littleneoRN

littleneoRN

NICU

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All Content by littleneoRN

  1. Transport

    littleneoRN replied to babyRN0404's topic in NICU, Neonatal

    Curious about people's opinions of and experience with transports that do vs. do not include providers (NNP or physician). Our unit has a high transport volume, and all our transports are staffed...

  2. RNC--Low Risk Neonatal vs. Neonatal Intensive Care

    littleneoRN posted a topic in NICU, Neonatal

    Hi all! I'm wondering if anyone can give me perspective on the two RNC exams--Low Risk Neonatal and Neonatal Intensive Care. I currently work in the Level II part of a large children's facility. We...

  3. Parents who are controlling

    littleneoRN replied to obprof's topic in NICU, Neonatal

    One of the unique things about NICU is that in the start, we truly know more about someone's child than they do. That and the fact that we can pretty carefully control this tiny little human and...

  4. Breast milk via GT

    littleneoRN replied to RN_PICU's topic in PICU, Pediatric

    I don't understand why anyone would be putting more milk in the feeding bag or syringe than the patient is due to be fed at that specific feeding. Take 135 mL out of the refrigerated supply and leave...

  5. little clamps on peripheral IVs and PICC lines. . .

    littleneoRN replied to ArtsyCraftsy's topic in General Nursing

    When in the process you clamp (before or after removing flush syringe) depends on the brand of cap. Some are positive pressure caps and require a different process than the other ones, which I think...

  6. Nurses with Lap Band

    littleneoRN replied to NurseyPoo7's topic in General Nursing

    What kind of place only offers a 30 minute break in a 12 hour shift? We get 1 hour and 15 minutes worth of breaks in that time

  7. NICU/SCN Staffing Questions

    littleneoRN replied to RN*mommy's topic in NICU, Neonatal

    It seems unlikely that when floating to post-partum you would have a baby-only assignment. Most places do couplet care, so if you've got the baby, you've got the mom. I thought separate baby and mom...

  8. New Grad called NM of NICU...good choice?

    littleneoRN replied to futureNICUrn14's topic in NICU, Neonatal

    I called a nurse manager...not for the unit I really really wanted, but one I thought I would like and thought would be hiring. Turns out they weren't hiring, but she was impressed (with who knows...

  9. My first death

    littleneoRN replied to laynaER's topic in NICU, Neonatal

    One thing I have learned over time is that with *most* deaths in the NICU, we have given everything and the kitchen sink to help this baby have a chance. By the time the baby passes, their chance of...

  10. Should this be reported??

    littleneoRN replied to nicenurselpn's topic in General Nursing

    I'm not going to judge what's done in other settings, but I have never seen or heard suggested in my unit to "borrow" a med for another patient. I would go as far to say though, that if I were...

  11. Is anybody else tired of the nurse practitioner craze?

    littleneoRN replied to WillRegNurse's topic in Nurse Practitioners, NP

    NPs have an ESSENTIAL role in my unit. They don't have as much autonomy as other settings, but we would not be able to function without them. They round on stable patients. They place lines,...

  12. Please help me figure out what happened to my pt

    littleneoRN replied to Florence NightinFAIL's topic in General Nursing

    2 hours worth of breaks??? How long is your whole

  13. Nurse advocacy (Rant)

    littleneoRN replied to KalipsoRed's topic in Activism, Healthcare

    I work in a union facility, and while the union (like anything) has it's downfalls, I thank my lucky stars. Some days when I read things on AN, I hope that people are exaggerating. Sure we are being...

  14. pet peeves when nursing students arrive

    littleneoRN replied to sandanrnstudent's topic in General Nursing

    [quote=NurseKellyH;5535339 *Edit* If you'd really like to look things up to know more about them, write them down somewhere to reference later when you aren't at work/clinical or perhaps even on break...

  15. Antiobiotic delivery via iv pump in NICU

    littleneoRN replied to Carrybee's topic in NICU, Neonatal

    Also, babies are more sensitive to fast infusion rates. We give a lot of meds over 15 to 30 minutes that you would push on adults. Lasix, morphine, etc. Not sure what other places do. We run these...

  16. Antiobiotic delivery via iv pump in NICU

    littleneoRN replied to Carrybee's topic in NICU, Neonatal

    Our pressors run in bags, but they runto a trifuse right at the bottom by the baby. I've never piggy backed anything. I'm not sure how one would piggy back antibiotics on a large volume pump unless...

  17. Antiobiotic delivery via iv pump in NICU

    littleneoRN replied to Carrybee's topic in NICU, Neonatal

    PS...8 mL of tubing length is probably 2-3 hours worth of fluid for that size baby, so it will take a long time for the med to actually reach the

  18. Antiobiotic delivery via iv pump in NICU

    littleneoRN replied to Carrybee's topic in NICU, Neonatal

    Syringe pumps are necessary equipment for any hospital caring for a 750 gram baby. I know it's not your choice, but a hospital that won't invest in a few syringe pumps doesn't have business caring...

  19. Titrating and Bolusing

    littleneoRN replied to TexRN08's topic in MICU, SICU

    I work NICU, so the specifics are different. But I echo the idea of knowing how each drug specifically works. And then considering what you're treating. You're not just treating low BP. You're...

  20. Any 22 weekers out there?

    littleneoRN replied to mauigal's topic in NICU, Neonatal

    We have a video library with videos on breastfeeding, pumping, etc. This could certainly go on the shelf as an option for them to check

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

    littleneoRN replied to ittybittyfootprints's topic in NICU, Neonatal

    It seems excessive to me too, but that's what "they" say the research "says." Our nurses raised lots of feedback about the potential for infection, but the policy stands... Anyway, even before 7...

  22. Who else love's their 12's?!

    littleneoRN replied to jnfRN's topic in General Nursing

    To each their own...I know some people really do love their 12s. However, my friends who work 12s all say they love them, but they also always seem so exhausted. They say the love the extra day or...

  23. feel like an idiot

    littleneoRN replied to katygw's topic in General Nursing

  24. Physical restraint on uncooperative children

    littleneoRN replied to Aleccandra's topic in General Nursing

    A one-time dose of Ativan would definitely not prevent the need for helping a child stay still. Sugar water on a pacifier and a good swaddle would be much much more effective on an infant. In...

  25. hidden cameras in patient's rooms allowed?

    littleneoRN replied to Shell5's topic in General Nursing

    I'm not worried about wrongdoing because I am careful to follow policy and good judgment at all times. Consider this though. I work in NICU and we have cameras available for moms to be able to see...