11, '08
    Forum: NICU Nursing / Neonatal
  6. Gastroschisis/fussiness suggestions?
    We usually have at least 4 gastros on our floor (before they get moved to gut stepdown!) We're the gastro capital of the country. Utilize every member of the staff that is able to, to take turns....
    Jan 11, '08
    Forum: NICU Nursing / Neonatal
  7. Do you medicate for intubation?
    Non-emergent tubes get meds...sux, fent, atropine. Emergent tubes, we just pray they get in there (sometimes *L*)
    Jan 11, '08
    Forum: NICU Nursing / Neonatal
  8. I hate NEC
    If it's NEC totalis, on our unit, they aren't given a choice. The surgeons run the bowel, if it's all gone, they put it all back in, close the baby up and bring mom and dad in to say goodbye (we do...
    Jan 11, '08
    Forum: NICU Nursing / Neonatal
  9. Do you put tubbing and connections from central lines outside the incubator?
    all lines, except standard formulations (that pharm hasn't added anything to) or meds (like morphine or versed) get changed q24. Preparing lines for change is a sterile procedure. Connecting...
    Oct 29, '07
    Forum: NICU Nursing / Neonatal
  10. Cycling
    Once they start to get near term, yes, we try and cycle them and put on the 'daytime' lights in their bedspot.
    Oct 29, '07
    Forum: NICU Nursing / Neonatal
  11. Tips for speed without sacrificing accuracy?
    The alarms thing comes with time. We have the same three tones as the poster above has, and you just learn which ones are which. We teach parents too, so they aren't concerned about every little...
    Oct 15, '07
    Forum: NICU Nursing / Neonatal
  12. Strengths and weaknesses
    I work in a lvl IV (I guess, I hate it when they change it). We do everything, ECMO complex cardiac, nitric, HFOV, etc. We are good with gastroschisis. (Our area has the highest rates in the...
    Oct 15, '07
    Forum: NICU Nursing / Neonatal
  13. Wearing Gloves in the NICU
    We are required to for all patient contact at my hospital. It was a change a few years ago. We have greatly cut down on the number of MRSA kids we have now.
    Oct 15, '07
    Forum: NICU Nursing / Neonatal
  14. Who runs your ECMO pumps?
    Our ECMO techs are either RTs or RNs who have done extra classes. I'm in cols, ohio
    Oct 7, '07
    Forum: NICU Nursing / Neonatal
  15. NICU nurses should take PALS...IMO
    Wow, my NRP was really different. I find it to be very useful and very easy to remember;100/60 breakdown. At the end we each had to run a code.
    Oct 7, '07
    Forum: NICU Nursing / Neonatal
  16. Adult ICU to NICU
    I just wanted to chime in and agree - NICU needs NRP, not PALS :)
    Sep 24, '07
    Forum: NICU Nursing / Neonatal
  17. Clear TPN?
    as for why not D10 - at least here they want to get the kid on starter TPN asap because they want to get them protein quickly to help their little bodies deal with everything.
    Sep 20, '07
    Forum: NICU Nursing / Neonatal
  18. Youngest preemies
    Also, there's a difference between "time in the womb" and gestational age of other babies. Typically, the counting for the pregnancy starts on the first day of your last period, which adds 2...
    Sep 20, '07
    Forum: NICU Nursing / Neonatal
  19. When Is Enough Enough?
    We've had to deal with this in the past. Total brain death by all criteria, who ended up being kept on the vent for a month, with a <16 mom and incredibly rare visitation. He was starting to...
    Sep 20, '07
    Forum: NICU Nursing / Neonatal
  20. Getting sick when your a NICU nurse?
    Depends on how sick - like most others , if it's just a cold/sinus etc., mask all day. fever/pneumonia/strep etc - that's a call off. You just have to, though you should be as kind about it as...
    Sep 20, '07
    Forum: NICU Nursing / Neonatal
  21. Neonatal Death - what does your unit do?
    I've never seen other families asked to leave on my unit. We're separated by curtains and in pods. If it's withdrawing support, we try to have an isolation room, parent room or conference room for...
    Sep 20, '07
    Forum: NICU Nursing / Neonatal
  22. what is stsndard ICU'Instrument
    We have monitors for every bed, plus travel monitors (that include pulseox) a double IV pump and 2 syringe pumps (that's just to start) blender, suction, medical air for nebs, scales (for...
    Sep 20, '07
    Forum: NICU Nursing / Neonatal
  23. malpractice in NICU
    I've actually heard that if you have malpractice insurance as an individual nurse, you can be more likely to be named in a suit because you then also have 'guaranteed' money to go after.
    Sep 20, '07
    Forum: NICU Nursing / Neonatal
  24. Clear TPN?
    Our kids almost always have MVI, unless there's a specific reason. Starter TPN though does not have it.
    Sep 20, '07
    Forum: NICU Nursing / Neonatal
  25. Communication with Parents
    I think a lot might depend on the level of the NICU and the typical pt. population. If you are in a smaller NICU where the acuity isn't incredibly high, I can see that happening a lot more.
    Sep 10, '07
    Forum: NICU Nursing / Neonatal