littleneoRN

littleneoRN

NICU

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All Content by littleneoRN

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

    littleneoRN replied to ischialspines's topic in Ob/Gyn

    Actually, most of the babies that I've cared for who are born by emergent CS under general were not born at our center. Rather, they are women previously identified as low risk and laboring at small...

  2. Can I carry my own pulse ox?

    littleneoRN replied to TeleRN311's topic in General Nursing

    If you reread what you quoted from my post, I think I make it fairly clear what I'm having a hard time believing this...and how my experience apparently differs from yours. It just doesn't seem...

  3. Billirubin of 28

    littleneoRN replied to mkg1025's topic in NICU, Neonatal

    You sound like a wonderful and concerned daddy. Unfortunately, according to our terms of service on this site, we can't provide any medical advice or prognosis. These are great questions to ask the...

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

    littleneoRN replied to ischialspines's topic in Ob/Gyn

    Have you done any actual research on this, or is this just your personal feeling? I'm not necessarily in support of NPO/clears, but I will chime in this. As a NICU nurse, I can assure you that crash...

  5. Securing ET Tube

    littleneoRN replied to MedEngineer's topic in NICU, Neonatal

    We use tape or tube holders from Smith Medical. What I don't like about the ones from Smith is that there is a second piece you click in at the base to secure the tube, and sometimes it's hard to...

  6. Intubated Pt's Using Bedside Comodes

    littleneoRN replied to EDrunnerRN's topic in Critical Care

    Well, I work in the NICU, so it's all different. Our patients receive fairly small amounts of sedation while ventilated, but they aren't up at the commode either. :) We RARELY use drips for...

  7. Team nursing in ICU?

    littleneoRN replied to thehutz's topic in MICU, SICU

    Regardless of my amount of experience, I still will not at any time choose to take on supervising a non-licensensed personnel with an increased patient load. I LOVE to precept, but if I'm the one...

  8. car seat challenge/test

    littleneoRN replied to ICNClinicalRN's topic in Ob/Gyn

    We test kids who are less than 37 weeks. Generally, they don't meet weight requirements for most convertible seats, so we don't let them test or discharge with one of them. They have to bring in a...

  9. Intubated Pt's Using Bedside Comodes

    littleneoRN replied to EDrunnerRN's topic in Critical Care

    Trying to picture being awake enough to walk and not grossly uncomfortable and freaking out about being intubated.

  10. Guidelines/ Requirement for one to one Nursing Care in a NICU

    littleneoRN replied to ona fofah's topic in NICU, Neonatal

    Ok, I know this is an old thread, but...do you have to call this team when you want to give prn meds? What if need that pain med or sedation NOW...meaning 5 minutes ago? Is this a dedicated team, or...

  11. Any 22 weekers out there?

    littleneoRN replied to mauigal's topic in NICU, Neonatal

    DEFINITELY not 22 weekers! I've only seen one discharge, and she was minutes short of being a 23 weeker. I think our hospital was early on the wagon of resuscitating 23 weekers. I don't advocate...

  12. Any 22 weekers out there?

    littleneoRN replied to mauigal's topic in NICU, Neonatal

    I'm not sure what I need to say convince you that I'm not lying nor exagerrating about these real 23 weekers, but I'm not going to continue to try. First, because I'm not sure you'd believe me if I...

  13. Any 22 weekers out there?

    littleneoRN replied to mauigal's topic in NICU, Neonatal

    Totally agreed Tralala. I was specifically thinking of some young people who are healthy and well, but for all of them there are many more who are not. I'm not against your position as you've stated...

  14. Any 22 weekers out there?

    littleneoRN replied to mauigal's topic in NICU, Neonatal

    I agree that longer term follow up should be done. However, our hospital keeps careful statistics for VON, and the last time our statistics were published in a report, our survival to discharge for...

  15. Safe Sleep inthe NICU

    littleneoRN replied to CareForBabies's topic in NICU, Neonatal

    Our policy applies to babies greater than 35 weeks AND nearing discharge. Supine, feet to foot, head of bed flat, swaddled only under the arms, no boundaries, no toys/blankets in the blanket. When...

  16. Any 22 weekers out there?

    littleneoRN replied to mauigal's topic in NICU, Neonatal

    We often put micro-preemies on NO. There is a lot of research out there these days looking at the benefits of use of NO with micros. I don't know that I can put this in the category of sadistic....

  17. Can I carry my own pulse ox?

    littleneoRN replied to TeleRN311's topic in General Nursing

    Ok, I'm in agreement with not bringing in a portable pulse ox because it's medical equipment, but this is just plain ridiculous. The only thing our families can't bring without approval is Christmas...

  18. Adjusting assesment in the developmentally delayed but progressing infant.

    littleneoRN replied to Sehille4774's topic in Pediatric

    She should be followed by a developmental pediatrician and OT/PT should be seeing her. This is what they do and should have resources for the family. They should also be able to perform a...

  19. staffing

    littleneoRN replied to matthewrn03's topic in CCU, Coronary, Cardiac

    I just can't understand how true ICU care can be provided to three patients by one nurse, even without IABP, CRRT, etc. How can you manage a vent, sedation, drips, and frequent assessments, much less...

  20. Current Method of Gavage Syringe Warming

    littleneoRN replied to faitdog's topic in NICU, Neonatal

    We use warm water in a 1 L graduated cylinder. (You know, what you'd empty an adult Foley into?) Don't worry, we don't use the same one as for the Foley! They have a dedicated one for warming...

  21. NICU Swings Policies

    littleneoRN replied to charryse77's topic in NICU, Neonatal

    Our hospital has lots of swings since we are a Children's hospital. They are the same ones you buy in a store. We request one when it becomes appropriate for the baby. They go in the baby's room...

  22. How to go about saying thank you to your nurse?

    littleneoRN replied to magn1jes's topic in General Nursing

    Cards can be mailed to the hospital address, addressed to the nurse in question in care of the particular unit (ex. Labor and Delivery). I'm sure she'll love to know that she was

  23. March of Dimes: Less than 39 weeks

    littleneoRN replied to Elvish's topic in Ob/Gyn

    What do you all define as an elective induction. Because if you mean non-emergent, but for a good medical reason, then I think the dates should be taken into account, but not limited. If elective...

  24. Acrocyanosis in newborn

    littleneoRN replied to PEDSOBRN's topic in Ob/Gyn

    If you did need a pulse oximeter measurement in a newborn with acrocyanosis (for some additional reason), you can still do it on the hand or foot. I'm a NICU nurse, and most of our admissions are...

  25. Using oxygen as diuretic

    littleneoRN replied to daisy2daisy's topic in MICU, SICU

    Would this be to use the vasoconstriction effect to promote strong blood pressure and thus renal perfusion? I haven't heard of this, but I'm interested to hear