Mimi2RN

Mimi2RN ASN, RN

NICU

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All Content by Mimi2RN

  1. gavage feeds and paci's

    We do the same thing, it's nipple training. Does the mom who refuses pacifiers want to breastfeed? How is her babe going to learn to nipple all it's feeds? Premies don't go straight to breast from...
  2. Cath UA on a preemie

    Your hospital can get 5fr minicath kits, they are like the femcaths used for adults, with a little vial on the end for the urine. They are firmer and are safer to use than feeding tubes. We had a...
  3. I know SF is in Northern Cali, but it depends where in Northern Cali you mean. You can rent a 3 bedroom house in the Redding area for $1,000-$1,500 a month. I know there salaries are good, and they...
  4. Any ideas for unrelieved N/V

    This is an interesting thread to me as my brother-in-law has prostate CA, and has n/v. The doc says he's not ready for Hospice care, and yet he has to have frequent blood transfusions, for chronic...
  5. Birthing question

    I agree, it would take a lot of water to cause problems. I must admit, when I've gone to a delivery, and mom has been in labor for a long time, I worry about the babe's blood sugar. Moms are given LR...
  6. My allergist gave me a special olive tip attachment for the water-pik, so that I could irrigate my nose (and maybe sinus) with saline solution. I still use it
  7. Our babies are usually treated the same, we start Abstinence Scoring, then if needed, they go on methodone. It's so sad to see these babies, irritable, difficult to comfort, upset stomachs, spitty,...
  8. Clocking in

    We have two ways to clock in, timeclocks near the hospital entrance and in various other locations, or on the computer. If we clock in 6 minutes before the hour, that counts as on time, no OT is paid,...
  9. Clocking in

    Thanks for all your replies. It's good (well, maybe!) to know similar things happen everywhere. I agree that it's bad to clock in early, but the 7 minutes that the hospital allows is OK. Our only...
  10. UK --> usa....AGAIN

    I work with a nurse from the Philipines who was married after her visa application. She came here on a contract, and has a green card. Unfortunately, her husband cannot get a visa even to visit. The...
  11. C-section Personnel

    We have an RT and a NICU nurse at all c/s, and a hospitalist as well if it's premie, mec, decels, etc. etc. Our L&D nurses are NRP, too. We have one or more at c/s, depending on the situation. We...
  12. I agree, many years ago, I worked 8 hour nights. There was no *normal* in my life, and I was always tired. I jumped at the chance to work 12 hour shifts. We work 6-6:30 (I still work nights), and as...
  13. I think the article by Dr. Gott said that Dial didn't work. I don't know what my MIL
  14. I have read most of Echo Heron's books, too. She writes well, unfortunately, she got burned out, and dropped out of nursing. http://www.echoheron.com/ We all have different experiences, though, and...
  15. Why Hepatitis B Vaccine for Newborns?

    As a child, I had Measles, Whooping Cough, German Measles (aka Rubeola, Pertusis, Rubella). I was exposed to chicken pox (later had shingles at the age of 13). Also I had a positive Mumps titer, so I...
  16. A relatively new solution, you can use a bar of soap under the bottom sheet for leg cramps. My MIL quit using quinine when she found out about the
  17. Hepatitis B Vaccination for infants

    If mom is positive for Hep B, no prenatal care, or no prenatal on file, we give both Hep B vaccine and HBIG to the baby within 12 hours of birth. Sometimes we find that moms come to us to deliver...
  18. Munchausen Syndrome by Proxy

    What happened to David Peltzer was strictly CHILD ABUSE! For whatever reason, he was the scapegoat of the family. His mother starved and abused him, and he never received any medical care. He had to...
  19. Kaiser question and possible job change

    Kimbalou, I know nothing about working at a Kaiser Hospital, but I don't want you to feel that no-one is paying attention. I don't know if anyone that usually looks at the NICU forum works at Kaiser....
  20. Munchausen Syndrome by Proxy

    Another good book about Munchausen by Proxy is "Devil's Waltz" by Jonathan
  21. A day in the life of a level II NICU nurse

    I work in a level II NICU. We are officially a 10 bed nursery, but as we have 350 or so delveries a month, our census is frequently higher than that. We take premies from about 28 weeks, and over a...
  22. Vapotherm pulled by CDC???

    I recently heard from an RT that it was related to the water used in the system. We always used sterile water, but some places used tap water, and that was the cause of the problem. It was really an...
  23. finger feeding

    As far as I'm concerned, finger feeding is something for parents to do, if they choose. A mom that wants to sleep needs dad or someone else in the room to care for the baby through the night. Mom...
  24. Undigested -vs- Partially Digested Residuals

    I had one baby on Sim 20SC 1ml q3 and the other on 1ml 6 the other night. Both had miniscule resids of clear fluid. I agree about increasing the feeds, but slowly. I think they were both ready for...
  25. looking for bath protocols

    We bathe the babes every couple of days, when they are stable. We have the Johnsons baby bath stuff, or Neutrogena soap if we prefer. I like the soap best, the little ones smell so good afterwards. If...