texas2007

texas2007 BSN, RN

NICU

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All Content by texas2007

  1. Holding vented infants?

    texas2007 replied to babyNP.'s topic in NICU, Neonatal

    We let the moms hold if the baby is vented/trached and is stable, had a good day, no lines, 'lights or humidity. However sometimes I've heard of some gutsy nurses letting moms hold their unstable...

  2. Ventilator alarms

    texas2007 replied to I'mANurse!'s topic in NICU, Neonatal

    Just to add to Steve's list on the babylogs... "VT low" means your baby is using the max PIP that is ordered and not achieving the set tidal volumes with volume guarantee... usually because of a leak...

  3. Sali-wipes for Eyecare?

    texas2007 replied to NICUnurseKatie's topic in NICU, Neonatal

    Definitely!! Once my contacts were drying out at work so I put a little bit of a saline flush in to get me thru the shift. Another nurse saw me and freaked out, wondering if it hurt. I couldn't feel a...

  4. UAC line question

    texas2007 replied to Cassideca's topic in NICU, Neonatal

    I think we change our stopcocks along with the whole UAC fluid tubing q 72 hours. We trialed one of those closed system UAC lines and it was a disaster. Maybe it was just the particular one we tried...

  5. Do you give meds through your UAC....

    texas2007 replied to 2curlygirls's topic in NICU, Neonatal

    I've heard that we do it but never seen it done personally. Usually a uvc or Picc line or broviac is put in before it comes down to

  6. Couldn't Ask for a Better Orientation Experience

    texas2007 replied to TakingCareOfBabies's topic in NICU, Neonatal

    Don't worry about not doing death care. The 1st death care I did, I don't even remember bc I was so emotionally overwhelmed. The next one I did, the parents were gone within 30 minutes of declaring so...

  7. Parents never cease to surprise me

    texas2007 replied to NFB2008's topic in NICU, Neonatal

    I'm guessing these young mom's were probably raised with the help of grandma when they were babies/children. That could explain at least some part of the grandma of the new baby being clueless....

  8. Deciding between two NICUs

    texas2007 replied to raerusse's topic in NICU, Neonatal

    Yeah but they are already stretched thin between other duties they commonly do such as charge and precept. I once had a kid that was 1 mo postop and peaked at his immediate post op orders in his old...

  9. Deciding between two NICUs

    texas2007 replied to raerusse's topic in NICU, Neonatal

    Ah that'd be such a disaster

  10. Does anyone use biodiscs on their piccs, umbilical lines?

    texas2007 replied to BittyBabyGrower's topic in NICU, Neonatal

    yes, exactly what i meant. thanks for clarifying for me

  11. Does anyone use biodiscs on their piccs, umbilical lines?

    texas2007 replied to BittyBabyGrower's topic in NICU, Neonatal

    we don't use them. how do you visualize the insertion site with

  12. pins and rubberbands for CPAP

    texas2007 replied to uma1ashok's topic in NICU, Neonatal

    We usually tape the tubing to the generic pink/blue striped L&D hats. Sometimes with kids on it longer, parents will bring in their own hats to use but these are a pain bc they are usually too...

  13. isolette humidity

    texas2007 replied to jscrn's topic in NICU, Neonatal

  14. Gavage protocol

    texas2007 replied to HurleyRN's topic in NICU, Neonatal

    We generally put anything over 5-10 ml on a pump. Anything less is by gravity. The assignments are usually heavy where I work and we simply don't have time to watch the feed slowly moving in the tube...

  15. Heelstick vs venipuncture?

    texas2007 replied to gudiarani's topic in NICU, Neonatal

    We usually get our labs with heelsticks. Sometimes the older chronic kids will get a lot of scar tissue and won't bleed so they'll be art or venous. It's really up to the nurse to decide how she wants...

  16. Severe BPD

    texas2007 replied to bbnyrse's topic in NICU, Neonatal

    Sildenafil SO gives kids erections! It seems like I have a surprise waiting for me at each diaper! One of our kids actually grew pubic hair and a thin mustache about 2 weeks after starting it. I...

  17. I hate NEC

    texas2007 replied to Sweeper933's topic in NICU, Neonatal

    I hate NEC as well. Our unit is on fire with it lately. Seems like 1-2 babies a week NEC/perf (100 baby unit). I think we are ALL getting tired of it. Wish we'd review our practices to see what other...

  18. Octuplets

    texas2007 replied to Sweeper933's topic in NICU, Neonatal

    On Geraldo, they were saying the average cost in the nicu is 1,000/day but this seems awfully low to me. I was thinking that just nursing care is several hundred a day plus the cost of the bedspace,...

  19. May/June 2007 Grads......How are you all doing????

    texas2007 replied to Nurseismade RN's topic in First Year After Licensure

    Wait till you get off orientation :) You'll be stuck with 3 screaming, fussy children for days, until you request a new

  20. Hand washing?

    texas2007 replied to babyNP.'s topic in NICU, Neonatal

    You'll learn things much more quickly when you move to nights and get visited by a lovely line team member for fluid changes. Basically though...dayshift changes clears like UAC fluids, and nightshift...

  21. Hand washing?

    texas2007 replied to babyNP.'s topic in NICU, Neonatal

    It's no longer required in our unit to wear gloves with patient contact. The thought there was that some people were skipping Purell and soap/water when they were wearing gloves. Personally, I still...

  22. Ett suction preterms

    texas2007 replied to johan john's topic in NICU, Neonatal

    Depends on the kid. If they've been having a lot of secretions, I'll do it more often. Otherwise maybe once a shift. There's research out there that suctioning can contribute to lung disease so I try...

  23. Sucrose use = Increase in incidence of Nec?

    texas2007 replied to MegNeoNurse's topic in NICU, Neonatal

    I got yelled at by an NNP for giving sweetease to a 1 kg baby. I had no idea about this but I looked it up after the incident and it does say something about it in the neofax. go figure, the kid nec'd...

  24. Maybe I need some reassurance...

    texas2007 replied to RNin2007's topic in NICU, Neonatal

    Oh yeah it's routine to have 2 vents. It's not rare to have 2 stable vents and admit a 3rd, but that's only happened to me once or twice. Another variation is to have a vent and 2 cpaps/cannulas/room...

  25. Maybe I need some reassurance...

    texas2007 replied to RNin2007's topic in NICU, Neonatal

    well if it makes you feel any better, one night i got report and found out both of my patients (800 grams each) had self extubated themselves that day. well one nec'd out, coded and died on my shift...