littleneoRN

littleneoRN

NICU

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All Content by littleneoRN

  1. Test your PEDS critical care knowledge

    littleneoRN replied to NotReady4PrimeTime's topic in PICU, Pediatric

    Do you guys ever dose your morphine in mcg? Just curious. We use mg with our wee ones, but the whole prn dose might be 0.05 mg q4h.

  2. Test your PEDS critical care knowledge

    littleneoRN replied to NotReady4PrimeTime's topic in PICU, Pediatric

    Is that really what you meant Jan? That doesn't make sense based on Jan wrote. That would calculate to "infusing" your morphine over 1-2 seconds, which is just IV

  3. Neonatal Isolation (Protective Isolation) on the pediatric unit?

    littleneoRN replied to p-nut-pod's topic in Pediatric

    We don't use "newborn isolation" as you say, but we are fairly particular in the winter about newborns being in the NICU and preferably not in our PICU or floors, and vice versa, that kids with RSV or...

  4. Jaundice help!

    littleneoRN replied to jennf83's topic in Pediatric

    I've been told by our physicians that the idea that it travels downward as it worsens is not current information. I think that belief may have come about because it is easier to note in the...

  5. Test your PEDS critical care knowledge

    littleneoRN replied to NotReady4PrimeTime's topic in PICU, Pediatric

    Ok, so I'm a NICU nurse, not a PICU nurse...but just a side question. 40 mg/kg/hr of morphine sounds like A LOT to me! Was that a typo or is that the real dose? We're talking about 2400 mg/hr of...

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

    littleneoRN replied to edogs334's topic in MICU, SICU

    In my NICU, we have a lot of 1:1 patients. Most vents are 1:1, occasionally paired with another stable baby if staffing dictates. If we have stepdown type of kids who just haven't made the move to...

  7. RT a good path towards becoming NICU RN?

    littleneoRN replied to Noob_to_Nursing's topic in NICU, Neonatal

    It sounds like you're doing your homework. I'd agree with the previous poster that this is unnecessary considering the work and cost. NICU jobs can be hard to come by, especially with the economy....

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

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

    1:1s for us are all ECMO, HFOV, jets, post-ops for at least one shift, admits for at least one shift, PD, hemofiltration, and most chronic trach-vents. In addition, most vents are 1:1 but may be...

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

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

    I'm sorry. I don't mean to be critical, but if my child was on ECMO and his/her nurse was also admitting another patient, I would be fit to be

  10. Ratio?

    littleneoRN replied to NebraskaRN's topic in NICU, Neonatal

    I work in what would be considered busy IIIc that transfers kids out when they become stable feeder/growers. So, we have some Level II type kids but not that many. Most of our vents tend to be 1:1,...

  11. uh-oh, do I have the right personality for NICU??

    littleneoRN replied to Shanlee79's topic in NICU, Neonatal

    I would not consider myself a total type A in my life in general. I am fairly flexible and willing to go with the flow in a lot of ways, which is actually very important in any area of nursing...

  12. Too Short for ICU Nursing?

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

    I agree with all that you should not let your size limit you. BUT...if you're looking for less intense physical work, you can get excellent experience for CRNA in a large PICU, especially if they do...

  13. Are there PAs in the NICU?

    littleneoRN replied to AnnieOaklyRN's topic in NICU, Neonatal

    We do not, nor do the other hospitals in our area that I know of. I'm sure that they could be equally effective in their jobs with experience, but I think such a specialized area lends itself to NNPs...

  14. Infection control overkill?

    littleneoRN replied to BabyLady's topic in NICU, Neonatal

    We are 100% gloved for all contact, nothing below the elbow, including sleeves, rings, and watches. Our infection rate has drastically improved since we made those changes. I think the rings and...

  15. NNP's---in demand, or not so much?

    littleneoRN replied to d2k2ross's topic in NICU, Neonatal

    My understanding is that there is a pretty consistent demand, although currently dampened by the economy. If you are just graduating with your ADN, I wouldn't take the current economy into account....

  16. Do you know of employers willing to cross-train Med/Surg RNs to work in the NICU?

    littleneoRN replied to Info(RN)matics's topic in NICU, Neonatal

    I think people might be speaking different languages here. I generally think of cross training as staying in your current unit but asking for brief training to also work a few shifts in another area....

  17. cross-train from L&D

    littleneoRN replied to adpiRN's topic in NICU, Neonatal

    From reading these boards, it seems like nurses have anywhere from one to four patients at a time. Depending on the level and design of the NICU, there may or may not be assignments with just feeder...

  18. epidurals in NICU

    littleneoRN replied to nicugrad's topic in NICU, Neonatal

    I don't have much experience with them, but we use them occasionally for more substantial abdominal

  19. When to Bag Your Baby??

    littleneoRN replied to Ram1802h's topic in NICU, Neonatal

    Some tips I've heard from different nurses... For a typical A & B, you should give them 30 seconds of stim and blowby, with your stim becoming progressively more vigorous. If there is no...

  20. Lasix and Bumex

    littleneoRN replied to littleneoRN's topic in NICU, Neonatal

    I read that Bumex actually has a longer duration...and stays in the neonate's system longer than older patients. Thus the dosing is less

  21. Lasix and Bumex

    littleneoRN posted a topic in NICU, Neonatal

    I read online that there is a national IV Lasix shortage. I hear the substitute we'll be using is Bumex. Has anyone used this much with neonates?

  22. Infant Pain Management

    littleneoRN replied to 2muchHeart's topic in Ob/Gyn

    There is actually research now that shows that exposure to uncontrolled pain of "minor" procedures such as heel sticks and circumcisions has negative effects on brain development. So there is...

  23. Anyone ever use IV Glycopyrrolate?

    littleneoRN replied to SteveNNP's topic in NICU, Neonatal

    I keep in occasional contact with special families. My standard is to give them my work email. I don't like mixing work and Facebook, even though I make sure my Facebook image is professionally...

  24. Dandelion mattress vs Z-Flo

    littleneoRN replied to thefabulousmrst's topic in NICU, Neonatal

    Agreed. I just watched the demo video and would not be comfortable with the poor visualization of a more critical baby. Also, a lot of this could be similarly accomplished with a really good...

  25. HFJV vs. HFOV

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

    We use the jet with kids who have PIE, micros up to term kids. Occasionally it's also used if we can't ventilate a kid with the conventional or oscillator. You need a conventional vent also in order...