littleneoRN

littleneoRN

NICU

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All Content by littleneoRN

  1. How to tell a child they have a terminal illness?

    littleneoRN replied to Double-Helix's topic in PICU, Pediatric

    A good child life specialist is a must in this

  2. diluted Na in Blood

    littleneoRN replied to acenab4jc's topic in NICU, Neonatal

    Hemodilution....adequate sodium but too much fluid leads to a low serum sodium concentration. Just like adequate sodium in the presence of dehydration leads to high serum sodium

  3. Really, really surprised...........

    littleneoRN replied to roser13's topic in General Nursing

    I don't know if it's pervasive, but I'm just saying it's wrong. I can think of a few real life examples...a nurse who wanted a couple paychecks until she moved to another state...with no intention of...

  4. Really, really surprised...........

    littleneoRN replied to roser13's topic in General Nursing

    Having a job and then being offered something better is different than going into a job planning to stay only days or weeks. That was the phenomenon I was responding too. On that note though, my...

  5. Really, really surprised...........

    littleneoRN replied to roser13's topic in General Nursing

    I don't feel that I have to be loyal to an employer, especially one that would treat me poorly. BUT, this is just plain unprofessional and dishonest. I will not let a hospital pay to train me for a...

  6. Emaciated Patient & Dose by Weight

    littleneoRN replied to perfectbluebuildings's topic in Pediatric

    If the body structure and vascular system is of more normal size, and the muscle and fat are depleted, this could make sense. Just like when you have a patient with significant water weight on board,...

  7. nurses and parents that don't follow CDC vaccination schedules

    littleneoRN replied to gfcfnina's topic in Pediatric

    In general, with controversial decisions such as vaccinations, circumcision, etc., if people ask, I try to present the information something like this. "The AAP recommends this because blah blah blah...

  8. pet peeves when nursing students arrive

    littleneoRN replied to sandanrnstudent's topic in General Nursing

    My tips... Be responsible for your own clinical work. If you need to interview a patient/parent/nurse, whatever, tell me and we'll set something up. Too often the school has let me know what types...

  9. pet peeves when nursing students arrive

    littleneoRN replied to sandanrnstudent's topic in General Nursing

    In addition to that insurance though, I am held responsible on a license level if I am supervising a student and something goes wrong. If I delegate a task to them, I am responsible. Maybe not in...

  10. Annoyed

    littleneoRN replied to umcRN's topic in NICU, Neonatal

    When we have kids on large volumes, we do transition to kangaroo pumps. But with any type of feeding, breast milk or formula, but especially breast milk I try to mix up the contents about every half...

  11. Test your PEDS critical care knowledge

    littleneoRN replied to NotReady4PrimeTime's topic in PICU, Pediatric

    Fatty tissue necrosis and subsequent hypercalcification. Hypoperfusion of the surface tissues leads to hypothermia and hypoxia of these tissues. This can promote inflammation and necrosis. Also,...

  12. Polymixin via ETT

    littleneoRN replied to umcRN's topic in NICU, Neonatal

    Inline suction should reduce your VAP, not increase

  13. Polymixin via ETT

    littleneoRN replied to umcRN's topic in NICU, Neonatal

    We use inline suction 100% of the time. No Polymixin here. Fairly low rates of VAP, although I'm sure we could do

  14. Do you kangaroo while infant is still in humidity?

    littleneoRN replied to ittybittyfootprints's topic in NICU, Neonatal

    If they're stable to be held, then absolutely. We humdify less than 30 weeks, up to 30 days of age. I can't imagine making a stable 29 weeker wait a month to be

  15. Float ICU RN to Med-Surg?

    littleneoRN replied to mturner88's topic in Patient Safety Issues

    In my hospital, travellers ( who are rarely used anyway) are the first to be floated if an appropriate assignment is available. Any of those m/s patients could have been stuck in ICU waiting for a...

  16. orientation for fresh hearts

    littleneoRN replied to tachy's topic in CCU, Coronary, Cardiac

    Can you ask to schedule some of your remaining orientation days when there are cases scheduled? After you're off orientation, you shouldn't really be recovering fresh hearts right away anyway. Ask...

  17. Level 3c to a Level 2b... Will I get bored??

    littleneoRN replied to nakeia's topic in NICU, Neonatal

    This does get annoying if you hear it often enough, especially if it comes with a "holier than thou" attitude. But I don't think we're thinking in the best interest of our patients if we're so...

  18. What are your pet peeves when orienting a new ER nurse?

    littleneoRN replied to NeoPediRN's topic in Emergency

    Yes and no. It can get old when you hear it over and over. But orienting someone with experience also gives us opportunities to get ideas from how other places do things. If they come with...

  19. car seat challenge/test

    littleneoRN replied to ICNClinicalRN's topic in Ob/Gyn

    Manufacture or expiration date....whichever the seat has. The standard they use is 5 years unless otherwise

  20. Research for NICU Tourniquet

    littleneoRN replied to alex.IPI's topic in NICU, Neonatal

    We use rubber bands too. We also cut tiny strips off big kid blue tourniquets. Either works fine. Sometimes it's hard to get it tight enough without pinching their skin, I guess... ETA: Any buckle...

  21. NPO/clear liquid status during labor - evidenced-based?

    littleneoRN replied to ischialspines's topic in Ob/Gyn

    No one said anything about continuous monitoring. Maternal and fetal monitioring in hospital could include physical assessment, maternal vital signs, cervical assessment, intermittent monitor or...

  22. Could a Registered Nurse hold their own when it comes to treating patients...?

    littleneoRN replied to lee_sHAY's topic in Patient Safety Issues

    I'll be the first person to admit that I have just a scrap of the knowledge that our docs do due to their education and experience. That said, I know what they will order/do in most of our daily...

  23. Can I carry my own pulse ox?

    littleneoRN replied to TeleRN311's topic in General Nursing

    Our unit is actual quite high acuity too (despite the fact that some people don't think we do anything except rock babies). Most parents are pretty good about staying out of the way as needed. They...

  24. Can I carry my own pulse ox?

    littleneoRN replied to TeleRN311's topic in General Nursing

    Anyway, this has sort of hijacked the thread...feel free to carry on with the original question.

  25. Can I carry my own pulse ox?

    littleneoRN replied to TeleRN311's topic in General Nursing

    We have high risk moms on bedrest for weeks/months. They tend to feel better if they can take care of themselves like they would at home. And in a pediatric facility we have parents who room in with...