preemieRNkate RN

Level III NICU

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All Content by preemieRNkate

  1. preemieRNkate

    Top Tens

    preemieRNkate replied to minky84's topic in NICU, Neonatal

    Top 10 medications Ampicillin Gentamicin Caffeine citrate Elemental Iron Aldactone Chlorothiazide 24% Sucrose Morphine Dopamine Dobutamine This is what I can think of off the top of my head. Someone...
  2. preemieRNkate

    Positive urine tox for alcohol?

    preemieRNkate replied to preemieRNkate's topic in NICU, Neonatal

    So, thanks to another thread over in the General Nursing forum, I found a possible answer. Urine can test positive for alcohol if one is dehydrated, or if the urine has high levels of sugar or...
  3. preemieRNkate

    Pressure limits on infusion pumps

    preemieRNkate replied to corks's topic in NICU, Neonatal

    We use medfusion pumps for everything in a syringe. Feeds, meds, blood transfusions. We don't have special syringes for feeds, so most of us are meticulous about labeling what is hanging. It would be...
  4. preemieRNkate

    Funny Names

    preemieRNkate replied to nurserynurse55's topic in NICU, Neonatal

    :chuckle:chuckle:chuckle Thanks for the laughs guys! I needed them after a crappy day at
  5. preemieRNkate

    Funny Names

    preemieRNkate replied to nurserynurse55's topic in NICU, Neonatal

    Will you hypenate something there? Or will your kid have 3 names? Cause that's kind of weird.
  6. preemieRNkate

    Pressure limits on infusion pumps

    preemieRNkate replied to corks's topic in NICU, Neonatal

    We recently switched over to the Alaris pumps as well. I like them! We only have IV infusion channels right now, but hopefully someday we can get the syringe pump channels as well. Steve, did you use...
  7. preemieRNkate

    Parents and Firing Nurses

    preemieRNkate replied to sunny17's topic in NICU, Neonatal

    Yeah, there is nothing worse than giving report that the baby had a horrible night and then coming back and hearing, "I don't know what you were talking about, he was so good for me today!" I'm a...
  8. preemieRNkate

    Iv Cannulation Insertion Tips And Documentation

    preemieRNkate replied to johan john's topic in NICU, Neonatal

    A nurse that I used to work with told me that the unit where she had previously worked had placed IVs on the abdomen. I couldn't believe it! We don't do it, but sometimes when I see those juicy...
  9. preemieRNkate

    Funny Names

    preemieRNkate replied to nurserynurse55's topic in NICU, Neonatal

    Tequila Rose. I suppose we're naming our kids after our favorite drink now? Someday I'll have a little baby Pinot
  10. preemieRNkate

    Positive urine tox for alcohol?

    preemieRNkate replied to preemieRNkate's topic in NICU, Neonatal

    Well, there was an MVA involved, followed by the stat c-section. So I guess we're thinking that she may have been driving drunk. I've been off for a few days, so I don't know if anything new has come...
  11. preemieRNkate

    Intravenous blood draws

    preemieRNkate replied to aleanth's topic in PICU, Pediatric

    For scalp IVs, we put the tourniquet lower on the head than the vein that we're aiming for. For example, if it's the vein that runs straight down the forehead, we'll stretch the tourniquet across the...
  12. preemieRNkate

    New to Burn Nursing

    preemieRNkate replied to ZuZuTrauma's topic in Burn

    I don't work with burns (or adults for that matter), but I just wanted to wish you luck. My bf is a FDNY fireman, and one of his best friends was at Cornell for a few weeks 2 years ago. My bf raved...
  13. preemieRNkate

    Hardest things to deal with in NICU...

    preemieRNkate replied to RN2B73's topic in NICU, Neonatal

    Well, we're all responsible for family support. By "we," I mean the nurses, the docs, the NPs, social work, the chaplain, whoever else may have a role in the baby's care. Also, I would imagine that...
  14. preemieRNkate

    Parents and Firing Nurses

    preemieRNkate replied to sunny17's topic in NICU, Neonatal

    Yeah, we've had a few parents of chronic babies complain about this, that and the other thing and all we can think is, "just wait til your first re-admission to peds/PICU after you go home." Not that...
  15. preemieRNkate

    Parents and Firing Nurses

    preemieRNkate replied to sunny17's topic in NICU, Neonatal

    Yeah, usually those families are the ones that nobody wants to deal with. We have a family right now who wanted to pick nurses. I asked to be put on the "bad list," with no such
  16. preemieRNkate

    Parents and Firing Nurses

    preemieRNkate replied to sunny17's topic in NICU, Neonatal

    It depends on the situation. We have allowed parents to pick and choose their nurses, but our typical response is that "all nurses on this unit are qualified to care for your baby." If the parents...
  17. preemieRNkate

    Morphine Administration of very small doses

    preemieRNkate replied to dance45's topic in NICU, Neonatal

    Yeah, we draw up what we need (the 0.1 ml) and then do the dilution and then waste the rest of the med and the extra of the dilution in front of each
  18. preemieRNkate

    Morphine Administration of very small doses

    preemieRNkate replied to dance45's topic in NICU, Neonatal

    I don't know if I'm really explaining myself clearly, but doing a serial dilution the way we do it where I work is making a tenfold dilution. Anytime we have to give a med where it works out to be...
  19. preemieRNkate

    Morphine Administration of very small doses

    preemieRNkate replied to dance45's topic in NICU, Neonatal

    We do a serial dilution. 0.1 ml of the med, 0.9 ml of NS (or whatever diluent is compatible). If your dose is 0.05, you would give 0.5 ml of your dilution. We have 2 mg/ml morphine as well, so in this...
  20. preemieRNkate

    peripheral line insertion

    preemieRNkate replied to corks's topic in NICU, Neonatal

    Ditto for us. Our PICC kits come with the chlorohexadine preps in
  21. preemieRNkate

    Volunteering in the NICU (finally!!)

    preemieRNkate replied to luvmy3kids's topic in NICU, Neonatal

    Well, if they have any babies that had some kind of GI issues, your chances are good! They tend to be super cranky, and there have been times where I have begged anyone and everyone to hold a GI baby...
  22. preemieRNkate

    brand spankin new neonatal transport RN!

    preemieRNkate replied to love4neos's topic in NICU, Neonatal

    :yeah: Congratulations! I go out on transports as often as I can (I'm always volunteering to go for others or picking up OT), but with an NP or a doc and I'm the RN. They do the intubations and line...
  23. preemieRNkate

    Holding an intubated baby with a UAC

    preemieRNkate replied to elizabells's topic in NICU, Neonatal

    We have the same "rule" in my unit too. I have let parents hold with ETTs and umbilical lines before though. More intubated babies than those with lines, but I have taken a baby with both out before....
  24. preemieRNkate

    Standardized meds times in the NICU

    preemieRNkate replied to neopremie's topic in NICU, Neonatal

    Us too, poly-vi-sol at 0900. Except we give caffeine at 1200 daily. Boluses are given whenever they are ordered and arrive on the unit from pharmacy. We also use standardized times for chlorothiazide...
  25. preemieRNkate

    Methadone research?

    preemieRNkate replied to Honeychild's topic in NICU, Neonatal

    Haha, us