Zippedodah

Zippedodah

NICU,PICU

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All Content by Zippedodah

  1. A question for some research we are doing

    Cyclomydril (Cyclopento 0.2%/Phenyleph 1%) one gtt to each eye x 3 every 5 minutes. Glucose on the paci, or a little bit dribbled into their mouth if they are intubated. They really just hate to...
  2. Interview Questions

    For the interview, we usually have the person shadow a nurse for 4 hours to see what our unit is like. Then for the interview you would be asked what drew you to NICU, what do you think your tasks...
  3. VLBW infants and positioning

    I've never heard of that? To me, midline means flat on your back, face up. We nest our kids and keep them calm and quiet. It is more stress, high vent settings and deep fluctuations in BP that can...
  4. I've been reading about it....it will be interesting to see if we trial it where I work. Keep us
  5. Use of Methadone for NAS Infants

    Oh yeah, if the mom is on the program and there aren't any X's in her box, then Baby goes with Mommy. Or if there aren't any foster homes available in the county, then Baby goes with Mommy. I...
  6. My First Transport

    For those of you that don't go with a doc, what would you do if the kid turned bad, really bad and you were on the road? I'm glad we take a fellow, because there have been times when we got there and...
  7. Pts abusing "cultural/religious" practices to manipulate RNs

    We have orthodox Jews where I work, and yes, they can't "activate" anything electrical, so we do it for them It isn't really a big deal to push an elevator button...surely a post c/s mom who is...
  8. My First Transport

    Ours is voluntary....I only go by air now since I have a habit of becoming very sick in the ambulance. We have criteria...have to be a staff nurse for 2 years, have NRP/STABLE, experience in going to...
  9. Use of Methadone for NAS Infants

    We use methadone for most withdrawls. We don't send kids home of methadone...esp. if the parents are
  10. How often do you change your indwelling fdg tubes?

    We use silastics and leave them for 30 days. If they aren't silastic then we do change them every day. I'd like to see the research on this. We only have, maybe, one to two cases of NEC per year,...
  11. My First Transport

    Ah, the first transport...thankfully we go by air for most of ours! When we do go by ground, we go "hot" so we don't get stuck anywhere. We always go with RT and a fellow, so if that babe had...
  12. I woke up during surgery, Have you?

    I wasn't all the way out when they paralyzed me before tubing me....that was a terrifying experience! I remember exhaling and then not being able to breathe. When I woke up I said something to the...
  13. New Grads - Rotten Shifts?

    I think that it depends on if there is an opening on days. Where I work, as people leave day shift it is opened up and goes by seniority. There is nothing wrong with that, as a matter of fact, we...
  14. Is your first temp on a new admit..

    Prmns....LOL I love when people use their critical thinking skills LOL We had a transport one time that they said passed stool, but it didn't have an opening...turned out to have a fistula into the...
  15. Need advise on IV's

    Some kids are just like that....can't get a line in to save your life. Why don't you like scalps? If we know we can get one in quicker than sticking hands and feet many times, we will. IMO, they...
  16. million dollar babies

    it is probably because they have to sell their house to make the payments, so yes, they are losing their home. they have to rent usually after that or move in with family. this has happened to a few...
  17. Can an LPN work in NICU

    we don't have any, we haven't for about 16 years now. i think our peds floor might have one or
  18. what is the normal urine output for neonate?

    Anything less than 1 gets
  19. nicu pocket gear

    Chapstick pens/highlighter/pencil scissors calculator alcohol wipes small penlight I clip my hemostat on my jacket with a roll of tape on
  20. million dollar babies

    i have a friend whose baby was in my unit. this baby was 26 weeks, had mulitiple problems, readmissions, vsd repair, caths, etc. total hospitalization almost one year. she also works at the same...
  21. A Celebration for Gompers

    i hope all goes well! and yes, sleep when you can...i remember being so tired, and you can do that with the first one, sleep, and enjoy your
  22. Syringe Feeding Near Term Infants

    no way. first, with syringe feeding...it seems that most comes out the other side...so why? and with finger feeding, unless you are using a sterile glove, who knows who's dirty hand has been in that...
  23. Article on MSNBC about 22 weekers

    If I had a dime for each parent that said they wish they knew what was going to happen, I'd be darn near retirement by now. We all cringe when we hear the beepers going off for 22 weeks....we just...
  24. blood , plasma and platete transfusion

    We run plts 30-60 minutes, depends on the kid. Boluses and FFP usually over 30 minutes...you want to get the volume in and the BP up. On our tiny ones, we keep blood out and transfuse automatically...
  25. NCC questions

    I suggest getting their core curriculum book and the test book that goes with it. That is what we use at work. It is very good and follows the NCC curriculum. Just take it piece by