littleneoRN

littleneoRN

NICU

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All Content by littleneoRN

  1. Accelerated Masters Program for NICU

    littleneoRN replied to Tap2323's topic in General Nursing

    Find out more about these programs. It sounds like a degree that educates you as a neonatal nurse practitioner. They will work for you if they are direct entry programs that allow you to get a...

  2. sucrose for sedation

    littleneoRN replied to soprano3's topic in NICU, Neonatal

    Sweet-ease has a relatively short period of effect and shouldn't be given more than 8 times per day. IMHO, a baby with chest tubes should be getting something stronger and longer than sweet-ease! We...

  3. any nurse practitioners who work under neurosurgeons?

    littleneoRN replied to Remilekun's topic in Nurse Practitioners, NP

    We have one. (to clarify...I am not her. ) But I work at a major pediatric facility, and our neurosurgeon has a NP. She does a lot of the day to day checking in on patients, taps, etc. I don't...

  4. NP Salary vs. RN salary

    littleneoRN replied to Health-Nut's topic in Nurse Practitioners, NP

    I guess this will depend on where you work. We use a lot of NPs in the NICU, and they do NOT get to sit an concentrate on one thing. They are constantly being interrupted with everything from quick...

  5. Co-bedding twins - telling the difference!!

    littleneoRN replied to LuvofNursing's topic in Ob/Gyn

    I guess that if I'm a nurse legally documenting who ate what when, I'd want to dig out a foot and see an ID band if mom isn't sure. Could ID bands go on the

  6. TPN and Ceftriaxone

    littleneoRN replied to CooL B8B's topic in Pediatric

    Y site compatible means it's ok to go in a single lumen line with a bifuse (or more-fuse :) that makes a "Y" near the patient. This means the medications are ok to run into the same line since their...

  7. TPN and Ceftriaxone

    littleneoRN replied to CooL B8B's topic in Pediatric

    Well if you have multiple lumens, there is no need to stop the TPN as the ceftriaxone can just go in an alternate lumen. Unless you just mean a different tail on a trifuse? I might not be reading...

  8. Phototherapy ?

    littleneoRN replied to babynurse357's topic in NICU, Neonatal

    And ask them for a manual too. :) JCAHO can ask to see up to date manuals for all your equipment when they come. I don't know about this type of light specifically, but I agree with you--right over...

  9. VAP Guard

    littleneoRN replied to shonda13's topic in NICU, Neonatal

    We use MBM on a swab for oral care or sterile water if MBM is unavailable. We have never used the guards. I think we have a very low rate of ventilator-associated

  10. NICU = love :)

    littleneoRN replied to sophie<3's topic in NICU, Neonatal

    Sophie, that's great to hear! If you review back in some older threads in this forum, you will find many threads answering these same questions! People may share here, but feel free to browse and...

  11. Nicu end of shift report

    littleneoRN replied to GrowingNurse9054's topic in NICU, Neonatal

    This isn't a form, but I use this to kind of keep my brain together. It's hard sometimes when people start asking questions leading to things out of order because I depend on following this to not...

  12. Ethical Dilemmas in L&D Nursing

    littleneoRN replied to Work in Progress's topic in Ob/Gyn

    The metaphor would go the other way around, that a midwife would not let a patient homebirth but would encourage a hospital if the patient was high-risk. And I surely hope that happens sometimes......

  13. Epidurals in pediatric patients

    littleneoRN replied to shellasee's topic in Pediatric

    0.01 mg/kg? That's not going to touch a hangnail... Just our stable vented kids can have 0.1 mg/kg for comfort, and they aren't even

  14. Pump problems and pressors?

    littleneoRN replied to kitsune01's topic in NICU, Neonatal

    This doesn't answer your question, but it is essential to highly concentrate drugs like dopamine. Even if we're not intentionally fluid restricting, our little ones don't have much room for extra...

  15. Ethical Dilemmas in L&D Nursing

    littleneoRN replied to Work in Progress's topic in Ob/Gyn

    Sort of a similar concept to home births. They say it's ok for low-risk moms. But we don't KNOW nothing will happen. But that doesn't mean we say it's ok for a high-risk mom to deliver at home just...

  16. Have you/would you refuse certain patients while pregnant

    littleneoRN replied to dawngloves's topic in Patient, Colleague Relations

    First of all, where do you live that there is a nursing shortage? Second, this is a dangerous attitude toward the health of the baby. Some of the exposures can be devastating, leading to...

  17. IM/Rhogam Injection Gone Wrong?

    littleneoRN replied to cougSN's topic in Ob/Gyn

    Our hospital policy states that aspirating with an IM injection is not supported by the evidence. Our policy now states that aspiration is acceptable if it makes the nurse feel better, but research...

  18. Ethical Dilemmas in L&D Nursing

    littleneoRN replied to Work in Progress's topic in Ob/Gyn

    I definitely support VBAC in most situations, but I also think it is ok for hospitals to refuse to do VBACs. Not because I think it's a bad idea, but because I don't think all hospitals have the...

  19. Med surg exp before CCU??

    littleneoRN replied to Missy89's topic in PICU, Pediatric

    I would second what cannew had to say. I know lots of people who started in PICU or NICU as new graduates. Some have done great and loved it. Others have struggled all along or had a particularly...

  20. Ethical Dilemmas in L&D Nursing

    littleneoRN replied to Work in Progress's topic in Ob/Gyn

    If you look back at some recent threads on this site, there is a lot of discussion about interventions during the birth process and nurses' feelings about them. Sometimes doctors and patients make...

  21. sucrose for sedation

    littleneoRN replied to soprano3's topic in NICU, Neonatal

    Definitely not for sedation in our unit. It is only to be used for short, mildly painful procedures and only for certain babies (e.g. > 28 weeks gestation, must be tolerating feedings,

  22. Low Census

    littleneoRN replied to NicuRN73's topic in NICU, Neonatal

    We have been generally bursting at the seams for awhile now, with slow being 3/4 full in all of our neonatal units. Can we send you some

  23. OB for NICU Nurses :)

    littleneoRN posted a topic in Ob/Gyn

    Ok, so I'm throwing my brain back to nursing school, but apparently some things have faded. Can someone give me a quick review? I know that late decels are generally a bad thing in regards to fetal...

  24. RT-br sounds assessment

    littleneoRN replied to eurith's topic in NICU, Neonatal

    Hence my question about what the OP meant about unwrapping... I was really hoping this meant something very different where the OP worked....

  25. How much do you enjoy being a nurse?..pros, cons..quality of life..happiness?

    littleneoRN replied to Canadian eh?'s topic in General Nursing

    Pros: Getting to use my heart, hands, and mind daily in my work. Feeling like science has direct bearing on my every action but I am not working in a lab somewhere (because that is just not my work...