Mimi2RN

Mimi2RN ASN, RN

NICU

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All Content by Mimi2RN

  1. NICU duties

    I work in a level 2, and I have learned so much from all these NICU threads. It is fascinating to me, to see how much variety there is in the way we care for our babies. I read about Vapotherm a year...
  2. I agree, housekeepers are overworked and underpaid. That being said, most nights we don't see hide nor hair of a housekeeper to empty trash and laundry. If one shows up, it's frequently after 4 am....
  3. Twelve Days of Kittens

    We decided not to decorate a Chrismas tree this year due to our three feline boys. Glad we didn't, as last year we only had one kitten, and the tree was denuded for about 2 1/2 ft from the bottom. I...
  4. cell phones

    Our policy is also no cell phones. It's hard to enforce, though. The camera phones especially are a problem. You can't miss the signs near the entrance and by the elevator. That being said, a woman I...
  5. Circumcisions-Question

    We have around 400 deliveries a month, so say 50% of those are male, only one doc does circs at the hospital, maybe 6 a month. I am assuming that some babies are circed in the Peds office, but not...
  6. Newborn PKU: Heelstick vs Venipuncture?

    Be careful using the warm Pampers. We had a baby with a second degree burn on it's foot (it blistered) when one was used in our
  7. Newborn PKU: Heelstick vs Venipuncture?

    Interesting thread. We are told that we HAVE to do heelsticks for Newborn Screening, even if the baby has a UAC. Also we are supposed to wait a minimum of 24 hours, unless the mom is discharged...
  8. Tips for Starting IVs in Level II neonates

    If you need a tourniquet, a piece of 1/4 inch penrose drain tubing works really well. We keep a box with our IV supplies, and cut a piece a few inches long. Rubber bands are good for scalp IV's, keep...
  9. Suctioning with mec at delivery

    I heard that the new guidelines (in the next new NRP book) do away with DeLeeing on the perineum in mec deliveries. I don't know whether this is true or not. We are supposed visualize the cords etc....
  10. how many hours a week do you work????

    3 12 hour shifts a week, and I like to do one extra 12 hr shift in every two week pay period. They pay us well for the extras, base pay + $20 per hour, + shift
  11. You might be in the medical field if....

    Along the same line as the Prozac, we would like something for birth control added to the water supply in the High Schools..and maybe Middle Schools as
  12. I don't know what to do... I need advice

    I'm sorry for your loss. After 11 years I don't know if I would want to do an autopsy, but SOMETHING has come up that made the investigators look into this case. That's what I would want to know,...
  13. Co-sleeping?

    I remember a mom who complained that her 7 month old had quit breastfeeding, but her 3 year old was still nursing every day. Maybe he didn't like to share? I think it would have been more important to...
  14. Recomendations for neonatal stethoscopes

    We use the neonatal Littmans. I'm in the process of ordering for my unit, cost is less than $70 each including shipping. We have to buy our own but it's cheaper if you can place a bigger
  15. How can you tell if an infant may be deaf?

    He may well have a hearing loss, sounds like he has had a rough time. See what the new testing tells you, you may need to go to a clinic at a Childrens hospital to get f/u. My granddaughter did not...
  16. Visitation in the NICU

    Do your 30 minutes actually happen? Do you have timers on for each family? If not, don't worry about it. Are your other staff nurses going to complain if parents stay longer? With they write you up if...
  17. "Miracle Baby" gives lesson in reproduction

    Watch "Junior", this older movie Arnold Schwartzenegger is very funny as a pregnant
  18. When circ's go bad...

    I grew up in the UK, and circumcision was very unusual, only for medical reasons. I came to the US before my sons were born. My brother found it very strange that my boys had both been circed. Of...
  19. Rough day in the NICU.

    So sad to see a baby like that. It's hard enough on the parents, without dealing with grandparents who don't understand, etc. The parents made the right decision, though. That situation is so hard for...
  20. Vial access

    This is follow up to an old thread, concerning the use of filter needles. Do you use filter needles on glass ampules, or also on vials with rubber stoppers? We have had new nurses use the plastic...
  21. Questions regarding Umbilical Access

    I agree, check with your local hospital for their policy and procedures. That being said, I have seen UAC started after a couple of days, and UVC's at 5-7 days. One of our docs has done that when we...
  22. Really upset, bad shift last night

    I'm glad the baby is still hanging in there, and you took care of it. Some docs will never take suggestions, no matter what you ask. It's a shame that you have to wait until dayshift, or the next doc,...
  23. Really upset, bad shift last night

    Sorry you had such a bad night. We can all second guess what we have done, but you did your best, and that's what counts. Those docs are probably feeling the same way you do. Some babies are meant to...
  24. I Stink at IV's.

    Yeah!! Knew you could do it!
  25. I Stink at IV's.

    I agree with Kori. Advance the needle just a little bit further in, before you advance the catheter. It sounds like you are not quite far enough in. Veins in the moms on L&D are usually big, so...