littleneoRN

littleneoRN

NICU
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littleneoRN has 6 years experience and specializes in NICU.

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  1. Transport

    Curious about people's opinions of and experience with transports that do vs. do not include providers (NNP or physician). Our unit has a high transport volume, and all our transports are staffed with an NNP. I know that some of the transport skill...
  2. Parents who are controlling

    One of the unique things about NICU is that in the start, we truly know more about someone's child than they do. That and the fact that we can pretty carefully control this tiny little human and their environment tend to make us fairly anal and cont...
  3. Breast milk via GT

    I don't understand why anyone would be putting more milk in the feeding bag or syringe than the patient is due to be fed at that specific feeding. Take 135 mL out of the refrigerated supply and leave the rest refrigerated until the next feeding. Ne...
  4. little clamps on peripheral IVs and PICC lines. . .

    When in the process you clamp (before or after removing flush syringe) depends on the brand of cap. Some are positive pressure caps and require a different process than the other ones, which I think can be neutral or negative. I do now know the ins...
  5. Nurses with Lap Band

    What kind of place only offers a 30 minute break in a 12 hour shift? We get 1 hour and 15 minutes worth of breaks in that time period.
  6. NICU/SCN Staffing Questions

    It seems unlikely that when floating to post-partum you would have a baby-only assignment. Most places do couplet care, so if you've got the baby, you've got the mom. I thought separate baby and mom nurses (after delivery of course) had gone by the...
  7. New Grad called NM of NICU...good choice?

    I called a nurse manager...not for the unit I really really wanted, but one I thought I would like and thought would be hiring. Turns out they weren't hiring, but she was impressed (with who knows what) over the phone, so she got me an inside contac...
  8. My first death

    One thing I have learned over time is that with *most* deaths in the NICU, we have given everything and the kitchen sink to help this baby have a chance. By the time the baby passes, their chance of a positive outcome is extraordinarily low. This d...
  9. Should this be reported??

    I'm not going to judge what's done in other settings, but I have never seen or heard suggested in my unit to "borrow" a med for another patient. I would go as far to say though, that if I were inclined to do this in another setting, I would draw the...
  10. Is anybody else tired of the nurse practitioner craze?

    NPs have an ESSENTIAL role in my unit. They don't have as much autonomy as other settings, but we would not be able to function without them. They round on stable patients. They place lines, intubate, do LPs, etc. They manage patients on transpor...
  11. Please help me figure out what happened to my pt

    2 hours worth of breaks??? How long is your whole shift?
  12. Nurse advocacy (Rant)

    I work in a union facility, and while the union (like anything) has it's downfalls, I thank my lucky stars. Some days when I read things on AN, I hope that people are exaggerating. Sure we are being asked to do more with less, and I don't have any ...
  13. pet peeves when nursing students arrive

    [quote=NurseKellyH;5535339 *Edit* If you'd really like to look things up to know more about them, write them down somewhere to reference later when you aren't at work/clinical or perhaps even on break and out of sight of people who don't want to see ...
  14. Antiobiotic delivery via iv pump in NICU

    Also, babies are more sensitive to fast infusion rates. We give a lot of meds over 15 to 30 minutes that you would push on adults. Lasix, morphine, etc. Not sure what other places do. We run these on a syring pump. We don't hand flush anything a...
  15. Antiobiotic delivery via iv pump in NICU

    Our pressors run in bags, but they runto a trifuse right at the bottom by the baby. I've never piggy backed anything. I'm not sure how one would piggy back antibiotics on a large volume pump unless it cam in a bag too. Might small bag of Ampicilli...