Logracia
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It worked! Thanks to both of you! Baby needed a burp anyway so while he had the heel warmers warming him up, I held him up on my shoulder with his foot dangling down and burped him. I made sure to let a big drop form and gave his foot a squeeze and was easily able to fill my circles. I was so scared going in to do the screening but it went so well. He only cried when I had to weigh him after.
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Hi, I am new to the post partum unit after having worked Med/Surg for 4 years and I'm seriously struggling with doing the heelprick newborn screenings. Night shift does almost all the screenings and I've tried to ask the other nurses for tips and tricks but almost everybody on nights are new grads and have not been much help when I ask them for their tips. They just say "IDK put a heel warmer on and just do it." I use the heel warmers and incline the bassinet as one nurse suggested and I'm literally hit or miss with these tests. The other night I had one baby easily bleed enough to fill the circles but the next kid was so fussy, even with sweeties, and I could not get her to bleed enough. I know they say you are supposed to get each circle with one drop but no matter what I tried it wasn't happening.I feel like a complete failure even though this is really the only thing I'm struggling with. I live in California and we have 6 circles to fill. That difficult kiddo I got 2 circles and the rest were a nightmare to try to fill. I had to poke her again and still struggled. Please, any tips you got I'd love to hear.
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I really like that idea of putting a label on diabetic trays. Definitely something I think we should consider.
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Does anybody else have breakfast as early as 0730? Our aids are not allowed to do blood sugars (we are in California) so it has to be the nurse who does it. I've talked with other day shift nurses on my unit and their biggest concern is how early the breakfast trays come, which makes for quite a rush if they have to do finger sticks and insulin at 0730. Their fear is not having time to look at orders, labs, etc before the patient starts eating. I'm thinking either breakfast needs to be pushed back or the diabetic trays need to be held until the nurse can check sugars.
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Hi, I am trying to help improve the morning insulin administration on my floor and I would love to hear from nurses everywhere about how your facility manages morning blood sugar and insulin coverage. On my unit, our night shift does morning blood sugars and insulin administration between 630 and 7am, change of shift at 7, breakfast trays come out at 0730. Most of our AC/HS insulin is usually rapid acting insulin. I just have the following questions and any extra input/suggestions would be appreciated. 1. Which shift does blood sugars and insulin administration at your facility? 2. What time is morning insulin given? 3. What time do breakfast trays arrive? 4. If you are day shift and you do morning insulins, how does this affect your morning?
