Mimi2RN

Mimi2RN ASN, RN

NICU

Member
  • Content

    1,142
  • Visitors

    10,937
  • Followers

    0
  • Likes

    11

All Content by Mimi2RN

  1. Watch your deeplines, guys!

    It's so nice to know we are not the only ones having weird PICC
  2. CPAP positioning

    We use something called Comfort Flow now. It's similar to the old Vapotherm without the problem. The babies tolerate it so much better than
  3. Cool new products in the NICU

    We have lots of success with
  4. Single mom going to nursing school. Is it possble?

    Yes, it's possible. I had two boys in their early teens when I started school. I worked in a grade school for the first year, so I had the same vacations. The next year I didn't work until spring,...
  5. Scrub Colors!

    On our unit, we have to wear solid colors, only fluorescent colors are banned. No
  6. Standardized meds times in the NICU

    We give IV meds at standarized times, which drives me crazy! Imagine giving a first dose of Ampicillin on a sick kid at 0400, then waiting many hours until the next dose is due that evening. We are...
  7. UAC fluid/antiseptic

    Betadine for us, too. We use 0.45 NS 1:1 with 1/2 unit of heparin at 1ml/hr. On the kids less than about 800gm we run 1/4 ns with 1/2 unit of heparin at 0.5
  8. what's your policy on switching out isolettes?

    7 days if stable. The fragile ones stay longer in
  9. I think you would know if you had scabies. You would ITCH! And yes, the rest of your family should be treated, at least once.
  10. Try the Central Valley. Where I work, starting pay for new grads is over $34/hr. You can earn over $600 on an overtime shift. Housing costs less than LA/Orange County or the Bay area, $200,000 will...
  11. What's YOUR nursing obsession?

    I hate to see babies laying flat in their beds like little frogs. Good positioning is so important! That also goes for ventilated babies with heads not in alignment! Just because it's possible to have...
  12. Never thought I'd see this on the unit...

    Unfortunately, the smoking is more of a problem in the hospital than WHAT they were smoking! CPS doesn't get involved if mom is only positive for cannabis. At least, in this part of the world. Sad,...
  13. breech presentation complications

    We heard that happened with a 22 wk fetus recently. Membranes ruptured and no chance of survival, but a horrible thing to
  14. What kind of feeding system do you use?

    We have been told that we can no longer use extension tubing except for continuous feeds which we rarely do. We are expected to gravity feed all our tube fed babies. That doesn't work so well with 24...
  15. Initial newborn temp. rectal or axillary?

    I agree, axillary temps on newborns can vary a lot from a rectal temp. As far as patency, why would anyone want to feed a baby with imperforate orifice? There can be a dimple so it looks OK, but no...
  16. nasal suctioning

    That's what we do, too! You have to suck them out occasionally, or they can't breathe! We aren't allowed to use the olive tips, which doesn't bother me as I don't like them
  17. I hate NEC

    So sorry. We lost a twin like that a few months ago, a month old, ex 27weeker. Doing well, then went bad. The sibling did great, and went home a few weeks
  18. No union, we were told this is the way it would be. We have been told that as it is a not-for-profit district hospital, the usual rules r/t breaks, and the 8 hours and then OT don't count. On the...
  19. OG tube

    Do you use OG's or NG's most
  20. nasal suctioning

    We use Neosuckers, they work well for us. Also, a little saline
  21. Humiliating IV questions

    Try flushing the Insyte with saline before the IV start. That may give you a better clue that you are in the vein. Another idea, go in over the vein, instead of to the side. Have another nurse that...
  22. Where does your hospital complete the first bath

    Most of our babies are bathed after mom has been transferred to her pp room, usually about 2 hours after delivery. We don't have a newborn nursery. C/S moms are recovered in OB pacu, with baby close...
  23. Not entirely true. We are paid for 12 hours straight time, and don't receive OT until we have worked 40 hours in a week. I don't remember how long it's been like this, but it's been
  24. West coast, new grads start at around $32, I passed $100,000 last year. Yes, it costs more to live here, but it was a good move for
  25. Car seat challenge

    Our car beds will fit a baby up to 9 lbs, but it would be a squeeze. We rent the beds to the parents, usually they are only needed for a couple of weeks. We have only found one car seat that had a...