LitlBebeGrower 302 Views
Joined: Nov 28, '08;
Posts: 3 (33% Liked)
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I was wondering if anyone can give me insight on how the NICU that you work in is staffed?
Meaning, do you have NNP's 24hours a day?
Do you have a neo on staff at all times (in the building or on call?)
Does a staff nurse go to high risk deliveries? Do you have an NNP or Neo attend all high risk deliveries?
What protocols do you have if you have an NNP on staff and not a neo- meaning what can't your NNP do that he/she would have to have a neo be either on hand or on phone?
any info greatly appreicated.
Phenobarb is rarely used in our unit, unfortunately. We start with Morphine, then move to methadone to wean. Often, we try to wean with Morphine, but it seems like that fails most of the time and we end up moving to the methadone anyway.
There is a methadone clinic in our area that routinely tells pregnant women there is no withdrawal from methadone and not to worry about taking it. Frustrating.
Another thing that bothers me is some babies do not show active withdrawal until three days or later. By the time they would be treated, they have already been discharged home.
I am sure you can understand that we have based our responses on the information provided by the op, which in our critical opinion, is believable. Obviously, we do not have both sides of the story, but most experienced nurses and managers have fairly accurate BS alarms and can identify "woe-is-me" stories that do not ring true. This isn't one of them. Also,any nurse with any amount of seniority has either experienced or witnessed a co-worker treated badly for reasons having nothing to do with job performance.
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