Mofe'ny

Mofe'ny

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All Content by Mofe'ny

  1. IV Starts

    Help! How many times do you all try to start an IV on a baby? I get so frustrated sometimes. We will normallly try a total of 4 - 6 times(different staff RN's) before calling the NP's. I was ready...
  2. IV Volume Control Sets

    What about switching to all syringe pumps? That is what we did and it is SO much easier. Not only for buretrol issues, since the pump will alarm when the syringe is near empty, but priming fluids and...
  3. Lemon swabs for oral care? Opinions, please!`

    We don't use lemon swabs either. Normally just gauze and H2O then some Sweet-ese if it is a fussy
  4. IM Vitamin K & filter needles

    Yes, that is how we do
  5. And how was YOUR day?

    ((((((((((HUGS))))))))) Hope they are both feeling better. Try to get some sleep--- that normally helps
  6. Do you use the rule of 6's still?

    6 x wt in Kilograms x desired dose in mcg/kg/min divided by desired amount of fluid ml/hr equals mg of dopamine to add per 100 ml of solution The STABLE program recommends this for dopamine...
  7. What is your biggest nursing pet peeve?

    Family members (normally Grandmothers) that ask 5 times how long the baby is--- while I am trying to make sure the baby has a 5 minute apgar of more than 2. Then they get upset that you haven't...
  8. Crash Sections

    Just wondering if this happens at other hospitals. I work WBN & NICU, so I don't understand all L& D ! We had a crash section the other night with mom only having a local...
  9. Indocin infusion

    Ok, Maybe this will help. I just read about this the other night. I am quotingfrom "Neonatology: Management, Procedures, on- call Problems, Diseases and Drugs" 5th edition by Tricia Lacy Gomella...
  10. C-Reactive Protein

    We've been using CRP's for about 6 months or so with admissions. At the ANN conference in Vegas I heard that when doing a CRP on a baby less than 24 hours old, it could be positive due to maternal...
  11. q3hr bolus OG/NG feedings

    We run all feeds on a pump over 30 minutes unless otherwise specified. We also use silastic tubes, that, according to policy, can stay for 30 days. I have never seen one last that long before it got...
  12. Medication checks

    We also double check all meds and co-sign the MAR of any drugs that we mix. Pharmacy mixed meds do not have to be co-signed. This policy changed within the last two years. We are not allowed to do...
  13. Telephone orders...read back and verified...

    Whoa, we had our survey mid february. Guess what! WE have a selfinking stamp that says, "Read back and verified, _______________ RN / LPN" And with several doctors we have been told to have 2...
  14. IV Starts

    Wow I just read this thread again for the first time in months. Just wanted to pass on some encouragement to those of you still struggling with IV's. For me it seemed that once I was able to get a...
  15. gavage feeds

    Nicugal, I will have to look & see who makes our 5 FR silicone tubes. I work again Saturday night, so will try to look
  16. gavage feeds

    In our unit we use the 5 fr silicone feeding tubes, that can stay in for a 30 days. We normally do NG feeds, but our neo is wanting to switch to all OG feeds. The nursing staff has fought this...
  17. Need a reference Book for NICU

    Handbook of Neonatal Intensive Care by Gerald Merenstein and Sandra Garner Check out the thread titled Recommended reading for NICU or something like that. It is on the 2nd or 3rd page, but gives a...
  18. Holiday Decorations and Infection Control?

    Hi, Yes we do decorate, but mainly the non patient care areas. We have a central nurses station that we decorate and put up a small tabletop tree (with no lights!!!!) We made construction paper...
  19. Crash Sections

    Well, I also heard that he left the OR when th OB started cutting to tell the family that he couldn't put mom under due to his bent key. when the CRNA got up there from the main OR and they put mom...
  20. BID vs q 12h

    Respiratory is normally prett good for us, it is the hospital pharmacy. TID AC is to them 0730, 1130, and 1730 or something like that, for say reglan or something. Guess the baby is going to just...
  21. BID vs q 12h

    BID in our NICU is Q 12 hours. We have fought with pharmacy and respiratory about this too. Our neo & peds told them that Babies are different!!!! We schedule resp. treatments around feeding /...
  22. Will someone please tell me I am not crazy? The other morning on my way home from work, I was listening to the Today show on the radio, and They were talking about a CRNA and MD being investigated...
  23. Reused needles & Hepatitis Outbreak

    Thanks memphispanda. Glad to know I am not completely losing it! I think it is awful
  24. Jcaho

    I have a ? about ID bands. What happens when your micropreemies "outgrow " their bands? do you reband them? i have seen them taped on at our NICU and Just wondered if this was