Preemienurse23

Preemienurse23

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All Content by Preemienurse23

  1. NICU staff educators

    Preemienurse23 replied to jbgilb's topic in NICU, Neonatal

    Our last educator was occasionally seen on the unit, usually doing an IV or art line for someone. Our new educator is an NNP and wants to shadow a nurse so she sees our day to day lives, and how we...

  2. What to use on the nares to prevent breakdown of skin

    Preemienurse23 replied to wrighty's topic in NICU, Neonatal

    We use the cannulaid and its great. Previously we had not been using anything on there nose. If they were beginning to get breakdown, or redness we might put a little aquaphor on the red/brokendown...

  3. VENT.....this really sucks

    Preemienurse23 replied to WildcatFanRN's topic in NICU, Neonatal

    Wow. First dont give up on taking your boards. Just because your unit says that you are not a good fit, does not mean that you are going to be a bad nurse. I would ask your nurse manager why you were...

  4. WHY ARE NURSES SO RUDE to CNA's?

    Preemienurse23 replied to nurse2be123's topic in General Nursing

    I was a nurse tech and did a lot of CNA work, so I know how rude the nurses can be. Its horrible that there isnt one or two that are nice. I'm in the NICU, so we dont have CNAs, but when I'm floated...

  5. Why still IV gtt rates on exams?

    Preemienurse23 replied to FireStarterRN's topic in General Nursing

    That is a great way to make a potential drug error. Its not the Dr.s job to test

  6. HFOV vs Jet

    Preemienurse23 replied to Preemienurse23's topic in NICU, Neonatal

    They had CT's and still on CPAP? Wow. I havent seen that yet. We either vent, put on a NC or have on O2

  7. Policy/Practice with capped PICC

    Preemienurse23 replied to RN4Little1s's topic in NICU, Neonatal

    We put the kids on 1ml clears and then the next day HL/SL and check a glucose an hr later, then pull them. Sometimes we leave them in till the next day. But usually no longer than that. It would be...

  8. HFOV vs Jet

    Preemienurse23 replied to Preemienurse23's topic in NICU, Neonatal

    Wow! Fortunately we don't see a lot of chest tubes. But we do go through those periods where it seems everyone has

  9. Fluid Changing practices

    Preemienurse23 replied to NANSNURSE's topic in NICU, Neonatal

    Any PICC line tubing and the fluid bag are changed q24. We run our lipids in our TPN so we change that q24 on both PICC and PIV. As far as clears, if it is just plain D5,10 etc and a PIV, we change...

  10. HFOV vs Jet

    Preemienurse23 replied to Preemienurse23's topic in NICU, Neonatal

    We dont leave them in one positon for seveal days. We reposition them, back, side, tummy. We now are using a blue connector peice on our HPOVs that allow us to be able to turn them any direction...

  11. HFOV vs Jet

    Preemienurse23 replied to Preemienurse23's topic in NICU, Neonatal

    We start with the CMV with most of the kids, usually the little ones are started onthe HPOV and the Jet is our last resort. I was kind of in a panic mode when we put my little one on the Jet, I had...

  12. I hate NEC

    Preemienurse23 replied to Sweeper933's topic in NICU, Neonatal

    TPN kills the liver. I had one today who had 30cm of bowel removed due to nec and has liver issues. Hes on actigall, labs this am were : Alkphos 1252 (norm 44-147) , SGOT 222 (norm 20-55); SGPT 336...

  13. HFOV vs Jet

    Preemienurse23 replied to Preemienurse23's topic in NICU, Neonatal

    I did in error call both an oscillator. They are both High frequency vents. One has a piston, and the other doesn't. One pulls/pushes the air, the other pushes it down the center and and the the CO2...

  14. I hate NEC

    Preemienurse23 replied to Sweeper933's topic in NICU, Neonatal

    Someone posted once in one of the threads that NEC was evil incarnate, and I can think of no better way of describing it. I dont remember who or which thread

  15. What is the Highest Bilirubin you've ever seen?

    Preemienurse23 replied to dawngloves's topic in NICU, Neonatal

    I've only seen about 21, but I've only been there about 1.5years. We have had 2 exchanges, but they were on nights, so I did not get to actually see

  16. Assisted Ventilation Education??

    Preemienurse23 replied to figiwigi's topic in NICU, Neonatal

    We have a class on the vents in our orientation and we take care of them during out internship. But the higher vents (HPOV, jet, nitric) we don't get until we have experience. I had one that was on...

  17. IV air bubbles

    Preemienurse23 replied to I'mANurse!'s topic in NICU, Neonatal

    Remember that air flows UP. When you get to your hubs, turn them upside down so with fluid fills them. I usually hit them on the table to knock the air out. Same with filters, except I don't hit them,...

  18. Is this an outdated visitation policy?

    Preemienurse23 replied to Burnt Out's topic in NICU, Neonatal

    We allow up to 8 visitors that the parents designate who can come into the unit at anytime without mom and dad, related or not. Parents can also choose not to allow any visitors without either of them...

  19. Volunteer Cuddling

    Preemienurse23 replied to scrabblern's topic in NICU, Neonatal

    We have one cuddler. Shes older, so she dosent come regular, though I wish she was able to. I love it when I have a screamer and I dont have the time to sit and hold them. She does wrap the kids with...

  20. Funny Names

    Preemienurse23 replied to nurserynurse55's topic in NICU, Neonatal

    Ew. (No offense to anyone with these

  21. nasal intubation

    Preemienurse23 replied to Preemienurse23's topic in NICU, Neonatal

    We have started to use the neobars along with taping. I don't know if it has helped with unplanned extubations, but I'm not too fond of

  22. Developmental Positioning, Aids, and stuff like that...

    Preemienurse23 replied to NICU_Nurse's topic in NICU, Neonatal

    Some of our Z-flows have to "z-flow" cover. But we usually put a pillowcase on top of it to keep it clean because it has the straps. If they dont have the cover, we usually put a blanket or pillowcase...

  23. Humiliating IV questions

    Preemienurse23 replied to elizabells's topic in NICU, Neonatal

    Those are great tips. I'm getting better at IV's, but I've still got a long way to

  24. Funny Names

    Preemienurse23 replied to nurserynurse55's topic in NICU, Neonatal

    I've been seeing a lot of names ending in "izah, ijah." Like Urijah, Uziah. (both biblical, the first is a UFC fighter I

  25. Developmental Positioning, Aids, and stuff like that...

    Preemienurse23 replied to NICU_Nurse's topic in NICU, Neonatal

    We started using the z-flow about a year ago. They are great for the micros and the ones on cpap. They don't fit the bigger kids (30wks+) very well though. And they eventually lose the ability to stay...