Mimi2RN

Mimi2RN ASN, RN

NICU

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All Content by Mimi2RN

  1. Umbilical cord care

    Our order is to use alcohol q 8 prn. As I don't consider it necessary, I rarely use it. Maybe I should try to get that order changed,
  2. The only problem with posting rules, is that people either don't read them, assume it doesn't apply to them, or can't read English/Spanish. After all, they have to be posted in two languages. We have...
  3. 4 hour observation patients

    We frequently have observation babies, put them on monitors , and see what they do. All kinds of reasons...babies who have had PPV, sugar babies, ones with tachypnea. 35/36 weekers that could go...
  4. Breech scare

    Your doc is looking for trouble! What happens if you have a cord prolapse? You can't schedule those just for dayshift. He should stay in a sleeproom, or get an apartment close by, but it may take a...
  5. Respect from docs?

    I work in a level II nursery. Almost a year ago, the hospital hired a group of hospitalists for in-house care. It has made a tremendous difference, both to us and peds. We have 24 hr coverage, and are...
  6. Drug testing Labor patients

    We test if there is hx of drug use, or we have suspicion the mom has used. Likewise for the
  7. Bili Lights

    We turn the lights off, too. It's always been policy for
  8. First non-staff waterbirth at our hospital and..

    I don't understand why it's good that the baby hardly cried, and then her apgars were off for color. I like a baby to take some deep breaths at first....crying is
  9. I thought this was a nice story to share..

    The link didn't work for me. Was it just
  10. 14 Nurses Fired and 9 disciplined in Kentucky

    You never know what a doc will do about signing a telephone order. I called a ped once about a newborn I had just placed under an O2 head hood. I was given orders, but the baby recovered quickly and...
  11. Flushing Hep Lockes

    We use NS flushes on everything except 24 ga catheters. They clot off too easily, so for those we use
  12. I totally agree, I love my job, but there are days I'm worn out. The paperwork is the worst to me. If I could just do the "hands-on", I would be soooo happy. I came into nursing late, I have done...
  13. Will it ever get better?

    As I leave, I sometimes say "if I've forgotten anything, I'm back tonight". Some nights are like that. And if you do remember something, it's ok to call, but try not to stress about it. Counseling is...
  14. q3hr bolus OG/NG feedings

    We can do gravity feeds or push them, sometimes it depends on the time factor, as well as the baby's tolerance. I would rather push them than leave them hanging, with the potential for aspiration if...
  15. Can LPN's take phone orders?

    I believe they can take phone orders here as long as it is within the scope of their practice, no orders for IV meds in
  16. noc shift...............more confusion

    I work 12 hour shifts, so I usually have a bowl of cereal before I go to bed, and dinner before I go to work. Frequently, dinner is soup and sandwich, or scrambled eggs and toast. Lunch at work is...
  17. c section question

    Didn't we have a Federal Law passed a few years ago r/t early discharges? My understanding is that Insurance Companies MUST provide coverage of up to 48 hours post delivery for lady partsl births,...
  18. Sleeping on the job

    If you take a sleep break of an hour, including your short breaks, that's ok, if you don't plan on taking any other time to
  19. Does your NICU use Isolette Covers?

    We cover the isolettes, but our docs now want the babies out in open cribs much sooner. I think the noise level can be too high for them, plus we can't keep them covered. And the thought of sending a...
  20. The Case of the Green Poop

    Browneyedgirl, As this thread has come up again, any progress in the green poop story? Even though some people don't seem to understand, that's what is so nice about this board, we can always learn...
  21. Nasal Cannula Oxygen

    If a baby is consistantly satting high, we turn the O2 as low as it will go, to wean the baby off. The problem is that because he has episodes where he sats high, it doesn't mean he is ready to do...
  22. footprinting newborns

    We footprint the babies and have mom's fingerprint on the same ID sheet. Babies also get two bands and mom is given one. I think giving dad one is a good idea.......who gets it if dad isn't around?...
  23. 2 nurses arrested in CA.....

    They probably thought that the doc would give it anyway, and if the patient hadn't died, he would have signed it in the am. Most likely, the same situation had happened before. As it is, they are up...
  24. sheepskins

    We use eggcrates on the little ones, and some babies love the snuggle-ups. We do use cloth diapers under the baby's head, in case of spit-ups. They come off the eggcrates when they get bigger, never...
  25. pilonidal cyst

    Part of a newborn assessment is checking for a pilonidal dimple, r/t neural cord defects. I knew they could turn into a cyst........I wonder how many families knew about the potential problems, after...