littleneoRN

littleneoRN

NICU

Member

  • Content

    459

  • Visitors

    8,351

  • Followers

    0

  • Likes

    6

All Content by littleneoRN

  1. Central Line Tubing Change

    littleneoRN replied to jack4408's topic in NICU, Neonatal

    Gloves are

  2. quintuplet births

    littleneoRN replied to KatRNC's topic in NICU, Neonatal

    When we have higher order multiples, carts with resuscitation supplies are prepared and waiting in L & D so that whenever it occurs, there are absolutely going to be the appropriate supplies for...

  3. Umbilical Tox Screen

    littleneoRN replied to MegNeoNurse's topic in NICU, Neonatal

    We do both mec and urine. In my understanding, the urine clears of the drug sooner so only represents very recent usage by the mother, but the mec can show evidence of abuse from longer ago. Hence...

  4. What kind of bottle nipples do you use?

    littleneoRN replied to preemie69's topic in NICU, Neonatal

    We never use the straight yellow fast flow nipple. We generally use the Gerber slow flow nipple, which is designed for newborns 0-3 months of age. We also stock the medium flow nipple, so that if an...

  5. Assisted Ventilation Education??

    littleneoRN replied to figiwigi's topic in NICU, Neonatal

    We get four hours of class on neonatal mechanical ventilation and another four hours on trachs (with and without vents). Of course most of what you learn is at the bedside and from the amazing RTs,...

  6. STABLE question.

    littleneoRN replied to HappyPediRN's topic in NICU, Neonatal

    An earlier poster mentioned that STABLE is good for Level I, Level II, ER, OB nurses, etc. but I think it's good for any nurse new to caring for newborns. It gives a good overview of the important...

  7. Food In The Nicu

    littleneoRN replied to NANSNURSE's topic in NICU, Neonatal

    I have a hard time picturing that JCAHO prohibits food in patient care areas seeing as patients in most other populations eat food... But I don't know what they have to say about food for other...

  8. Questions about managing NICU babies

    littleneoRN replied to platon20's topic in NICU, Neonatal

    Typically, if mom is pumping we try very hard to wait for expressed milk. The when depends on many factors, like Steve said. For a stable preemie we hope to start trophic feeds on maybe day 2-3 of...

  9. Refusing prenatal ultrasound

    littleneoRN replied to 2curlygirls's topic in NICU, Neonatal

    I have a friend who refused simply because she didn't feel it was necessary. But when you ask NICU nurses about this or home deliveries or other "alternatives," remember you're always asking a biased...

  10. Do you allow rings of any kind in your NICU??? and other infection questions...

    littleneoRN replied to NANSNURSE's topic in NICU, Neonatal

    What exactly makes a wedding band acceptable and not other rings? We definitely do no rings in our unit, along with no watches, or other anything below the elbows. Unless your wedding band has a...

  11. Isolette covers

    littleneoRN replied to elizabells's topic in NICU, Neonatal

    We have isolette covers also. And yes they are quilted-looking. Some of them appear to be Children's Medical Ventures...based on the print. And then some from some other random company. And the...

  12. BP on Pediatric Patient?

    littleneoRN replied to blinks14's topic in Pediatric

    It is more difficult sometimes to get a good pressure on a baby/toddler, but that doesn't mean it's not part of normal vital signs. We definitely get kids who are out of the norm who aren't yet...

  13. hands on care schedules in your unit

    littleneoRN replied to iyqyqr's topic in NICU, Neonatal

    Oh my goodness you guys are making me appreciate our set up so much! We don't make parents leave the unit for report, which I do know is a little bit of a concern. We have potential for changing...

  14. Nurse to patient ratios and acuity in YOUR PICU

    littleneoRN replied to NotReady4PrimeTime's topic in PICU, Pediatric

    Hi! I actually work in the NICU but spent some time as a student in a PICU before I graduated. Hope some of this helps, even though I may know have as detailed of answers. 1. Big cardiac surgical...

  15. Male Nurses in Neonatal

    littleneoRN replied to bigq2000's topic in NICU, Neonatal

    So I'm very in support of men working in the NICU, and I like our male nurses a lot. But I'm little curious about the lactation peer counselor. Isn't the definition of a peer counselor that they are...

  16. hands on care schedules in your unit

    littleneoRN replied to iyqyqr's topic in NICU, Neonatal

    We stagger our 3 hour feeding kids so that they are mixed 8-11-2, 9-12-3, or 10-1-4. That way if you have kids who are bottling you actually have time to work with them and if they're breastfeeding,...

  17. How should I respond?

    littleneoRN replied to I'mANurse!'s topic in NICU, Neonatal

    I have quite a bit of experience being "new" in my short time, as I started straight nights, switched to straight days, and the trained in to a Level III from a Level II. My experience is that most...

  18. oldest babies in the NICU?

    littleneoRN replied to bubbly's topic in NICU, Neonatal

    I work at a pediatric facility. We have a NICU stepdown for kids with chronic and complex health problems. They will keep kids until about 12 months, but that isn't too common. They have toys,...

  19. Feeding tubes.

    littleneoRN replied to Preemienurse23's topic in NICU, Neonatal

    Our kids who are starting to bottle or breast all have NGs, even if they have nasal cannulas. But we only use 3.5 fr tube, except for really big kids (and sometimes not even then...grrr). Ours are...

  20. wishful thinking

    littleneoRN replied to narcissus's topic in NICU, Neonatal

    We are about half and half, people who do 8s and people who do 12s. I work a mixed schedule of 8s and 12s. In my area, most hospitals seems to offer plenty of both, but this can be different in...

  21. Starting a NICU job!!!!!!!!!

    littleneoRN replied to cherokeesummer's topic in NICU, Neonatal

    In regards to the questions about L & D/NICU involvement...every hospital is different. I also work at a free-standing pediatric hospital that is directly across the street from an adult facility...

  22. Healthy Fear

    littleneoRN posted a topic in NICU, Neonatal

    I am wondering how you teach a healthy amount of fear to new nurses. I work in a stepdown unit, and sometimes I precept new staff. In precepting and daily interactions, I hear some comments that...

  23. Standardized meds times in the NICU

    littleneoRN replied to neopremie's topic in NICU, Neonatal

    We do not use standardized times. Most of our kids are on one of four feeding schedules---8/11/2/5, 9/12/3/6, 10/1/4/7, or ad lib. The med times are scheduled accordingly for PO meds, and IV meds...

  24. Preemie that Only Tolerates Breast Milk.

    littleneoRN replied to sunny17's topic in NICU, Neonatal

    I have seen Prolacta used a few times. Not for any baby I was caring for directly, so I don't know too much about it except that it is expensive but has seemed to be helpful for those

  25. A Survey!

    littleneoRN replied to betty81's topic in Pediatric

    1. What is your job and why did you choose this one in particular? I work in a newborn unit for kids who do not need intensive critical care but need to be hospitalized. This includes lots of...