LANurse

We use these. I like them much better than wee-pees. http://www.small-beginnings.com/cuddlebunpage.htm

We are talking 22-23 weeks and an occasional 21 weeker thrown in just for kicks. We do not use humidity, we use Aquaphor q6h x14 days. It serves the same purpose as humidity does, which is to decrease insensible water loss,until the skin is keratinized.It also helps to keep things that could cause skin tears from sticking to the skin. We used to use humidity, but it has probably been at least 10 years ago, and possibly more since we have done this. We have practiced agressive resuscitation of 23 weekers for at least that long.We utilize Drager warmers, and they are kept on them for quite a while. This practice may differ from what you do in your unit, but there will be variations in clinical practice from unit to unit depending on the neonatologists that are managing them.

You may have to adjust the Servo temp downward with the probe placement behind the ear, but it works pretty well. Once the skin has keratinized, and the Aquaphor treatment stopped, we place the probe on the trunk with a temp probe cover.

We have been using Aquaphor on micropreemies for many years now, and we have not had the problem you described. We use it for a period of two weeks, and the babies are kept on radiant warmers. If you are having a problem with the temp probe cover, you could try what we do, which is to tuck the probe behind the ear, and we fashion a stretchy "headband" out of surginet to hold it in place. This works well for us, and no adhesive on the babies skin.

I am considering a move to the Birmingham area, and was curious about shift differentials, weekend and any other incentive pay that hospitals in the area offer. I am very interested in UAB, but would welcome any other responses as well. I would appreciate any info you could provide.

I thought some might be interested in this article, I am going to attempt to post the link! http://www.al.com/news/mobileregister/index.ssf?/base/news/1083402923120270.xml I can't figure out how to post the link to her picture, but it is on the front page of the Mobile Register.

One thing that helps me, is putting my alarm clock across the room, not within arms reach. I have to get up and walk over to it to hit the snooze bar. This wakes me up more, and I tend not to oversleep.