wensday MSN, RN, APN, NP

NICU and neonatal transport

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All Content by wensday

  1. wensday

    Pressors and Arterial Lines

    wensday replied to HarleyNrs's topic in NICU, Neonatal

    We have art lines as much as possible. With regards to the using up routes, we have a 2strikes policy. If the more juniors don't get it after 2goes it moves up in seniority. Usually in the really sick...
  2. wensday

    Have you been bagging babies?

    wensday replied to dawngloves's topic in NICU, Neonatal

    Re: holes in the bags, we put them in up to thier chin and sort of bunch it up around the neck. No holes at all while intubating etc, then if required on delivery, hole for UVC/UAC and a hole for one...
  3. wensday

    Is this upsetting to anyone else?

    wensday replied to Gompers's topic in NICU, Neonatal

    That is very sad. The doctors and nurses said 'never' because they didn't want this baby to maybe grow up into a child and an adult that needs constant care, that may not be able to articulate pain...
  4. wensday

    spinoff to sibling visitation

    wensday replied to preemieRNkate's topic in NICU, Neonatal

    We allow all siblings at any time regardless. Except if they have colds etc but thats the same for anyone. Other kids its over 16s only, even if it's mums little brother or whatever. Would love to...
  5. wensday

    Giraffe Beds - how often do you change them?

    wensday replied to grlgid's topic in NICU, Neonatal

    I love the Giraffes too! Annoyed at myself though because one of our older babies (prev 550g) was doing well and there wasn't any spare giraffes about cos the management have started moving spares to...
  6. wensday

    nicu pocket gear

    wensday replied to adrienurse's topic in NICU, Neonatal

    Just flicking back through older stuff and found this fascinating! For a start what is a Sharpie? I'm on my break and going through my pockets etc. I've got: Name badge on my chest ID badge on pully...
  7. wensday

    How do u deal with death?

    wensday replied to dares_to_care's topic in NICU, Neonatal

    I agree, it's all about what the parents want. Encourage them to spend as much time as possible with thier baby, take pictures and footprints etc. It's ok to cry with parents as they realise you do...
  8. wensday

    How to treat umbilical cord?

    wensday replied to sofiam's topic in NICU, Neonatal

    We use chlorhexadine powder with cares (usually 8hourly nappy, linen, suction or whatever) and never see any redness or signs of local
  9. wensday

    ET tube

    wensday replied to mawjood's topic in NICU, Neonatal

    We use something a bit like the clamp you were talking about but it's properly manufactured! Tried googling a picture but there isn't one. Its a very soft piece of clear plastic/rubbery stuff about an...
  10. wensday

    Giraffe Beds - how often do you change them?

    wensday replied to grlgid's topic in NICU, Neonatal

    Yeah we change weekly too, that goes for all incubators but obviously if they are really sick then we leave them alone. Part of the morning checks and jobs is cleaning your inc inside and out with...
  11. wensday

    At what gestation would YOU want YOUR baby saved?

    wensday replied to StacyC417's topic in NICU, Neonatal

    We resus It's the worst thing in the world to care for a baby on millions of infusions, awful head scans, loads of sedation and when their skin starts breaking down due to gross oedema....and the...
  12. wensday

    Hypoxic Brain Injury & Elective Hypothermia... Who's doing it?

    wensday replied to SteveNNP's topic in NICU, Neonatal

    Hi, we've just finished the TOBY trial and will be having it as our policy. http://www.npeu.ox.ac.uk/Toby/ I work at Liverpool Womens Hospital,
  13. wensday

    Skin care for Premature Neonates

    wensday replied to wrighty's topic in NICU, Neonatal

    We have humidity for under 28 weeks I think, the tiny ones get all hot and steamy. We use Cavilon spray under all adhesives as it makes them stick really well but doesn't take the skin off. We do...
  14. wensday

    Cup Feeding Strikes Again!

    wensday replied to TiffyRN's topic in NICU, Neonatal

    On nights there is a term used 'Magic Cup-feed'. It's a bottle. Those big low sugar babies that are starving but can't quite figure out the cup, because they are that hungry it just goes everywhere as...
  15. wensday

    Bubble CPAP chin strap help!!

    wensday replied to rainbows4me's topic in NICU, Neonatal

    We use the strapping from photox masks, it's just like felt or something and we run it under the chin and tape it to the CPAP hat- bubble or flow driver alike. Seems to work pretty well although they...
  16. wensday

    Non-viable baby, born alive -parent won't hold him, what do you do?

    wensday replied to enfermeraSG's topic in Ob/Gyn

    I would consider if the gestation was correct. Horrible situation to be in, but with any death, lots of cuddles seem to be the kindest and most natural thing to
  17. wensday

    My baby got lipid burns

    wensday posted a topic in NICU, Neonatal

    Hi all. Feeling hugely bad and sorry for myself. was looking after a 26weeker, on CMV doing ok but CRP is sky high and is showing general deteriation ?due to sepsis. SO they took the longline out as...
  18. wensday

    NICU to PICU

    wensday posted a topic in PICU, Pediatric

    Do you reckon this transition would be hard for me? I'm paeds trained but haven't done any
  19. wensday

    My baby got lipid burns

    wensday replied to wensday's topic in NICU, Neonatal

    Thankyou! I had the same baby today and it looks much better
  20. wensday

    Afc

    wensday replied to paris2's topic in International Nursing

    It's just so annoying! I didn't come into this job for the money obviously and if it ever became just that then it wouldn't be the job for me
  21. wensday

    Horrors Of Horrors

    wensday replied to madwife2002's topic in International Nursing

    It's dangerous though isn't it? In a resus situation and they mumble something at
  22. wensday

    Afc

    wensday replied to paris2's topic in International Nursing

    This might seem a bit petty but I think I'm worth more money than they are giving me!! I'm a newly qualified paeds nurse and am currently doing a year course/job thing which gives me a study day each...
  23. wensday

    Adding Fortifier ??

    wensday replied to cmorriscat's topic in NICU, Neonatal

    Back to the original topic... I put a bit of EBM in the lid and mix it up, adding more EBM till its not lumpy
  24. wensday

    Ok, RANDOM question.What do you think of anne geddes pictures?

    wensday replied to t2000JC's topic in NICU, Neonatal

    I like them in general, although a lot of them are downright daft.....the flower type ones particularly. We also have them up in our unit, in fact in all four units I have worked
  25. wensday

    Including ALL fluids in total allowance?

    wensday posted a topic in NICU, Neonatal

    I have recently started work at a large respectable NICU and discovered they have changed thier policy of calculating fluids. Basically (I presume this is the same worldwide) you do 75-180ml/kg/day...