HighCensus

HighCensus

neonatal

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All Content by HighCensus

  1. Looking to change our current practice regarding OG/NG tubes.

    HighCensus replied to beashers's topic in NICU, Neonatal

    We have three sizes of OG/NG 5 fr, 6.5 fr, and 8 fr. We choose the size depending on the patient's weight. We use the tube for both venting and feeding. If a patient has a 5 or 6.5 fr we will often...

  2. Baths on your unit

    HighCensus replied to debstmomy's topic in NICU, Neonatal

    I just got done developing guidelines for the use of bathtubs in our NICU in conjunction with infection control. Most evidence based information is going to be against the use of bath tubs. Because of...

  3. Visitation and family centered care

    HighCensus posted a topic in NICU, Neonatal

    In the interests of family centered care we are reviewing our policy on the visitation of grandparents and siblings. We are interested in how other units approach this. Question #1: Are grandparents...

  4. HFOV/Jet orientation

    HighCensus replied to nurserynurse55's topic in NICU, Neonatal

    We rarely use the jet...but our orientees get experience with HFOV while on orientation. As a preceptor you request your patient assignments and that is one of the areas we train our orientees in....

  5. How big is your "unit"?

    HighCensus replied to BiologyNerd's topic in NICU, Neonatal

    I think we are still considered a 65 bed unit...although it should be changing as we have expanded. We have 64 bed spaces (8 bed spaces in 8 pods), 5 private rooms, a ten bed "stepdown" unit, and a...

  6. Geez...quit having babies already!!

    HighCensus replied to BittyBabyGrower's topic in NICU, Neonatal

    Lately we've all been having dreams of putting our kids in bunkbed bassinettes. All jokes aside our census was 80 on Sunday. We are currently working with 37-40 nurses per shift. Amid all this fun and...

  7. Parents that make you go MMMMrgh!

    HighCensus replied to danissa's topic in NICU, Neonatal

    I have been in this situation before and can sympathize. I would tactfully remind the family that this was an intensive care unit. I would then explain to the parents that little [EVIL]Damien's[/EVIL]...

  8. low census?

    HighCensus replied to littlepeach's topic in NICU, Neonatal

    I think our unit has forgotten what low census is. We have had to make major renovations to expand our unit due to our prolonged high census. We were technically a 65 bed unit and I know last weekend...

  9. Minimal stimulation/IVH protocol

    HighCensus posted a topic in NICU, Neonatal

    Does anyone have a policy for minimal stimulation/IVH protocol that they would be interested in sharing? Would love to gather some evidence-based information if possible.

  10. Who runs your ECMO pumps?

    HighCensus replied to elizabells's topic in NICU, Neonatal

    For our team there are two purposes to mobile ECMO: 1) If we receive a referring call for a patient who is too unstable for conventional transport it allows our team to go to the referring hospital,...

  11. Who runs your ECMO pumps?

    HighCensus replied to elizabells's topic in NICU, Neonatal

    "Mobile ECMO" is basically the ability to transport patients while on an ECMO circuit. I don't know the latest data but as of April 2006 Arkansas Children's Hospital was one of only three institutions...

  12. Who runs your ECMO pumps?

    HighCensus replied to elizabells's topic in NICU, Neonatal

    Arkansas Children's Hospital uses RN's and RT's as ECMO pump techs. We are required to have ICU experience and to complete extensive training as we may be required to work in NICU, CVICU, or PICU. I...

  13. Surfactant question

    HighCensus posted a topic in NICU, Neonatal

    We are updating our policies and procedures and are currently looking at our policy for surfactant administration. One of our NNP's mentioned that she had read somewhere that it is no longer necessary...

  14. Is your NICU slow or busy?

    HighCensus replied to MA Nurse's topic in NICU, Neonatal

    We are busting at the seams and have been for quite a while. Our census has been 70+ and we have even seen 80+. And right now our acuity level is way up. We are staffing sometimes with upwards of 40...