karenelizabeth

Our normal limits are 88-96% for babies born below 36 weeks ventilated and recieving O2, ventilated babies above that it's 92-96% babies post term on long term O2 it's 95-100% the exceptions are always cardiac babies. The limits should be documnte...

as a NICU nurse yes we do wonder how some parents who have lost a child are doing and like to see them. Parent cope very differently some parents come back because nurses know "their" story and thy don't have to keep explaining what happened, often...

was no prob just raided me reference lists there are some advantages of writing essays for diplomas LOL Karen

Found them picked out ref's for KC and family centred care we have no model used in the unit I always used Oram presonally but found McGill (in Freeley and Gottieb 2000) very similar but far more positive, can't find anything else on it but if anyone...

I'm a fanatic about Kangaroo care (KC). I offer all parents the chance as long as their child is stable, even if they are ventilated. I talk about it before hand in terms of KC and shin-to-skin contact or a special cuddle. It is my cure all help...

Yep it is the UK way of spelling it like many words we spell them slightly different. Karen

Met the odd onhe who didn't respect my judgment (or that of any nurse), but as the consultants do and we have a good relationship with them, if I have a problen I just go higher until I get the result I want I have proved on a teaching ward round I...

On NICU most of our milks are comertially packed readily mixed bottles, occasionally we use a special formular prescribed by a dietition and then we have to make it up but we have a dedicared milk kitchen. Scoops are kept in sterile pots rather than ...

Skin-tags can be a sigh of a syndrome called Goldenhar http://www.cafamily.org.uk/Direct/g27.html (I assume this is what you are referring to) but it is one of many signs and on its own means little. In the UK if this was suspected bloods would hav...

seen this a few times on nicu usually with the smaller babies, and most commonly if they are very sick and have DIC. Thankfully not always the dramatic ones sometimes it is just a small one, and most babies seem to survive but by no means all partic...

I would add: 1. seeing a child in pain and not being able to do something 2. seeing parents in pain and not being able to do anything I normally work in Neonatal intensive care but recently while doing a specialist course I ended up working on a pae...

We resusitate from 24 weeks and intubate and admit if the baby gasps from 22 weeks. Although personally having delivered a 19 weeker at 300g I find these little ones really hard I wouldnt have wanted my daughter to go through this and yes she gasped....

I think sometimes we are too quick to judge others. I had a long chat a while back with a Mum who we were all worried about because she spent so little tine in with her baby but she had lost the twin to her and was also quite shy so was not only pet...

Feel free to Pm me I'm a Neonatal Nurse in the uk Karen

I am writing an essay on withdrawing care in NICU (it's something I would also like to take back/develop in my home base) and have been searching high and low for a nursing protocol. Finally I found the "Neonatal End-of-Life Palliative Care Protoco...

I have seen this only once it was in a baby with an umbilical line. In this case it was clear that the cause of the cardiac tamponade was the long line as the fluid from it was milky white and obviously lipid that the baby had been recieving. Alth...

Latex gloves always made my hands itch, initially I was told it was the starch in side and the hospital I work in went over to powder free because because there was lots of problems with the powdered ones. My hands still itched a bit and I was aware ...

God how scary We have to have all drugs checked and sighned by 2 nurses can be time-consuming but cuts out most (by no means all) mistakes. Out hep flush is also kept in a different fridge.

We give all ventalated babies Morphine by continious infusion not so much as a analgesia but for its sedatory effects after all you would not dream of ventilating an adult with out some form of sedation would you so why do we with babies? It makes t...

Weve had 2 big problems recently with art lines One in a 25 wk twin when they couldnt get an umbilical line in (major prob twin twin transfusion the poor kid had an hb of 4) they just managed periphal canula to put blood and fluids through. I've nev...

sounds great but not all out vented babe's have art lines

1. Yes at times but also great fun 2. same as above 3. Sometimes but we all have moments of doubt and I didn't fail I passed 4. Yes but you get used to it . Keep a book and write terms down once you get the hang of some of the latin used you ...

from my a&p I seem to remember that centeral nervious system starts to develop really early on something like at about 3-4wks but then thats not technically the brain is it. The heart is also developing at this time and if my memory serves me is...

how I've felt like smakin a few recently LOL Karen :roll

Weorking on NICU My patients are too small to cause problems but there parents and other rels sure aren't. First they get asked to moderate their language asked to sit down and an attempe made to find out what the problem is and a warning that this ...