Mofe'ny

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 to cry this morning when I left work, because after...

Just a little background about my unit first! I work in a Level 2 NICU. Our normal staffing is 4 RN's and 1 LPN per night shift. This is to cover our level 2, level 1, and well baby nursery as well as transport services to pick up NB's at other c...

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 adjusting drip rates are now simplified. We love o...

We don't use lemon swabs either. Normally just gauze and H2O then some Sweet-ese if it is a fussy kid.

Yes, that is how we do it.

((((((((((HUGS))))))))) Hope they are both feeling better. Try to get some sleep--- that normally helps too.

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 calculations, and references this to the NRP program. Instea...

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 measured them yet. The younger the baby's gestational a...

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 anesthetic!!!!!:imbar I wasn't working (Thank Goodness). But I...

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 page128 "Several methods are currently being recommende...

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 factors. I am now trying to find documentation of t...

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 pulled out. Another question- the textbook that ...

Our continuous feeds are also changed Q 4 hours. HMF is a charge item here though. So, Kristy, any new info from Similac?

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 any K-- only the doc or NNP's can mix that. Our me...

Well, what really gets me is when I got to work the other night and was told," I am so glad to see you, this kid has not quit screaming all night long, and I am sick of it." My sweet response" Babies CRY!!!" I didn't add----- Especially in the N...

Well, what really gets me is when I got to work the other night and was told," I am so glad to see you, this kid has not quit screaming all night long, and I am sick of it." My sweet response" Babies CRY!!!" I didn't add----- Especially in the N...

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 people on the phone when taking any orders from these ...

OH MY GRACIOUS!!! I HATE JCAHO! We just had our survey MId February. OK, the night before the surveyors were to come through our unit, our manager came through with a list of things to be done including: "Clean the wheels on all the IV poles." And...

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 few IV start in a row, I haven't really had much tr...

Ditto what KRVRN said for administering gent, etc.. Here's a question for those of you that mix your own meds..... Do you have to verify them with another RN? We changed our policy about 18 months ago and now ALL MEDS given must be verified & ...

My sis in law had bleeding with her son at about 18 - 22 weeks. finally figured out it was because she was taking 'Aleve'. Her OB had her stop taking that and she didn't bleed again. Check out what "harmless" OTC meds she might be taking.

Ok, we have the preemie swaddlers and love them. i don't like the wee pees in comparison with the pampers. The velcro is wonderful. The neat thing about the swaddlers is that you can stretch them if necessary by pulling the back & front of the ...

I took several review books & met with a friend for a few days in May after Graduation. We mainly hung out at the pool in her housing development, went swimming, and relaxed. Took the NCLEX July 3, and it cut off at 86 questions. Other than t...

So what all do you have on bed that is set up for an admission? If you are called to go to a high risk delivery do you open supplies prior to the baby being in the NICU? In our unit it is up to the RN who is responsible for checking the emergency eq...

Well, here's another 'sweet southern girl' who's changed. Much more outgoing, assertive, and the weird sense of humor to go along with it. Went from blushing when my older brothers used to tease me to actually making one of them blush the other day...