Mimi2RN

Mimi2RN ASN, RN

NICU

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All Content by Mimi2RN

  1. Circumcision questions

    If you don't have a physical problem and need a circumcision, I wouldn't see any point in doing it. I can't imagine telling my husband that he should have that kind of surgery, and obviously...
  2. Persistant low grade fever in 21 month-old.

    Sounds like something is not quite right. Kids don't run fevers, even low grade ones, for nothing. Hope you soon get it figured out, I don't have any other ideas for you, as you seem to be having...
  3. eating at the desk

    This came from the State web site. Do you think they have ever paid us what we are owed? Meal periods **** In California, an employer may not employ an employee for a work period of more than five...
  4. california nursing salaries

    Our new grads now start at $28.50, I'm in Central Cali. I work nights, so I get 15% above my base pay. We max out at less than $40, after that anything you get is a lump sum after your eval. Housing...
  5. methadone effects on newborns

    We have moms that get into a methadone program a couple of weeks before they deliver, so that they can prove that they are trying, and will be able to keep their babies.The babies have already...
  6. methadone effects on newborns

    Depends on mom's dose, but tremors, poor sleeping, loose stools. Fussy babies, hard to console, can all be part of it. It's a good idea to do Neonatal Abstinence Scoring (Finnegan scale) on the baby....
  7. Are unnecessary c-sections on the rise?

    We've been waiting for one of those all weekend. Mom has been a cervidil induction for PIH, she was 1cm last night. Baby is 34 weeks (will be 35, the rate things are progressing). We are all betting...
  8. How long to keep baby in nursery??????

    Nurseries are always so well staffed that a nurse can leave her other patients and spend time with a mom in PACU. We now have an Admit nurse who attends high risk deliveries and c/s. This has made...
  9. toenail fungus..

    Apart from the Rx med, whatever it is called, I think the treatment is Vicks vaporub, twice a day to the affected nail. It takes several weeks, but as you have to use the Rx med for several months, I...
  10. I did volunteer work on an OB/Peds unit, and during nursing school, I ran that service. Also I was able to get a job as an aide, sometimes on the same unit, sometimes on med/surg. All volunteer...
  11. Syringe Pump or Buretrol?

    We use buratrols for maintenance fluids, and syringe pumps for the meds we don't push, too. The problem with using the buratrol for meds on neonates is the volume of the fluid in the tubing. If we...
  12. Go to http://www.nso.com I've had it for years, think I paid $89 last time. Some people worry that they are more likely to be sued if they have malpractice insurance. I have liability insurance with...
  13. Stethescope refurb or get new??

    I don't know how it works with adult size stethoscopes, but with pedi and newborn Littmans, a stethoscope still under warranty will have everything but the bell repaced for free. It costs $30 or so to...
  14. Did they put you on antibiotics at any point in your labor? From my point of view (I do babies, not mommies) you had prolonged rupture of membranes, and were febrile. What was your GBS status? Glad...
  15. Swaddling...arms out or in???

    Babies that would sleep on their backs with their arms over their heads are usually a few months old. I've seen photos of babies tucked in at the foot of a crib, and they are not newborns. Mine slept...
  16. Mandated!

    Same as Steph, I've never heard of mandating overtime. They do call us, we can and do refuse. We are well paid for extra shifts, base pay plus $20 per hour plus diffs. That's for anything over four...
  17. Safest/economical place to live in CA?

    My son lives in Redding. It's a growing area, two hospitals plus a hospital that only does surgeries. Expensive housing, but salaries aren't bad and they do give sign on bonuses (at least, they used...
  18. Swaddling...arms out or in???

    The only time I would leave the arms up, it would be to facilitate hand to mouth comfort. The baby would still be bundled. We also position the arms upward on prone babies, but they aren't usually...
  19. Itchy Ears

    Do you ever irrigate your ears? You can also treat them with half strength peroxide, or there is some over the counter stuff that comes with a little bulb syringe. (The name that came to mind was...
  20. Co-Bedding

    I realise that all it takes is one occurence, but has anyone working in a hospital that does co-bed have any problems with infection? I don't remember ever having any problems in our nursery. We don't...
  21. Neonatal Pain Relief Protocols in Their Infancy

    We have used sucrose, with good results, for two or three years. It's not just for babies who are having procedures, but for ones who are unhappy and screaming. For example, a baby who has a high resp...
  22. Epidural drips and Demerol sensitivity

    Something else: remember that you are the patient advocate. It doesn't hurt to call the doc and ask if they meant to order something else as the patient reacts to the med he was given. If he insists,...
  23. Epidural drips and Demerol sensitivity

    Why can't he have a different medication? Of course he's going to have breakthrough pain, but it's ridiculous to subject him to the same med that stops him from breathing. I have been given demerol...
  24. Pregnancy and chemical exposure....

    It would probably depend on how far along you are, so I think that's a question you should ask your
  25. Co-Bedding

    We do co-bed twins in isolettes. Sometimes this is for a few hours at a time, keeping an isolette available for both babies. We also have isolettes made for two, with doors on both sides. They are a...