PremieOne

Latest Activity

1. Carseats for premies less than 5 pounds

   PremieOne posted a topic in NICU

   My NICU and several others in my area are having problems trying to find a car seat company that produces car seats that will hold premies that weigh

2. Dual UVC catherter

   PremieOne posted a topic in NICU

   I have been asked by my fellow staff if any NICUs that use dual UVC catheters - clamp off one line if not needed. I have not been able to find any literature that will support this as a safe practice. We have several premies that are on restricted fl...

3. Car seats for Premies under 4 lbs

   PremieOne posted a topic in NICU

   My NICU is having a major problem with car seats. We are sending premies home that are less than 4 pounds (small for gestational age). The one car seat that did accommodate these tiny infants had a recall and we no longer use them. The car beds on t...

4. 99 Balloons - Warning. You'll probably cry your eyes out.

   PremieOne replied to SteveNNP's topic in NICU

   Dear Steve, Thank you for sharing this video web site. Many of us as NICU nurses rarely see how parents deal with situations like this. I thought the parents did a beautiful job of presenting a tragedy in a positive light. As a nursing instructor, :r...

5. Incubator Fire Badly Burns Minn. Newborn

   PremieOne replied to dawngloves's topic in NICU

   I am wondering how this could happen!! Normally your oxyhood has oxygen or air going through humidity and so the gas is humidified. We all know how wet the oxyhood gets along with the blankets and clothing surrounding the infant. I have been a nurse ...

6. Cup Feeding Strikes Again!

   PremieOne replied to TiffyRN's topic in NICU

   I am an advocate for breast feeding but this idea of nipple confusion is all wrong. I have been a nurse for 40 years and have never seen any infant with nipple confusion. There were many moms who were being pushed into breastfeeding either by the sta...

7. Speaking of changing lines....

   PremieOne replied to BittyBabyGrower's topic in NICU

   We have a separate med system that has either NSS or 1/2NSS in a bag. We have a special flush system where you place your med syringe on the syringe pumpand infuse through tubing that is piggybacked to TPN or what ever IV solution you are running. We...

8. Another question for you NICU nurses

   PremieOne replied to Heather333's topic in NICU

   my unit has a stethoscope for each infant. we also have a clean one for admission beds. they get washed off each shift and the ear plugs get wiped off when they go into anyone's ears. we had a terrible ear infection go through the unit and it was tra...

9. Bacteria Outbreak Closes Hospital Units

   PremieOne replied to huladancer's topic in NICU

   Thank you for providing this news link. I think we are going to see more incidents like yhis in the future. We just got back an infant from a tertiary children's hospital collonized with MRSA. The infant is in our isolation room till discharge. The i...

10. VLBW infants and positioning

    PremieOne replied to NICU Mama's topic in NICU

    SteveRN21, I would be very interested in your protocol. We do keep our infant's midline for about 72 hours and if they are stable we will place them on their abdomen. We provide nesting to all our infant's no matter what size or GA. We use snugglies ...

11. NCPAP with a rate

    PremieOne replied to Love_2_Learn's topic in NICU

    BittyBabyGrower, You are correct on the alarms sounding if the prongs are out. They can also be anoying if your infant is on PSVG and the limited PIP is set too low. The alarm keeps ring low VT and that is when you want to strangle the doc or the mac...

12. Do you change your TPN tubing Q24 or Q72??

    PremieOne replied to MA Nurse's topic in NICU

    We change TPN and Lipids q24h as suggested by CDC. Our UAC lines get changed every 72 hours.

13. PDA treatment Ibuprofen versus Indocin

    PremieOne posted a topic in NICU

    We just started using Ibuprofen to treat our micropremie's PDAs. Is any NICU using this drug and do you have a protocol you could share with me? I have seen the huge problems using Indocin and hope this really will decrease the major side affects se...

14. NCPAP with a rate

    PremieOne replied to Love_2_Learn's topic in NICU

    My unit has been using Dragers for several years. We love them because they are quiet and have several settings for both vented (SIMV, PSVG, etc), and CPAP infants. Infants can be on CPAP and a back-up rate can be dialed in for that reminder to breat...

15. Use of Methadone for NAS Infants

    PremieOne replied to PremieOne's topic in NICU

    We are seeing major hypertension in the infants we have on Methadone. From what I am hearing from other NICUs it is taking a much longer time to wean these infants off Methadone. Our Neo Docs refuse to go back to Morphine solution because they need t...