lovemyjob

lovemyjob

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All Content by lovemyjob

  1. I need to be educated!

    lovemyjob replied to cyb's topic in General Nursing

    There was this girl in high school who told me that "yesterday when she was buzzin" she and her twin had the most mind blowing convo about whether the chair was really blue or had we just always been...

  2. Experiences with post-maturity

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

    got a 40 1/7 weeker (dates were obviously off) last PM...mec aspiration and C/S for FTP. That kid's peeling skin could have been scraped off with snow shovel! A bit more than 40 1/7 weeks I would...

  3. How is lab collection treated in your unit?

    lovemyjob replied to LaNICUnurse's topic in NICU, Neonatal

    Neat idea, reduces the needfor having to hang a bag of D10 and wasting the whole bag. We just hang the carrier fluid at the total fluid rate (minus UAC/PAL) fluid amounts.) It is nice to have an...

  4. Experiences with post-maturity

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

    Yeah, the placenta is not as efficient at providing nutrients/o2 when they are post either. They ar more likely to be oligo and then more likely tol be intolerant of labor because of the cord...

  5. Three minute scrub?

    lovemyjob replied to Mimi2RN's topic in NICU, Neonatal

    Everyone does a three minute scrub when they enter (there is a clock at the sink.) No on ecan visit fro 7-8 AM/PM. Parents list four people ho can visit w/o them being present. Parents can bring a...

  6. Experiences with post-maturity

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

    post dates = mec aspiration!! Not to mention CPD (cephalopelic disproportion) and shoulder dystocia. Post dates does not come without risks, just like preemies or near-termers. I would also be...

  7. Pet peeve!!!

    lovemyjob replied to dawngloves's topic in NICU, Neonatal

    That top one has some in the no-no zone. It is sad that some nurses dont think/care that they could be effecting this childs ability to walk. Not inlcudig the facgt that I bet it hurts like a...

  8. How is lab collection treated in your unit?

    lovemyjob replied to LaNICUnurse's topic in NICU, Neonatal

    Our nurses do PICC's. I dont think our docs even try. It is great that they can do them because they can do it all shifts (there is always a picc nurse there) so if days doesnt get it nights can...

  9. on smoking...

    lovemyjob replied to cookiemonsterrn's topic in General Nursing

    Many smokers know it is bad for you but dont know the reality of what it causes. In our position, we SEE the effects and we literally watch someone die from it. Actually seeing it happen and just...

  10. gavage feeds and paci's

    lovemyjob replied to elizabells's topic in NICU, Neonatal

    Pacis have also been shown to block the transmission of painful stimulus from reaching the brain because of how close some of the pain pathways are to other parts of the nervous system (can not...

  11. How is lab collection treated in your unit?

    lovemyjob replied to LaNICUnurse's topic in NICU, Neonatal

    In my facility the nurses obtain their own labs. Some of our nurses will obtain lab samples via the vein as above.....but...we have found that we are losing potential iv sites by this practice. We...

  12. How is lab collection treated in your unit?

    lovemyjob replied to LaNICUnurse's topic in NICU, Neonatal

    Also in the south, we also do our own labs. 0.5 for a CBC D/R/P and about 0.6 for a BMP, T&D Bili, mag, po4, tg, drug levels, CRP, 0.5-1 for a culture, 2 for a ype and screen. Have heard of a...

  13. How is pain treated in your NICU? (Particularly on HFOV or SIMV)

    lovemyjob replied to hmarandola's topic in NICU, Neonatal

    Like I said, I went straight to the nursze manager the next time I worked...it has sort of been strange because she emailed me recently and said that after looking through the chart the baby was on a...

  14. Broviac placed... in the leg?

    lovemyjob replied to wee one rn's topic in NICU, Neonatal

    Sounds like a

  15. Refusing prenatal ultrasound

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

    I am not trying to say anything about midwives v. OB because I think whether the mom chooses to have a prenatal US or not has nothing to do with midwives or OBs...I guess what I am saying is that I...

  16. Refusing prenatal ultrasound

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

    I can totally understand not getting an amnio. In my experience, they are usually false positives. Also, an amnio poses many more risks than an US. But what I am wondering is whether you found out...

  17. Refusing prenatal ultrasound

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

    When people say that an US wouldnt change anything about what they did, does that include placenta previa, in which baby and mother would die in a short period of time? What about a baby who was...

  18. How is pain treated in your NICU? (Particularly on HFOV or SIMV)

    lovemyjob replied to hmarandola's topic in NICU, Neonatal

    One of our clinicians said that NICUniversity has a great CUE opportunity and some great lectures on pain from a woman who has her doctorate in some sort of pain something. Might be helpful in...

  19. How is pain treated in your NICU? (Particularly on HFOV or SIMV)

    lovemyjob replied to hmarandola's topic in NICU, Neonatal

    What kind of surgeries do you see babies coming back extubated? We have had that happen a few times and it really worries me that they werent appropriatly dosed during surgery. How can they extubate...

  20. Broviac placed... in the leg?

    lovemyjob replied to wee one rn's topic in NICU, Neonatal

    Those broviac catheters are pretty big.....I would think it would totally occlude the vessel. Maybe it is a longer, smaller catheter. Hmm. I also cant imagine that it is anchored very deep...like...

  21. Looking for stoma care info

    lovemyjob replied to dawngloves's topic in NICU, Neonatal

    I have used benzoin twice and found it to work exceptionaly well. However, the kids I used it on did not have any broken down skin so maybe the benzoin was

  22. How is pain treated in your NICU? (Particularly on HFOV or SIMV)

    lovemyjob replied to hmarandola's topic in NICU, Neonatal

    I do agree that measurig pain in a neonate is nearly impossible. But I also believe that, micropreemies especially, can experience pain by mearly being touched and that is we are going to give them...

  23. How is pain treated in your NICU? (Particularly on HFOV or SIMV)

    lovemyjob replied to hmarandola's topic in NICU, Neonatal

    Our docs do not prescribe pain meds for the sole reason of being ventilated. I wish we did because I cant imagine being on an oscillator and being conscious. I have read that versed has an...

  24. Securing OGTs

    lovemyjob replied to millyk30's topic in NICU, Neonatal

    SCARY!!!!

  25. Looking for stoma care info

    lovemyjob replied to dawngloves's topic in NICU, Neonatal

    We use the stoma adhesive paste directly around the stoma, then a trick I learned is to takle a little bit of water on your finger and mold the paste so that it is completely surrounding the stoma....