nurseiam

nurseiam

NICU, PICU,IVT,PedM/S

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All Content by nurseiam

  1. How common are negative outcomes in NICU?

    nurseiam replied to LauraLou's topic in NICU, Neonatal

    A "good" outcome is one persons perspective! I have a ton of empathy for the parents that have no idea what they are getting themselves into. But like I said it is all in ones perspective on what...

  2. "Non Moms" good NICU nurses

    nurseiam replied to sdg's topic in NICU, Neonatal

    The only thing that helped was the ability to feed and change diapers! We started with the bigger kids. Learning in the NICU has more to do with being a

  3. How long to keep baby in nursery??????

    nurseiam replied to cokegal19's topic in Pediatric

    If the mom had gestational diabetes then it is important to start feeding right away so the blood sugar doesn't drop. It can drop very quickly. If it does then they would have to start an...

  4. Babies we'll never forget

    nurseiam replied to BlueYYsRN's topic in NICU, Neonatal

    I have been in the NICU for over 5 years. My most memorable is still my first. A 23 weeker born on the night my orientation staryed in the unit. I was in awe....I took care of her most of my...

  5. does hypoxia hurt

    nurseiam replied to likeminz's topic in NICU, Neonatal

    ( Parents decided to withdraw treatment. I felt that the baby would have survived without the morphine. That worries me. ) The longer you work in the NICU you might change your mind. As you take...

  6. Is your unit a collection of rooms or one big one?

    nurseiam replied to Mags4711's topic in NICU, Neonatal

    Our unit is large. there are 5 rooms that have from 6-potentially 14 spots plus an ICN for 26 pts. We used to admit into 2 of the rooms, special care in another and stable vent/NCP in the other two....

  7. At what gestation would YOU want YOUR baby saved?

    nurseiam replied to StacyC417's topic in NICU, Neonatal

    I don't think that anyone really knows until they are in that situation. And you have to remember that term or closer to it does not mean the baby is not at risk. I have a 37 week IUGR that is...

  8. My niece is a few days past 25 weeks and in the hospital....

    nurseiam replied to studentdeb's topic in NICU, Neonatal

    25 weekers can go either way, so best of luck to your family. I know a couple that had a 25 weeker that had a bilat grade 4 bleed in its brain(the worst) NEC and a PDA. When the parents removed the...

  9. How often do you use transducers with UVCs?

    nurseiam replied to kmaryniak's topic in NICU, Neonatal

    We never use a transducer on a UVC. UAC/UVC are ALWAYS sutured and secured with opsite. We rarely use dobutamine, mostly dopamine. We also just stopped routine use if Indocin for

  10. PICC Dressing Changes

    nurseiam replied to donnuchi's topic in NICU, Neonatal

    We also have a high infection rate. We change ours within 12 hours of the 24 hours xray then PRN. We change our lines every 72 hours keeping everything sterile but not with all the garb! We also...

  11. Primary Centered Nursing

    nurseiam replied to JenniferBSN's topic in NICU, Neonatal

    We dropped primary nursing about 2 years ago because there was no real system and people would sign up for a 23 weeker then drop it after the CLD kicked in. Or the best families had a great team and...

  12. Pay rate poll

    nurseiam replied to NursesRmofun's topic in General Nursing

    My base in WA is $25.45 on Step 5 of 18. Night shift is $4, RNC is $1 and I do Charge alot @

  13. Primary Care

    nurseiam posted a topic in NICU, Neonatal

    I know I have asked questions about this in the past but..... Two years ago we stopped doing primary care. It was being abused by people wanting to stay in the intensive part of the unit, the babies...

  14. Early Extubation in micro-preemies

    nurseiam replied to Gompers's topic in NICU, Neonatal

    Right now we tend to leave them intubated but there are soooooo many Et tube bugs...... We also have a newer NCP that can use little mini masks so their nares are not looking like garden hoses have...

  15. Primary Care

    nurseiam replied to nurseiam's topic in NICU, Neonatal

    Does anyone have a guideline or policy or is it just one those this is how it

  16. Minimal handling policies

    nurseiam replied to kmaryniak's topic in NICU, Neonatal

    Minimal handle is q 4 hours. They are done on an even or odd. But somehow the doctors, specialist, xray......they don't know what "leave me alone I am a sick or just growing preemie"

  17. NICU nurses resistant to holding babies?

    nurseiam replied to marnie's topic in NICU, Neonatal

    My pet peeve is that people in our unit think these big chronics need to be at the attatched childrens hospital so they can get "developmental, family centered care". The problem is that that...

  18. Tracheostomy- when?

    nurseiam replied to iceNICUnurse's topic in NICU, Neonatal

    In our unit they seem to think of a trach as a failure. When the time a baby has failed a few times his nech is not usually fat......but then we start all the doses of steroids and the multiple...

  19. Nurses and tattoos

    nurseiam replied to YCAussie's topic in General Nursing

    I have very small footprints on my ankle that are from a 23 week preemie that was in our unit. I took the prints off a shirt we had and then found out who they belonged to. I love to show them

  20. Definition of Level II Nursery?

    nurseiam replied to PedsNurse1981's topic in NICU, Neonatal

    I think laws are great but in our work it doesn't really mean much! What means more is when it comes to a lawsuit and it is discovered that this HIPPA baby had this tragic event because the nurse was...

  21. How do you cope with a baby with multiple problems?

    nurseiam replied to MrsWampthang's topic in PICU, Pediatric

    It is very hard to accept a prognosis when there is no DX. I have a daughter that was 4lbs @ term due to Graves Disease, gestational diabetes, Chronic hypertension, preterm labor, bleeding, severe...

  22. Definition of Level II Nursery?

    nurseiam replied to PedsNurse1981's topic in NICU, Neonatal

    [ I think normal assignments in a Level II are something like 4-8 babies per nurse, but I may be wrong. :) I say find another job if they are giving out 8 pt assignment. NANN has guidelines for...

  23. A slow night

    nurseiam replied to kitty29's topic in NICU, Neonatal

    WOW $.35 for charge...what do you do?? We get $2 and even at that I want to say bite

  24. My baby was a 24 weeker...

    nurseiam replied to foxy star's topic in NICU, Neonatal

    Congats! I am friends with one of our past parents. She had a 24 weeker then a 25 weeker! They told her it wouldn't happen again after the first one! I see them frequently! And they are doing...

  25. Travel nursing in Ireland?

    nurseiam replied to pedinurse03's topic in Travel

    I don't know anything about Travel assignments but my best friend and I spent 7 days there in Nov and we are hooked!!!!! The people are sooo nice but it is very expensive. Gas will kill you, thank...