MegNeoNurse

MegNeoNurse

PICU, ICU, Transplant, Trauma, Surgical

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All Content by MegNeoNurse

  1. Weaning to open crib

    MegNeoNurse replied to CareForBabies's topic in NICU, Neonatal

    Our policy states that the baby must be 1)at least 1700g; and 2) at least 34 weeks. If the criteria has been meet and the baby has been in a 28 degree isolette (with clothes on) for atleast 24 hours...

  2. NICU nurses working on Peds

    MegNeoNurse replied to schoolnurseadmin's topic in NICU, Neonatal

    My first job as an RN was NICU. I recently switched to PICU (but still work NICU PRN) and found there to be a HUGE learning curb going to PICU. I don't know if it's because NICU is so different than...

  3. Blood products question

    MegNeoNurse replied to TigerGalLE's topic in NICU, Neonatal

    In the NICU I work in you must have atleast a 24ga PIV in, otherwise the lumen is too small and will break down the blood cells. So, if your baby has a 1.9fr (26ga) PICC in, you must start a PIV to...

  4. Alaris pumps

    MegNeoNurse replied to deanpicu's topic in PICU, Pediatric

    I agree with other posters who have had problems with the pumps and dialysis. In our PICU, the bedside nurse cares for the patient and the machine if they are on SLED (CRRT). I've found the error...

  5. Not always feeling challenged

    MegNeoNurse replied to pat8585's topic in General Nursing

    Have you thought about getting your RN? I don't know how easy it is for LPNs to switch to different areas of nursing, but it's fairly easy for RNs. I felt unchallenged after about 2 years of being...

  6. Pregnancy and floor nursing

    MegNeoNurse replied to aerorunner80's topic in General Nursing

    First of all, CONGRATS!! I am currently 21 weeks pregnant. I waited until I was 12 weeks to tell my manager in NICU and 16 weeks to tell my manager in PICU. I was pregnant last April, but...

  7. Frequent Broviac Infections - eek!

    MegNeoNurse replied to Baboosh123's topic in General Nursing

    I also agree that this is pretty frequent for line infections.... I work in a PICU and I'm sure every kid who has had a central line and been outpatient has ended up with an infections atleast once....

  8. oral care

    MegNeoNurse replied to spacey's topic in NICU, Neonatal

    Yuck to normal saline!! I wouldn't like the salt water in my mouth either.... I miss VAP guard We get an order for Biotene. This comes up from pharmacy, 1 per patient, its on oral gel that we swab...

  9. when to stop humidity in the isolette

    MegNeoNurse replied to denicu's topic in NICU, Neonatal

    Our unit doesn't wean heated humidity right now either. I am currently working on getting a protocol implemented into practice for weaning humidity. I've seen kids with impaired skin integrity after...

  10. NNP Program at Rush University in Chicago

    MegNeoNurse posted a topic in Nurse Practitioners, NP

    Hi all :) I'm looking into entering into a Neonatal Nurse Practitioner program next fall, probablly in Chicago. I've been seriously considering Rush University. Does anyone have any insight to offer...

  11. VLBW infants and positioning

    MegNeoNurse replied to NICU Mama's topic in NICU, Neonatal

    Our frequency of repositioning and cares depends on the acuity of the baby. We used to use oscillators as "last-ditch-effort" vents... but lately our neos are down to put a kid up on the oscillator...

  12. VLBW infants and positioning

    MegNeoNurse replied to NICU Mama's topic in NICU, Neonatal

    What is her indication for keeping them supine? I cannot imagine keeping a kid in the same position for the entire time they are on the

  13. VLBW infants and positioning

    MegNeoNurse replied to NICU Mama's topic in NICU, Neonatal

    We

  14. VLBW infants and positioning

    MegNeoNurse replied to NICU Mama's topic in NICU, Neonatal

    Hi there :) This is what our NICU practices as well. It is a NAAN recommendation to decrease the incidence of IVH in preterm infants. Our practice is In terms of supporting literature I do not...

  15. 3 baby assignments

    MegNeoNurse replied to MA Nurse's topic in NICU, Neonatal

    I work in a Level III NICU, and yes we will have 3 patients if they are Level II acuity. IE - grower-feeders, no respiratory support more than high-flow nasal cannula, TPN, IV abx, etc. And if you...

  16. Funny Names

    MegNeoNurse replied to nurserynurse55's topic in NICU, Neonatal

    We were discussing this very topic at work the other day. NICU (pronounced, as you would, nick-yew) Shithead (pronounced Sha-theed) Tut (pronounced Toot)

  17. Infant feeding question

    MegNeoNurse replied to AliRae's topic in NICU, Neonatal

    Feeding is truly one of the trickiest things in the NICU, at times. How is the baby's suck? Does she have a lot of anterior loss (drooling) during feeds? She may need a modified nipple that has a...

  18. UA/UVC Lines and blue fingers/toes

    MegNeoNurse replied to nicu4me's topic in NICU, Neonatal

    This is off topic from your UA/UV question, but, your unit puts 25wkrs in radiant

  19. Administering a Glycerin Enema

    MegNeoNurse replied to mgturtle's topic in NICU, Neonatal

    Not sure about enemas. We do glycerin

  20. Gravity Feeds

    MegNeoNurse replied to NICU Mama's topic in NICU, Neonatal

    We usually do our feedings via syringe pump. I do every once in a while do feedings via gravity. If the parents are there I will ask them to hold it, while holding the baby of course. Otherwise if...

  21. Sucrose use = Increase in incidence of Nec?

    MegNeoNurse posted a topic in NICU, Neonatal

    We were discussing this today. I cannot recall where I read about sucrose use and a link to an increased incidence of Nec. Google didn't give me what I was looking for. Anyone able to point me in...

  22. micro preemie trophic feeds

    MegNeoNurse replied to kangarooyou's topic in NICU, Neonatal

    That's the kind of stuff that makes me nervous. We've had a ton of Nec incidences lately as well. Scary perfs and all. I don't know what the deal is. We're all on high-alert in our unit

  23. micro preemie trophic feeds

    MegNeoNurse replied to kangarooyou's topic in NICU, Neonatal

    From nothing to 2mL Q3 seems awfully quick to push a 700gm'r. We start trophic feeds, 0.5mL/hr continuous. Work up the volumes then we'll do __mL (based on wt/cal. need) TRO 3hrs, then no feeds x1...

  24. Platelet Transfusion

    MegNeoNurse replied to NICU Mama's topic in NICU, Neonatal

    We filter EVERYTHING except meds and

  25. Talking to your neonate patients

    MegNeoNurse replied to Journey_On's topic in NICU, Neonatal

    Yes! I cannot imagine not talking to my patients! It's obviously a very one-sided