MegNeoNurse

MegNeoNurse

PICU, ICU, Transplant, Trauma, Surgical

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All Content by MegNeoNurse

  1. How do you sanitize your hands?

    MegNeoNurse replied to NeoNurseTX's topic in NICU, Neonatal

    Beginning of shift it's a 2 minutes scrub up to elbows with scrub brush and hospital soap (sorry don't know what kind). Then it's the old Purell before and after patient contact, and soap and water...

  2. Central Line Tubing Change

    MegNeoNurse replied to jack4408's topic in NICU, Neonatal

    New fluid bags Q24H, new tubing Q72H (as long as the fluid is the same, e.g. 3.2% AA w/0.5U/mL Heparin). If it is Hyperalimentation going through the UVC, then Q24H the tubing gets changed with the...

  3. Kangaroo Care

    MegNeoNurse replied to kangarooyou's topic in NICU, Neonatal

    We do kangaroo care in our unit, the parents LOVE it. I always bring it up to the parents and tell them it's always an option. We do not let parents hold babies We have a minimun KC time of 30...

  4. Umbilical Tox Screen

    MegNeoNurse posted a topic in NICU, Neonatal

    Is anyone using umbilical tissue for tox screens in their unit? I've been hearing alot about this in various journals. We currently are using meconium and urine for tox screening. I've heard that...

  5. 1st nursing job - NICU or OR?

    MegNeoNurse replied to kmommy876's topic in NICU, Neonatal

    You will have ALOT MORE teaching and patient contact in the NICU. I just graduated from NS in May 08 and I went right into NICU and cannot be more happy with my choice. I think that no matter what...

  6. What kind of bottle nipples do you use?

    MegNeoNurse replied to preemie69's topic in NICU, Neonatal

    Similac nipples - Regular Flow, Slow Flow Pigeon nipples for the CL/CP babies. Speech therapy will cross cut nipples for kids that need them, they use the regular flows for that. In my vast experience...

  7. Umbilical Tox Screen

    MegNeoNurse replied to MegNeoNurse's topic in NICU, Neonatal

    Montgomery, D., Plate, C., Alder, SC., Jones, M., Jones, J., and Christensen, RD. (2006). Testing for fetal exposure to illicit drugs using umbilical cord tissue vs meconium. Journal of Perinatology,...

  8. auscultating on HFOV

    MegNeoNurse replied to pooperscooperrn0624's topic in NICU, Neonatal

    This is what I was informed of as well, from RT and our NNPs. The MAP is what keeps the alveoli recruited when the HFOV is

  9. HIE and the CoolCap System

    MegNeoNurse posted a topic in NICU, Neonatal

    Hi all! I was curious as to how many of your units use the CoolCap system for HIE? I took care of my first patient today who is at the 24-48 hour point of cooling. What have your experiences been...

  10. Wound VAC in NICU?

    MegNeoNurse replied to MegNeoNurse's topic in NICU, Neonatal

    Thanks all for your replies :) I was curious - took care of a kiddo with a really bad burn from an IV infiltration. Went in for debridement and I pondered whether he would get a wound vac as it was...

  11. Wound VAC in NICU?

    MegNeoNurse posted a topic in NICU, Neonatal

    Has anyone seen wound VACs used in the NICU? Thanks in advance for your

  12. PAL's and BP Monitoring

    MegNeoNurse replied to texas2007's topic in NICU, Neonatal

    Use the PAL reading if there's a good waveform, if not zero the line out (we use transducers with the kids kit attached for all art lines). Generally do a NIBP Qshift (obv. on a diff extremity) and...

  13. Fluid Changing practices

    MegNeoNurse replied to NANSNURSE's topic in NICU, Neonatal

    TPN and IL tubing is changed Q24 in our unit, as well as any stopcocks or connectors that the TPN/IL may be running through. Any med tubing is changed Q24hour/PRN as well. Clear IVF tubing changed...

  14. UACs and tegaderm use

    MegNeoNurse replied to NICU_Nurse_3986's topic in NICU, Neonatal

    I thought it was strange at first as well that the umbilicus is left open to air in our unit as well, per policy. We place duoderm on each side of the stump to protect the skin, secure the UAC on one...

  15. HIE and the CoolCap System

    MegNeoNurse replied to MegNeoNurse's topic in NICU, Neonatal

    Thought the above picture would be HIPAA safe.... haha. Product website below. http://www.natus.com/index.cfm?page=products_1&crid=115&contentid=207 I am so bummed, rewarming is starting...

  16. policy for flushing INT's

    MegNeoNurse replied to casper82's topic in NICU, Neonatal

    I prefer to keep my PIVs that are do not have fluids locked with heparin. Our unit uses 1:1 (1 unit/mL) and generally the order gets written for Heparin 1 unit Q8H PRN. As for saline locks, they are...

  17. New NICU RN here!

    MegNeoNurse posted a topic in NICU, Neonatal

    Hey all! I have been around the forums for about 2 years as a student nurse and a Unit Sec/Nursing Assistant in the NICU. I was hired in April, pending boards, as an RN in the NICU that I have...

  18. New NICU RN here!

    MegNeoNurse replied to MegNeoNurse's topic in NICU, Neonatal

    Yay!! Congratulations! Isn't that the best feeling in the

  19. Any Hotspot Questions On Your Test??

    MegNeoNurse replied to Enfermera85's topic in NCLEX Exam, Programs

    Nope!

  20. Thanks Suzanne4!!!

    MegNeoNurse replied to BebobthefrogFNP's topic in NCLEX Exam, Programs

    :ancong!::clphnds:

  21. My NCLEX-RN Story

    MegNeoNurse replied to Believe09's topic in NCLEX Exam, Programs

    :ancong!::clphnds:

  22. After assuming the worst, I passed!!!

    MegNeoNurse replied to clairebearrn's topic in NCLEX Exam, Programs

    :ancong!::clphnds:

  23. I am sooo relieved!!!!!

    MegNeoNurse posted a topic in NCLEX Exam, Programs

    Just found out this morning (yes - Pearson quick results are available on weekends!) I took NCLEX-RN on July 3. I was sure that I had failed. Shut off at 75Q, lots of SATA (like 20), 3 med calcs,...

  24. 75 questions & PASSED!!!!

    MegNeoNurse replied to rn-2008's topic in NCLEX Exam, Programs

    Congratulations! Did you do the quick result to find out? Mine should be available today if what everyone is telling me is true (they process over holidays and weekends). Eeeeeeeee I am soo...

  25. 77-78 questions...and I passed!!!

    MegNeoNurse replied to Jocee82's topic in NCLEX Exam, Programs

    I am in the same boat (took mine on the 3rd) you really think they will have them posted tomorrow? That would make my LIFE. I am so nervous right now I cannot think about anything except for the...