Mimi2RN

Mimi2RN ASN, RN

NICU

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All Content by Mimi2RN

  1. We are a level II, but keep babies from about 27-28 weeks, and over a kilo. Some are on vents or CPAP (we loved Vapotherm.....). We send them out for major problems, including anything that might...
  2. Drying up Breastmilk

    Call down to dietary... I need some cabbage leaves and shredded carrots!!! :rotfl: :rotfl: :rotfl:
  3. dopamine and the neonate

    We use double lumen UVC's, and I like to double spike my TPN, so I don't have to keep giving heparin flushes to one lumen. If we have calcium gluconate boluses, we have to stop the tpn while that...
  4. Brady baby

    I love this diagnosis! Too true! With us, he would probably have had 4 hours being observed, but not admitted Also he'd have been fed at least 1 1/2 ounces of warm formula after his blood glucose was...
  5. How did you hear about allnurses.com?

    Found it on another BB, and thought I would check it
  6. I'm not bashing MA's, I'm wondering if that's the reason that the person giving the injection had not been taught to aspirate. As I believe all RN's and LVN's have been taught to do so, what was this...
  7. Seems to me, we were taught to aspirate, and I still do. The staff in the dr's office now are usually MA's, and don't get the same training. As for needles, you can still use a 25 ga on a baby. I've...
  8. What are you worth as a NICU nurse?

    Our starting pay for new grads is $31.00 per hour. It's hospital wide, doesn't matter where you work. Eval at 6 months, and then annually with raises of 2-4%. Nobody in my knowledge has ever got 4%,...
  9. Three minute scrub?

    We went to a 30 second hand wash last year, but recently went back to that and covergowns after one of our babes came down with RSV. As he was too sick to be held, I don't think the lack of covergowns...
  10. A Dangerous Scam!!

    When I was in Grade School, before the days of vaccinations, a fourteen year old boy died from Tetorifice. He had a cut on his hand, and worked on a farm. The kind of thing you never forget....
  11. Looking for warm area by mountains and ocean

    St. Johns in Oxnard has a NICU, and so does Ventura County Medical Center, in Ventura, maybe 15 minutes away on the freeway. I have no idea about salaries. Housing is expensive, but lots of people...
  12. RNs entering all their own orders - no unit clerks?

    Our docs usually generate the orders on the computer, as soon as they are entered, they can be read in the Order Processing Center and the Pharmacy. After they have been entered, an ancillary will...
  13. neonatal IV sticks

    We use VeniGuards, they don't tear up the skin. Other hospital use Tegaderm or Opsite, but the area over the catheter insertion site should NEVER be covered with anything else. We still have nurses...
  14. Taking an infant's temp.

    The first temp on our newborns is always rectal, after that we do axillary, unless the baby is below 97.6. We recheck those with a rectal. We found a baby with imperforate orifice not long ago. He had...
  15. So, she does drugs... (advice please)

    When what you have is "hearsay", that's not proof. If you saw her using illicit drugs, that could be used as evidence. "He said" or "she said" don't stand up in a Court of Law. I don't think there is...
  16. New Grandson, need your input please, 33weeks

    Yes, you're right. He should qualify for Synagis, and hopefully could get his first shot before going home. Our hospital also runs a Synagis Clinic through the winter months, and this time of year the...
  17. New Grandson, need your input please, 33weeks

    Congratulations on your new grandbaby! Sounds like he's doing very well. NG/OG tubes are all normal for babies of this gestation, as everyone else has said. In my experience, it's not unusual to have...
  18. neonatal IV sticks

    Sometimes it can be tight, but for safety needles, it's not a bad system. As long as I have help with someone holding the baby, it's OK. It can be hard pulling that out, then screwing on our wonderful...
  19. "Never trust a 35 weeker"

    We had a little one born at 33 weeks, mom was PROM at 26 weeks, had steroids, bedrest. As soon as he was eating and warm in a 72 degree nursery, he was sent out the door, barely 35 weeks. Came back to...
  20. Uterine rupture & maternal code

    We had a c/s where the uterus was ruptured, baby's upper body was in the abdomen when the doc opened her up. The surprising thing was that the placenta was still attached, there had not been a lot of...
  21. what is the meaning of the nursing lamp...?

    It's supposed to be the lamp that Florence Nightingale carried around the wards in the Crimea. She was known as "The Lady with the lamp". Maybe it would be useful for you to read her biography, or at...
  22. How do you deal with anti-OB people?

    No reason you couldn't breast feed a baby that size. Your other comments-the baby was on O2, and was a mag baby, may have been the reason you couldn't breast feed at first. Depending on the way a baby...
  23. I graduated at 43, and I'm still working 20 years later. Older nurses bring a lot of past experience, even if it's a second or third career. I started out as a volunteer on an OB/Peds unit, so I had...
  24. NICU duties

    Thanks, we recently had a little 27-28 weeker with a grade 4 bleed. I'm wondering if this would have helped prevent that. We do minimal stim on these babies, keep them in a quiet room, but I don't...