littleneoRN

littleneoRN

NICU

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All Content by littleneoRN

  1. Newborn nursery Log

    littleneoRN replied to broncopooh's topic in Ob/Gyn

    The only thing I know for sure is that a circ log is required by JCAHO. This is because of it's surgical

  2. St. Kate's Post-Bacc Program

    littleneoRN replied to Bennie44's topic in General Nursing

    Hi! I did not attend St. Kate's, nor do I know much about thier Accelerated program. But I did go through an accelerated program. Here are some things I would think about. 1. There is no way...

  3. How many patients a day

    littleneoRN replied to NICUplease's topic in NICU, Neonatal

    Sometimes I'm not sure how we do it, but we always manage to empty a bed just in time. We also are a major referral center for most of our state and parts of neighboring states. sometimes there's...

  4. What kind of feeding system do you use?

    littleneoRN replied to BittyBabyGrower's topic in NICU, Neonatal

    We use a feeding extension tube that has a big orange stripe on it so that it can not be easily confused with a med line. This attaches directly to the hub on the NG and luer-locks to the feeding...

  5. How many patients a day

    littleneoRN replied to NICUplease's topic in NICU, Neonatal

    A lot of you talk about having census over your actual capacity? First, where do you put them? I mean, doesn't every kid need a set up with a monitor, wall oxygen, etc.? Second, do your hospitals...

  6. How many patients a day

    littleneoRN replied to NICUplease's topic in NICU, Neonatal

    The convenient thing for us is that we have rooms of 3 or 6 kids. So, we try our darnedest to have two kids on each hour in each room. So, depending on acuity, if you have two nurses, with three...

  7. How many patients a day

    littleneoRN replied to NICUplease's topic in NICU, Neonatal

    Elizabells, Do you know what your unit's motivation for having all the babies on the same three hour schedule. In our stepdown, we almost always have three babies, so having them on each hour...

  8. Feeling overwhelmed!!!

    littleneoRN replied to lilbug's topic in NICU, Neonatal

    We all felt overwhelmed when we started, and sometimes still. I'm surprised that they would have you be admitting a new baby on your second day out of orientation. We do patient care on our own...

  9. How big is your "unit"?

    littleneoRN replied to BiologyNerd's topic in NICU, Neonatal

    We have 100 total beds for Level II and Level III. We never go over our census within our units, period, although sometimes we manage a few of the older chronic kids on the PICU stepdown unit if...

  10. Senior practicum in NICU!

    littleneoRN replied to babyNP.'s topic in NICU, Neonatal

    Congratulations! In answer to your question about job offers... Any reasonable nurse manager should give you some time to decide. Sometimes you get an offer during the interview, sometimes they...

  11. Hospital Scrubs

    littleneoRN replied to nicunursem10's topic in NICU, Neonatal

    People in this thread and past threads have mentioned wearing hospital sterile scrubs but being able to wear personal scrub jackets over them when they are not doing patient care. This seems to...

  12. Funny/happy NICU moments needed

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

    I laugh when you have a like a 1000 g kiddo, and you get them tucked in nice and cuddly prone with all your proper developmental positioning. You look back maybe 10 or 15 minutes later and she has...

  13. Private rooms for NICU babies

    littleneoRN replied to FemmeRN's topic in NICU, Neonatal

    Our PICU has all private rooms. They have a very high acuity level with ECMO, cardiac surgicals, etc., and I have not heard any complaints other than that the rooms should be bigger. I haven't heard...

  14. Procedure on NG/OG Tube Feeds

    littleneoRN replied to NICU Mama's topic in NICU, Neonatal

    We put all our feedings on a pump--we don't do anything by gravity. If it is small volume on a bigger kid--say initiating feeds on a new 32 weeker--and you're only giving 5 mL, sometimes we will...

  15. Private rooms for NICU babies

    littleneoRN replied to FemmeRN's topic in NICU, Neonatal

    Right now we do not have private rooms, but it is on the horizon. TeenyTiny mentioned that they don't feel comfortable putting their sickest kids in a room alone. At our hospital, those really sick...

  16. frequency of linen changes in the NICU

    littleneoRN replied to iyqyqr's topic in NICU, Neonatal

    We are supposed to change our isolettes every 14 days and as needed. We are not always very strict about that timeline though---I wish we were better because inevitably there are drops of milk in...

  17. Programs with new grad internships?

    littleneoRN replied to babyNP.'s topic in NICU, Neonatal

    Monroe Carrell Jr. Children's Hospital at Vanderbilt has a new graduate residency program that allows some shadow opportunities in ER, PICU, NICU, etc. and then a residency/internship in one of those...

  18. Sleeping

    littleneoRN replied to Neo_Nurse's topic in NICU, Neonatal

    p.s. We even have a couple sleep rooms that are available for nurse naps during unpaid breaks. And no, there is not a code light in there, and we would never dream of asking someone to take their...

  19. Sleeping

    littleneoRN replied to Neo_Nurse's topic in NICU, Neonatal

    At our hospital, we are allowed to sleep on our unpaid breaks, but no one really does. However, I think it is perfectly acceptable. According to our contract, we are entitled to a break completely...

  20. Questionable practice???

    littleneoRN replied to RNCFinally's topic in NICU, Neonatal

    I work in a Level II nursery, but our facility also has a big Level III. We have 24 hour coverage by a neo and at least one NNP. An NNP rounds every morning on all our Level II babies, and the neo...

  21. breastfeeding woes

    littleneoRN replied to Rhee's topic in Ob/Gyn

    I work in a Level 2 nursery. I am very pro-breastfeeding and definitely support working hard to establish breastfeeding prior to offering bottles when possible and practical. However, I also see...

  22. Car seat challenge

    littleneoRN replied to grlgid's topic in NICU, Neonatal

    Maybe I'm overstating our fail rate a bit. Most kids pass, but it's not at all unusual for kids to fail. We have 32 beds. We are a level 2 unit but our hospital has a large level 3, which feeds us...

  23. Car seat challenge

    littleneoRN replied to grlgid's topic in NICU, Neonatal

    All our kids go home in infant seats, usually the ones designated for 4-20 lbs. We don't have a weight or age limit for going home---they just need to be consistently taking their feedings orally,...

  24. Car seat challenge

    littleneoRN replied to grlgid's topic in NICU, Neonatal

    All our preemies have to go for a car seat exam prior to discharge. If at all possible, we try to have the parents bring in the car seat, but the hospital has one in case parents are unable to bring...

  25. Circumcision

    littleneoRN replied to RN mom of 2's topic in NICU, Neonatal

    Our neonatologists check with all parents of boys if they desire a circ. If covered by insurance, they get their circ a couple days prior to DC. I would say 80+% percent of our boys get circed while...