lovemyjob

lovemyjob

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  1. Lab results question

    lovemyjob replied to southern_rn_brat's topic in General Nursing

    sorry, missed that last part of your post. I would def ask your doc. Maybe changes in meds. Dont do adults and adult issues, but doesnt stress cause and increase in cholesterol, even short term...

  2. nurses getting consents signed?

    lovemyjob replied to ncriverrat's topic in General Nursing

    If she wants to put her license on the line, then so be it. However, like I said, talk to your NM and if they are not going to take action, head over to risk management....I am sure they would be...

  3. nurses getting consents signed?

    lovemyjob replied to ncriverrat's topic in General Nursing

    That is a huge no-no. I think some places do it b/c "that is how it has always been done." But, the docs can just as easily take the form in and have the pt sign it after discussing the surgery....

  4. Lab results question

    lovemyjob replied to southern_rn_brat's topic in General Nursing

    Cholesterol levels are only accurate when you have

  5. What is the silliest complaint someone has ever made aboutyou?

    lovemyjob replied to SharonH, RN's topic in Patient, Colleague Relations

    OK, this one blew me away. I had a pt whose mother was in and out of the picture, had a lot of social issues, etc. Baby had been born preemie and mom's drug screen was pos. I got report that night...

  6. Speaking of changing lines....

    lovemyjob replied to BittyBabyGrower's topic in NICU, Neonatal

    All fluids given to a baby are preservative free. Also, the inside tubing of the medline is sterile when you open it and u infuse sterile normal saline through it, so though the fluid may sit in it a...

  7. Speaking of changing lines....

    lovemyjob replied to BittyBabyGrower's topic in NICU, Neonatal

    But do you remove the flush to infuse the med abd then reattach the flush? We keep our medline attached as well, just not through a

  8. Ampicillin/Cefotaxime in Febrile Neonate

    lovemyjob replied to luckylucyrn's topic in NICU, Neonatal

    we give everything over 30 min except vancomycin which goes over 1 hr and ampho wich goes over 2hrs. there is another one that goes over 45 min....cant think of what it is. We use neofax to...

  9. Speaking of changing lines....

    lovemyjob replied to BittyBabyGrower's topic in NICU, Neonatal

    we put a t connector on the end of the med line tubing (I think tahts the microbore) then to the very end we pu a 1/2 NS flush (10cc) and teh we put the meds on the other end of the t connector where...

  10. fentanyl

    lovemyjob replied to mawjood's topic in NICU, Neonatal

    that is 100mcg/ml. what pharm sends for a gtt is going to be far more concentrated than what u use 4 a

  11. What are your nurse:pt ratios?

    lovemyjob replied to NICU_Nurse's topic in NICU, Neonatal

    we are working towards 1-2 baby assignments, with mostly 1:2 except for very very sick. but sometimes the nurse with ecmo will have a feeder grower with tube feedings. that is not the nurse running...

  12. What are your nurse:pt ratios?

    lovemyjob replied to NICU_Nurse's topic in NICU, Neonatal

    I could not imagine a baby being 1:1 just b/c he is vented. What I like about the unit I work is that there is no seperation of level I's or level III's. If they are in our NICU (2 nurseries divided...

  13. A Celebration for Gompers

    lovemyjob replied to Jolie's topic in NICU, Neonatal

    I dont have a baby so...no tips to give here!!!! But, congrats and good luck! I am so happy for

  14. Syringe Feeding Near Term Infants

    lovemyjob replied to PremieOne's topic in NICU, Neonatal

    When OI do extra duty in the nsy I refuse to cup/syringe feed. A few shifts ago I walked onto shift to find a 34-35 weeker (barely big enpough for nursery wt and had good lungs) and they were syringe...

  15. A question for some research we are doing

    lovemyjob replied to kitty29's topic in NICU, Neonatal

    there are three meds we give x3 five minutes apart. Cyclogel, is one.....um..hmm havent had a kid who was having ROP exam recently. Next time I am at work I will look. I nknow one of them is a...

  16. SiPAP

    lovemyjob replied to danissa's topic in NICU, Neonatal

    we also have been using the FP highflow. One of the RT's said all you needed was something to humidify and soemthing for flow. I see us using the sipap a lot more on the microtots who ahve been...

  17. My First Transport

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

    we haved a team. nurse clinician and an RRT go, they are in contact with the attending when they arrive and assess, and then before they leave to come back. They go ambulance, helicoptor, and fixed...

  18. Educate me, please!

    lovemyjob replied to Hannahrn's topic in NICU, Neonatal

    OP, you might also hjave heard this refferred to as RH sensitization. Both ABO incompatibility and RH sensitization can cause the red blood cells to be attacked and cause a buildup of bilirubin (liver...

  19. Breastfeeding at 2 1/2 years???

    lovemyjob replied to Murse901's topic in General Nursing

    I thought bf was contraindicated during pregnancy? Does LLL or IB(whatever those other letters are) WHO or AAP support bf during

  20. Medication error causes 2 deaths in Indiana NICU

    lovemyjob replied to MegNeoNurse's topic in NICU, Neonatal

    We only use the 24g iv's and we dont have any probs with them clotting if flushed q4 (micropreems, preems and termers). If it is known to clot on a certain difficult stick, we may decid eto flush q2...

  21. Medication error causes 2 deaths in Indiana NICU

    lovemyjob replied to MegNeoNurse's topic in NICU, Neonatal

  22. Medication error causes 2 deaths in Indiana NICU

    lovemyjob replied to MegNeoNurse's topic in NICU, Neonatal

    I thought heplocking pivs was a thing of the past. I have only heplocked a piv when I worked in a nursery and the lines kept ctotting between abx doses and the cjild was a very difficult stick. We...

  23. Medication error causes 2 deaths in Indiana NICU

    lovemyjob replied to MegNeoNurse's topic in NICU, Neonatal

    I dont understand why a nurse would be injecting heparin (if that is what she did.) The only instance we give heparin in in tpn, in art fluids, and for kvo fluids on a line we are not using. All of...

  24. Bedside Cards

    lovemyjob replied to BabyNurse513's topic in NICU, Neonatal

    We also post a card at the bedside for the PICC stating Psize, date placed, how many cm's it is supposed to be out...it is updated if someone does a dsg change and notes it out further, and has it...

  25. Largest baby

    lovemyjob replied to MemphisOBRNC's topic in Ob/Gyn

    We had a 5.6kg (12lb...12oz...I think) that was only 36 weeks, born to a mom who was uncontrolled IDDM. Appearently they delivered the head and then had shoulder dystocia (of course) and had to push...