littleneoRN

littleneoRN

NICU

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All Content by littleneoRN

  1. Team nursing in ICU?

    littleneoRN replied to thehutz's topic in MICU, SICU

    This sounds like a cool program. However, as an RN I would not be excited about taking on extra patients above the normal assignment while also supervising a student. Everything they do is on my...

  2. Charting question

    littleneoRN replied to umcRN's topic in PICU, Pediatric

    PICU and NICU here. We chart full or partial assessments as frequently as needed per patients needs, but AT LEAST q4h. Somehow your charting should indicate every time you assess and what you saw or...

  3. Awake, alert, oriented & non ventilated...on ECMO??

    littleneoRN replied to umcRN's topic in PICU, Pediatric

    I've seen a picture of someone ambulating on ECMO. Our center isn't that brave. Yet.

  4. NICU Nursing

    littleneoRN replied to NurseK21's topic in General Nursing

    Consider checking out the NICU forum on there. Go to Specialty on the top. Choose Critical Care Nursing. Then there is a link to NICU. There are plenty of threads on this very topic if you search...

  5. PICC Lines And TPN

    littleneoRN replied to pearldiaz's topic in General Nursing

    The whole point of the three lumens is to be able to run things that are non-compatible. It seems like a waste to add a PIV when you have three lumens that empty separately into the vein. In the...

  6. Response to Pregnant Friends

    littleneoRN posted a topic in NICU, Neonatal

    Hi all! I have been an NICU nurse in a large referral center for 4+ years. I do not yet have any children of my own, so I have no personal birthing experience and know that my opinions are limited...

  7. Do you use oxyhoods?

    littleneoRN replied to NeoPediRN's topic in NICU, Neonatal

    The hoodbox for the pneumothorax is 100% FiO2 for a nitrogen washout. The administration of 100% oxygen to term infants ("nitrogen washout") is said to potentially resolve the pneumothorax more...

  8. Response to Pregnant Friends

    littleneoRN replied to littleneoRN's topic in NICU, Neonatal

    Thanks for the responses thus far. I agree...I generally keep my mouth shut if no one asks, but fortunately/unfortunately, most people ask. Like I said, although I disagree, I'm supportive and...

  9. NICU nurse making the jump to PICU!

    littleneoRN replied to preemieRNkate's topic in PICU, Pediatric

    And your newborn patients never grab their ETTs? :) We don't always have time for the three minute scrub either, but we make time if at all possible. Ideally, the offgoing nurse doesn't leave til...

  10. Traveling with intubated patients

    littleneoRN replied to mcleanl's topic in MICU, SICU

    Ok, I work in NICU too, but the only real big difference here is how hard it is to maneuver the bed. In reality though, our beds are often almost as big and heavy as yours...they just don't come with...

  11. Blood products question

    littleneoRN replied to TigerGalLE's topic in NICU, Neonatal

    We don't transfuse through our PICCs because they are 1.9 fr, but we routinely transfuse via 24 g IVs. We rarely use 26 g, so I can't comment on that. It's true though that we transfuse MUCH slower....

  12. new drug-Avastin for ROP

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

    How many times does a baby receive this in a normal

  13. antibiotics

    littleneoRN replied to rockabye's topic in NICU, Neonatal

    To just add to the previous poster, who is right, antibiotics are chosen to have a broad spectrum until an organism is identified. However, depending on the timeframe (birth, post-op, etc.) and...

  14. NaHCO3 lead to SVT?

    littleneoRN replied to TangoLima's topic in MICU, SICU

    Disclaimer...Newborn ICU nurse here... I have been taught by our docs that hemodynamically stable SVT can be quite prolonged without causing the patient harm. We send babies with hx of SVT,...

  15. When to call in sick to the SICU

    littleneoRN replied to DuluthMike's topic in MICU, SICU

    I feel like this is a valid question, and there are finer points that aren't really getting addressed. For example, if I worked as, for example, and engineer, sitting at my desk working most of the...

  16. Computer charting- How often do you document vital signs

    littleneoRN replied to cfbrown's topic in MICU, SICU

    Oh my! If I had q 15 min VS to chart on two patients without monitor interface, that would pretty much be 1/2 or more of my

  17. new grad RN salary at unionized hospital?

    littleneoRN replied to nina_RN's topic in General Nursing

    If you are being offered this job, you have the right to ask what the pay is. They should tell you without you

  18. Any ICUs or critical care settings where the standard ratio is 1:1?

    littleneoRN replied to edogs334's topic in MICU, SICU

    I would partially agree since the OP is a new nurse, but I think is largely false also. I believe that ICUs who do not give vented patients with multiple titrating drips 1:1 care are doing their...

  19. To be a pediatric nurse or not to be?

    littleneoRN replied to WannabeNurse(:'s topic in PICU, Pediatric

    If this is something that is tough for you, you could work in a lower acuity peds floor at a community hospital, as opposed to a higher acuity peds area at a children's hospital/university/etc. Some...

  20. Starting off as a New Grad in the NICU--bad idea?

    littleneoRN replied to iDeftones's topic in NICU, Neonatal

    Agreed with Steve. The nurses who have left my units have....retired...gone to grad school...or moved due to spouses' jobs. I can think of just two people who have left for other units voluntarily,...

  21. Nursing to the Deaf?

    littleneoRN replied to K3ndraR's topic in General Nursing

    There is a higher concentration of Deaf in the Washington DC/ Maryland area. I would say that working at an ENT office will not get you that much contact with the deaf since most Deaf people are...

  22. Infection control overkill?

    littleneoRN replied to BabyLady's topic in NICU, Neonatal

    We wear gloves to protect the nurse and patient. We glove for all patient contact (and wash before and after of course), which reduces trnsmission of germs patient to patient and nurse to patient....

  23. Infection control overkill?

    littleneoRN replied to BabyLady's topic in NICU, Neonatal

    Kangaroo care works for a myriad of reasons, most of which aren't applicable to touch with hands. And from an all-gloved unit, I can vouch that a gloved hand still calms a fussy, disorganized...

  24. Drop-side cribs outlawed

    littleneoRN replied to Coffee Nurse's topic in NICU, Neonatal

    Not to mention resuscitate a baby who crumps while in a crib... I think it is truly not feasible to care for a critically ill child with the sides up on a crib. I can deal with sides up on a radiant...

  25. RT a good path towards becoming NICU RN?

    littleneoRN replied to Noob_to_Nursing's topic in NICU, Neonatal

    seriously? i know this is ot, but... i understand that you can have intense training that covers the same material, but it seems imprudent to have rts who are not officially certified in these if...