Love_2_Learn replied to NJNICUCCRN's topic in NICU, Neonatal
I would imagine that it is best to use the size syringe recommended by the manufacturer. A couple of years ago we used 3 ml syringes on our PICCs until we started using a new brand and were taught...
Love_2_Learn replied to NicuCourtney's topic in NICU, Neonatal
I don't have a guideline but do know that our Neo's and NNPs want us to weigh the babies with their CPAP intact. They say they always assume we are weighing the babies with their caps and CPAP...
Love_2_Learn replied to NJNICUCCRN's topic in NICU, Neonatal
Yes, we only use 10 ml syringes on UACs and UVCs. We do not use anything smaller than a 5 ml syringe when pushing fluid into a PICC. This is because the larger syringes have lower psi and are...
Love_2_Learn replied to Jack's Mom's topic in NICU, Neonatal
I have never worked in a NICU that infused anything through a UAC line except generally 1/2 normal saline with 1 unit heparin/ml (sometimes sodium acetate is added too) and infuses at 0.4 to 0.5...
Love_2_Learn replied to busylizzy's topic in Alabama Nursing
I am aware of a hospital in Atlanta which only hires BSN or higher degreed nurses. There are so many nurses wanting to work there that they decided to weed out the applicants by hiring only BSNs. Many...
Love_2_Learn replied to Dr3am2baNICUNurs3's topic in NICU, Neonatal
Our NICU has all RNs of which they are NICU-experienced ASN degree nurses or BSN nurses. No LPNs for our unit. I would strongly suggest that if there is any way possible that you go ahead and get...
Love_2_Learn replied to SteveNNP's topic in NICU, Neonatal
Like the other nurses have said, I ADORE working with NNPs too. The nursing focus on the "whole" patient including family, developmental care, etc is very important along with the medical diagnosis...
Does your hospital participate in the March of Dimes Walk-A-Thon or do any other activities at this time of year to raise MOD money? I've worked at some hospitals who go all out, one which did...
Love_2_Learn replied to Cindy Lee's topic in NICU, Neonatal
I will try to post a link here to a video of a swaddled bath. Children's Medical Ventures is a wonderful company full of information and supplies to help give babies appropriate developmental care as...
Love_2_Learn replied to nicunana's topic in NICU, Neonatal
We are similar to the other posters who say we do not discharge babies home on caffeine. Ours must go a full 7 days without a bradycardia after being off of the caffeine before they can be...
Love_2_Learn replied to Cindy Lee's topic in NICU, Neonatal
We occasionally give swaddled tub baths to our older babies who are in open bassinets and have healed umbilical cords. They are generally about ready to be discharged. We don't give tub baths to...
Love_2_Learn replied to Humbled_Nurse's topic in NICU, Neonatal
I received my RNC-NIC from the National Certification Corporation. They have learning modules of which some are online and some are hard copies. I learn so much from them and have had no trouble...
Love_2_Learn replied to EmilyPeruana's topic in NICU, Neonatal
I tried to click on the "Bunnell Clinical Directory" in the post by chare above but my computer would not open the page. I came here because my e-newsletter from the Academy of Neonatal Nursing which...
Love_2_Learn replied to nicumom's topic in NICU, Neonatal
All these poster's suggestions seem on target to help you. There is good advice on this website! I got my RNC in 2000 after being in a 24 bed Level III NICU for 2 years and 5 months. I had used the...
Love_2_Learn replied to kathy62's topic in NICU, Neonatal
Kathy62, I know you are correct about the NG being more developmentally friendly than OG tubes! NGs are best for any baby who is not having issues with breathing through their nose so as not to...
Love_2_Learn replied to acenab4jc's topic in NICU, Neonatal
Our patients are charged based on their diagnosis and length of stay rather than each exact item they use. This keeps us from having so many lost charges and requiring more employees to tally up...
Love_2_Learn replied to platon20's topic in NICU, Neonatal
Would it be possible for another mother-baby nurse to be "baby nurse" for a while as the mother's nurse takes care of mom? The issue seems too black and white... stay on the mother-baby unit or go to...
Love_2_Learn replied to acenab4jc's topic in NICU, Neonatal
We bag ours up and keep them in our nurse practitioner's office. We just put them in small bags and place them in their room. One of the practitioners goes on mission trips to Central America a lot...
We did something similar to this too. At shift change the coming and leaving nurses would look over the orders written during the previous shift to be sure they were taken off and then we would write...
Love_2_Learn replied to Nikki.J's topic in NICU, Neonatal
If a baby is in withdrawl and being given medication for it, I'd be very, very cautious about giving sucrose pacifiers because this could cause the Neonatal Abstinence Scores to be falsely low. On...
Love_2_Learn replied to AussieTina's topic in NICU, Neonatal
I usually lay my hand gently on the wrapped baby as the others have mentioned and then count for a full minute. Another option that I have used is to place the stethoscope just under the baby's nose...
Love_2_Learn replied to soprano3's topic in NICU, Neonatal
t has a very high osmolarity which can lead to intestinal problems like NEC. This is a main reason it is not to be used for NPO or the smaller preemie babies or in excess. It is for mild pain, not...
Love_2_Learn replied to futureflrn's topic in NICU, Neonatal
A little 2.0 or 2.5 ET tube is impressive to nurses who work with adults. I remember freaking out when I saw how huge the adult size ET tubes are!! The tiniest B/P cuff we have is a size 1. It...
Love_2_Learn replied to lccougar02's topic in NICU, Neonatal
Contemporary Forum often has conferences dedicated to Developmental Care, I believe one each year. Check them out at contemporaryforums.com. I attended one and learned an awful lot about how to feed...