littleneoRN

littleneoRN

NICU

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All Content by littleneoRN

  1. Low census vs. on call????

    littleneoRN replied to ontocrna's topic in General Nursing

    Oh, and on call is purely

  2. Low census vs. on call????

    littleneoRN replied to ontocrna's topic in General Nursing

    We work in four or eight hour chunks since we have a mix of 8 and 12 hour shifts. You can be cancelled, given a voluntary low needs day, or be put on call. If you are cancelled or given a low needs...

  3. Sat monitoring -- Car Seat Test -- CHANGES?!

    littleneoRN replied to spacey's topic in NICU, Neonatal

    Wow, now our culture of passing kids to make them feel good has reached to newborns (and their airways--yikes!). So, if a nurse can't determine that a baby has "failed" the test, or maybe in more...

  4. Did I make a judgement error in caring for terminal neonate??

    littleneoRN replied to neonurse28's topic in NICU, Neonatal

    Don't stress! In our unit, a micro-preemie's lower alarm limit is usually 80, and I have always been taught not to jump on the oxygen dial. Oxygenate gnetly. Our docs always remind us that cardiac...

  5. Some questions about gentamicin...

    littleneoRN replied to summerlove2's topic in NICU, Neonatal

    We use pumps for everything and I had not heard of retrograding before this... Our standard is for gentamicin to be ordered q24h. Micros usually start with q36h or q48h. Levels are checked for...

  6. Doc freakout

    littleneoRN replied to CNL2B's topic in General Nursing

    I'm sure it's beside your point, but it surprises me that a hospital wouldn't staff it's SICU to be able to accommodate 1:1 care PRN. (Not your fault, I'm just saying...) After all, it is an

  7. drips connecting at y-site

    littleneoRN replied to fiveofpeep's topic in MICU, SICU

    We do this all the time in NICU as IV access issues are common. Our TPN usually IS our maintenance fluid. So it would be very common to have, say...TPN, lipids, and dopamine going into a trifuse....

  8. I am officially a NICU nurse!

    littleneoRN replied to aerorunner80's topic in NICU, Neonatal

    Well, I'd talk to your manager/educator first. Some NICUs provide stethoscopes and each baby has their own. This is a huge infection control measure for vulnerable infants. So, you might not need...

  9. RNs running ECMO on adult patients

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

    I work at a Children's Hospital that does ECMO in the NICU/PICU. But the principles here are the same. My concern is not an RN running the pump. We have RNs trained to run the pumps. These are...

  10. Private NICU rooms...A Stinky Subject

    littleneoRN replied to BabyLady's topic in NICU, Neonatal

    Our health dept and JCAHO say it's fine to have MBM and parent food in the same fridge because they're both food. We only allow this since each baby has their own fridge. They say food with food,...

  11. IV Sticks in a pediatric pt

    littleneoRN replied to imintrouble's topic in Pediatric

    I think it's ok to give a try when the opportunity arises. My rule of thumb is not to stick unless I see a good vein that I think I have a decent shot at. But I would still say I miss more than I...

  12. Baby Care DVD

    littleneoRN replied to spacey's topic in NICU, Neonatal

    We do all this type of teaching via demonstration and hands on learning. I feel like a DVD might be valuable in normal newborn with the short length of stay, but since our babies are with us longer,...

  13. Earliest viable gestational age?

    littleneoRN replied to everthesame's topic in NICU, Neonatal

    We routinely attend deliveries at 23 weeks with no weight limit. Obviously, if the baby is too small to intubate, then that would be a weight limit of sorts. We discuss in advance if possible...

  14. Do you let gastroschisis babies with silos be held?

    littleneoRN replied to heymama1plus1's topic in NICU, Neonatal

    No we don't. I think the concern there is possible tension/torsion on the silo if the parents or baby move. Plus I'm not sure what stable object we would be able to support the silo to. I get what...

  15. Thorough assessments and keeping on schedule

    littleneoRN replied to Moondance's topic in NICU, Neonatal

    I'm with most other on these things. Counting a HR or RR for 6 seconds is something I do for rapid info in a code, not on a detailed assessment. I usually do RR for 30 or 60 seconds and HR for 30...

  16. Born with Leukemia

    littleneoRN replied to acenab4jc's topic in NICU, Neonatal

    In my short-ish experience, I've seen one case of neonatal leukemia and several cases of myeloproliferative disorder in newborns with Trisomy 21. (Not exactly leukemia, but

  17. CCRN certification

    littleneoRN replied to jmeng's topic in Critical Care

    I took this from the AACN website. The CCRN exam is for nurses who work at the bedside of acutely or critically ill patients, regardless of the setting (includes areas such as ICU, CCU,...

  18. Best Practices for UAC use ?!?

    littleneoRN replied to Jack's Mom's topic in NICU, Neonatal

    You didn't mention whether or not you administer medications via UAC, but I'll toss this one out there. http://www.medscape.com/viewarticle/460321 Also, if you read the lit review at the beginning,...

  19. Things you would like the ICU to understand

    littleneoRN replied to I_LOVE_TRAUMA's topic in Emergency

    Wow. Not sure how to respond to this. First of all, maybe I didn't communicate it well, but my thought that this was dreamland was moreso related to the 160 nurses for 80 ICU beds originally...

  20. Experience needed?

    littleneoRN replied to bbrreend's topic in NICU, Neonatal

    I will both agree and disagree with HumbledNurse. :) It will be hard to get substantial even Level II experience in such a small unit. On the flip side, I worked in a (large) Level II for a few...

  21. Test Your Neonatal Critical Care Knowledge

    littleneoRN replied to SteveNNP's topic in NICU, Neonatal

    Well, you want to know if there is any history or suspected history of narcotic abuse. The Narcan would be an antagonist not only to the narcotic from the general anesthesia but also drugs of abuse...

  22. Things you would like the ICU to understand

    littleneoRN replied to I_LOVE_TRAUMA's topic in Emergency

    Wow...this seems like generous staffing! 160 nurses for 80 ICU patients? Does every patient have 2 nurses??? And 20 ER nurses for a max of 45 patients? This would make sense to me only if your ER...

  23. Private NICU rooms...A Stinky Subject

    littleneoRN replied to BabyLady's topic in NICU, Neonatal

    We have all private rooms, and we have generally not experienced issues with cleanliness. There is a fridge for breastmilk and formula in the room, and parents are allowed to store today's food in...

  24. the best ETT securing methods and devices

    littleneoRN replied to ligucis21's topic in NICU, Neonatal

    Either our RTs will come re-tape or one RT and one RN will do it

  25. Test Your Neonatal Critical Care Knowledge

    littleneoRN replied to SteveNNP's topic in NICU, Neonatal

    Steve? You still hear? I'm waiting on the edge of my seat.