Any of you use Introcan 24 ga catheters? We have recently been having real problems with blown veins, and think it's this batch of catheters. We had a few older ones,(the labels are different), and...
Don't stress about the Toradol! It is so much better than constantly taking narcotics. After abd surgery, I used it alternating with my pain pills, I feel that I would have been constantly fuzzy from...
Do you consider it appropriate to use the internal fetal monitor when mom is positive for Hep C? I suppose I could add Hep B or HIV to that, anything with blood-born
The baby did have the fetal monitor electrode.........and the mom had been diagnosed as positive for Hep C. That's why I asked the question....somebody wasn't thinking. I didn't think it was the thing...
New staff on our Maternal/Child Health unit, which includes L&D, PP, and Level II Nsy, have 6 months to take NALS. They have to attend several deliveries, too, so they will get used to handling...
I'm thinking of using the monitor with the scalp electrode. I'm more concerned with the break in the baby's skin, increasing the possibility of transmission. We don't give meds without a thorough...
Fory several years, we were REQUIRED to wear white pants. It had been decided by the powers-that-be that we looked more professional. I never thought that peri-pads looked professional, never mind the...
To the two 15 year old moms whose babies we have had in our Level II in the last few weeks-a big "thank you" from two delighted sets of new parents. It is a very difficult and mature decision to have...
I had a total vag hyst with BSO a couple of years ago. I had a fibroid which was growing, and as I had already had an abdominal surgery, open from pubic bone to umbilicus, I had no desire to get my...
On premies I usually start with the saphenous veins. They are usually a good size, and straight. We use Introcan 24g catheters, which have a safety needle that is covered as it's withdrawn. I prefer...
I take care of newborns, not stillbirths. I always bathe the baby before taking it to the family.When we have attempted resuscitation, and still lost the baby, I feel that it is therapeutic for me. I...
My stepson had a tonsillectomy at age 25. His first episode of bleeding was day 5 or 6. He went in to ER, had it cauterized. Second time about 4 days later, he went back to ER, they didn't seem to...
Sorry about your needlestick, I think it's low risk, too, and you are doing the right things. My concern is for your equipment. If you don't already have needless equipment, maybe it's time to find...
A 15 y/o skipped school and went to a party. She was given a drink and had no memory of what happened next. When she woke up, she found that she was bleeding....this girl was a virgin, did not have a...
Sad story from a few years ago: Doc was called to a delivery when mom was crowning. He was the on-call doc, nothing in mom's prenatal to suggest any problems. Turned out to be a big baby, 12lbs, the...
Mimi2RN replied to cindylouwho's topic in NICU, Neonatal
We use armboards made of cardboard with a layer of foam, and a soft knit cover. We have them in two sizes, for premies and term babies. We also have Veniguards for dressings, and it is possible to...
Mimi2RN replied to cindylouwho's topic in NICU, Neonatal
How do you protect your IV sites? I realize your patient are probably a lot small than ours, (> 28 wks)but parents are frequently part of the problem when we lose our
I agree, we are frequently overful, but you can't close the doors to your own hospital. We just refuse to take any babies from outside. Sometimes we have a transport team coming for a sick one of...
I thought it was supposed to be 1:1 or 2 in NICU, 1:4 in level 2 that does just feeder/growers? Depending on our patients and available staff, we are usually 1:2 or 3. We are level 2, but also catch...
Post abdominal surgery I was given Toratol, as well as a narcotic. I went home on Toradol 10mg pills, as well as Vicodan, Even though you are not supposed to stay on it more than 5 days, I'm glad I...
The baby does have fluid in it's lungs, but I don't believe it "practises breathing" before delivery. The danger with meconium is that the baby may inhale the mec with it's first breath. If this goes...
Regular OT counts after 40 hours a week. Extra shifts are paid at a different rate, hourly base pay + $20, + diffs. Those go on a separate check which we pick up on the in between week. I like to have...