wensday MSN, RN, APN, NP

NICU and neonatal transport

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All Content by wensday

  1. wensday

    In need of some support - absolutely devastated

    wensday replied to The_Muffintime's topic in NICU, Neonatal

    Sorry you had such a rubbish day, we've all had babies we struggle to forget for one reason or another. I think as the others have said, you can't presume to know the back story, but it's so hard to...
  2. wensday

    Interview for Neonatal NP

    wensday replied to ORRN1228's topic in NICU, Neonatal

    Hi, hope I'm not too late, been away from here for a while. I finished my ANNP MSc last year. The questions for my interview put me in different situations, one about a reg doing something you didn't...
  3. wensday

    Sedation choices for vented babies

    wensday posted a topic in NICU, Neonatal

    Hi all, Do you give your babies sedation for ventilation and if so, what do you give? This is for continuing ventilation, not intubation itself. We give Sux and Fent to tube and then morphine for...
  4. wensday

    Any suggestions for presentation props?

    wensday replied to futurennp1's topic in NICU, Neonatal

    Various nappy sizes, tape measure, vest/hat, little doll about the size of a smaller prem. ECG dots and a picture of a little prem with the same dots, for size
  5. wensday

    UK NICU?

    wensday replied to may1787's topic in NICU, Neonatal

    We start with eg 1ml every 2hrs, then go up by 1ml every 8/12/24hrs depending on how small/sick/tolerant the baby is. So a little AEDF/IUGR 24wkr would start on maybe 0.5ml/2h and go up to 1ml/2h 24h...
  6. wensday

    Handling Emergencies Outside the Unit

    wensday replied to sergel02's topic in NICU, Neonatal

    I reckon I could get an IV in a gigantic
  7. wensday

    Handling Emergencies Outside the Unit

    wensday replied to sergel02's topic in NICU, Neonatal

    This came up recently as mid-transfer an NNP was asked to help at a serious RTA that happened right in front of the ambo, well baby inside with RN looking after it. This is WELL out of my comfort zone...
  8. wensday

    UK NICU?

    wensday replied to may1787's topic in NICU, Neonatal

    Interesting to hear your perspective as this is my norm :) We've just started e-rostering and most units locally are too. Nurses here do all vent changes as standard, the medics wouldn't have a clue....
  9. wensday

    sneakers/shoes

    wensday replied to heather717's topic in Scrubs, Uniforms, Gear

    Our whole ward wears skechers go walks. They are light as air and are so comfy with memory foam in the sole
  10. wensday

    Sedation choices for vented babies

    wensday replied to wensday's topic in NICU, Neonatal

    Thanks for your replies, it's really interesting reading the different practice. When I started out all our vented patients were on morphine and midazolam (Versed). Ten years later and we tend to use...
  11. wensday

    UK NICU?

    wensday replied to may1787's topic in NICU, Neonatal

    Hi I'm a trainee ANNP, 11yrs NICU nurse practice. It all depends on the unit you go to, there is a great variety of acuity and levels. So the NNU I work in is a big tertiary level based in a womens...
  12. wensday

    Do you filter trauma blood?

    wensday replied to IvoryLena's topic in NICU, Neonatal

    We use a blood giving set which has a spike and filter within the set, its pretty easy to spike and attach a syringe to, then we unscrew the syringe and push into the baby via whatever access. I've...
  13. wensday

    Sedation choices for vented babies

    wensday replied to wensday's topic in NICU, Neonatal

    Thanks, yes we use Vec sometimes
  14. wensday

    COMPUTER CHARTING

    wensday replied to mina123's topic in NICU, Neonatal

    We use the badger system (UK), all our care is on the computer, monitoring, fluids, blood gases + lab results automatically input to the baby notes then we add our own notes as we go
  15. wensday

    Your local policy on caring for Jehovah's Witness neonates

    wensday posted a topic in NICU, Neonatal

    Hi all, I know this is an often discussed topic but I'm writing an ethical paper on the differing care between babies of Jehovah's Witness and non JW families. My thought is this... should we be...
  16. wensday

    Your local policy on caring for Jehovah's Witness neonates

    wensday replied to wensday's topic in NICU, Neonatal

    That's really interesting thanks, we tend to transfuse at least one baby each day, at least 10-15 pw I would estimate. This is a 50 bed NNU. We only use EPO for JW babies, with the recent evidence of...
  17. wensday

    Looking for some support on how to keep focused in the face of short staffing and pressure

    wensday replied to tinkerbell419's topic in NICU, Neonatal

    I would complete an ACE (incident) form every shift. That is how we got out of the same situation. They are a PITA but they worked for us. A form every time staffing is low, every time you don't get...
  18. wensday

    Nurse Slang Yo!

    wensday replied to ladysushi's topic in General Nursing

    Yep and you have to ask "has anyone seen
  19. wensday

    Unplanned extubation while on orientation

    wensday replied to tictac's topic in NICU, Neonatal

    Same with us, we only CXR again if there is an unexpected deterioration and we are considering our options- infection, collapse
  20. wensday

    Unplanned extubation while on orientation

    wensday replied to tictac's topic in NICU, Neonatal

    This has happened to everyone at some point, so absolutely don't blame yourself! IMO someone should have gone though bagging with you, then you have the option of doing it straight off. Not your...
  21. wensday

    Neonatal Nurse Practitioner

    wensday replied to happyinmyheart's topic in NICU, Neonatal

    I'm training to be an ANNP in the UK at the moment. I've always wanted to do it since my nurse training, one of my supervisors was an ANP and I loved the role. So 11 yrs on as a NICU and transport...
  22. wensday

    Any 22 weekers out there?

    wensday replied to mauigal's topic in NICU, Neonatal

    50mins! Oh my days that's ridiculous for any baby, never mind such a prem. Sad that mum couldn't have that time holding her
  23. wensday

    chinstraps on ncpap

    wensday posted a topic in NICU, Neonatal

    Hi we have always used chinstraps to close babies mouths when on cpap. This keeps the flow lower because its not lost out of their mouth when it gapes open. There is now some discussion they are not...
  24. wensday

    chinstraps on ncpap

    wensday replied to wensday's topic in NICU, Neonatal

    Bortaz thats what we used to use but now we have fp proper ones with velcro in different sizes. Nicugal why didnt you like
  25. wensday

    chinstraps on ncpap

    wensday replied to wensday's topic in NICU, Neonatal

    Yeah my thoughts exactly. It just works, really can't understand why we would stop using them. I think we will end up using a much higher flow to maintain