Mimi2RN

Mimi2RN ASN, RN

NICU

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All Content by Mimi2RN

  1. Nurses Don't Accept Gifts

    I have a crotcheted snow flake Christmas ornament made by a cancer patient. I took care of her frequently, she passed away not long after that Christmas. Whenever I take it out, I think of...
  2. GBS treatment??

    Also c/s mom should be in the hospital 48 hrs +, so the baby is being observed, if any s/sx, I would expect labs to be drawn, CBC, CRP, and a blood culture. I recently heard that ONE dose of Ampicllin...
  3. poor spelling -- it matters

    I realize some people don't care about their spelling or grammar, but it bothers me.............One spelling mistake is a typo, any more than that I want to correct, can I have a red pen? It looks...
  4. 26g abbocath shortage...

    We use Insytes, 24 ga. With and without wings. They are a safety catheter, as you pull the needle out the little cover opens over the point. I lost an IV once (only once) when I snagged the cath as I...
  5. wellbutrin side effects

    My friend was on Wellbutrin, had a seizure at work, in the NICU. Could be she was hypoglycemic at the time r/t a very long night. Her med was
  6. Bonus Pay

    Our extra shift pay is base pay + $20 plus diffs night/wkend/holiday whichever ones are appropriate. We can schedule in advance, or when they call looking for staff, and work anything over 4 hours to...
  7. Telephone orders...read back and verified...

    Our docs now have to sign, date and time telephone orders within 24 hours. Another doc from the same group can do this, so it doesn't cause problems. We have clerical staff coming around checking...
  8. Medical Assistants in the office

    I have called my ob/gyn's office, and been told "I'll let you talk to his nurse". Used to be a nurse, not any more, it's an MA. This is a large clinic, the LVN that used to be his nurse is now the...
  9. IV Starts

    We do two sticks and then someone else tries. Sometimes everything blows on a term baby, but the little skinny vein on top of the foot will be a good IV, even if it doesn't look big enough to hold a...
  10. phototherapy

    You're right, Heather, you don't need eye protection with a bili blanket. It's a fiberoptic light, works well on many babies but we usually use it with an overhead bililight. Seems to me any pt good...
  11. Effexor XR and Ambien

    My thought, if a doc isn't listening to you, it's time to try someone else. What kind of a doc is he? I sent you a
  12. gavage feeds

    In our level II, for feedings, we use 5fr for most babies. Our policy states we can use 8 fr for babies over 1500 gms. We also feed the babies at different times, we are a small unit and it's easier...
  13. t-shirts for IVs

    How hot are your warmers? we dress our babies in onesies, sleepers or gowns, and snaps have not been a problem. We have some premie outfits with velcro, no problems with laundering them. It helps if...
  14. BID vs q 12h

    In our ICN, bid is q 12, qid is q 6, everything around the clock, and most po's given with feedings. The pharmacy sometimes has problems understanding that-when they send the med late, and baby has...
  15. Pyxis systems ???

    We have used Pyxis for several years-it can be frustrating when the orders haven't been entered, but we can overide many meds, and get them to the patient quickly. At least the meds are available on...
  16. Lunch breaks

    Last place I worked they changed our hours to give us a half hour lunch break on nights. We were told it was federal law that we get a break, and not be responsible for our patients for that 30...
  17. Staffing and acuity

    Should be at least two in your nursery. How do you manage to do everything for all those babies? This is not normal newborn nursery. Do you have to turn in any kind of shift report to your manager?...
  18. L&D/NICU hostility!!!!

    I work in ICN, busy nursery, when we hear about a pretermer contracting, we ask about Betamethasone, if it has been given. Some L&D nurses never think about it until we bring it up-and it can make...
  19. Question about xfer of pt from ldr to pp

    Six couplets equals twelve patients! That's not safe staffing. I now work ICN, have done couplet care, it can be hard teaching baby care, it goes in one ear and out the other. 3-4 couplets is much...