ScammRNC

ScammRNC

Level 3 NICU 17 yrs, Neo transport 13 yr

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All Content by ScammRNC

  1. Gavage Feeders

    ScammRNC posted a topic in NICU, Neonatal

    How are other units feeding gavage babies? Do you use gravity, slow push or a syringe pump? Does it change from baby to baby or do you do it strictly one way? How about babies that just aren't...

  2. visiting policy for unmarried fathers

    ScammRNC replied to rockabye's topic in NICU, Neonatal

    In my state, if there is a husband then he is presumed to be the father. If unmarried, then the mom has basically all control. She can decide who to put on the visiting list. She could list the father...

  3. In line suction on the ET

    ScammRNC replied to sofiam's topic in NICU, Neonatal

    We use the Ballard in-line suctioning system in our unit too. We have had the system for quite a number of years now and have had no problems. I think the Ballard is

  4. OGT or NGT for neonates?

    ScammRNC replied to Bortaz's topic in NICU, Neonatal

    We use OGT with infants that are intubated or on CPAP. Once they come off CPAP then we switch to

  5. Professional Organizations

    ScammRNC replied to darynash's topic in NICU, Neonatal

    I have had a membership in the Academy of Neonatal Nurses (ANN) for about 8 years and have really enjoyed it, especially the Neonatal Network journal. I have also attended a couple of the National...

  6. Low Census in the NICU

    ScammRNC replied to neonurse97's topic in NICU, Neonatal

    Topeka KS. Level 3. We have been low all year. There have been periods of influx, but it doesn't last long. 2-4 sent home every

  7. busy or slow

    ScammRNC replied to nicu4me's topic in NICU, Neonatal

    It has been busy here all year long except for a minor lull the end of May/first of June. Multiples are hit and miss and seem to go in spurts. We had an influx of 23-26 weekers the beginning of...

  8. Measuring urine output

    ScammRNC replied to 3yrDiploma's topic in NICU, Neonatal

    My unit is the same as BabyLady's, we weigh all diapers all the time. Our micropreemies often will have orders for q 12 or q 6 hour urine

  9. Skin Integrity

    ScammRNC posted a topic in NICU, Neonatal

    my unit is trying to institute a new skin integrity policy for elbw infants. does anyone out there use a skin integrity scale of any type? if so, can you give me the name and how it works?

  10. AWHONN members?

    ScammRNC replied to ws582's topic in NICU, Neonatal

    I agree with the others---go with the Academy of Neonatal Nursing (ANN) or National Assoiciation of Neonatal Nurses (NANN). Besides taking a NRP course, you might want to think about a STABLE course...

  11. VLBW infants and positioning

    ScammRNC replied to NICU Mama's topic in NICU, Neonatal

    in my level 3 nicu, we keep all babies under 30 weeks on vents or cpap midline for 72 hours or until their first head us, whichever is first. many time we are not even allowed to go side to side, just...

  12. What is the Highest Bilirubin you've ever seen?

    ScammRNC replied to dawngloves's topic in NICU, Neonatal

    27 is the highest I have seen with a couple of exchange transfusions to bring it

  13. 23 Weeker goes home

    ScammRNC posted a topic in NICU, Neonatal

    Just today(2/10) my unit discharged a former 23+2 weeker!!! She came to us on Oct. 16th and had the usual roller coaster ride but withstood any devastating complications. She did have a PDA ligation...

  14. 23 Weeker goes home

    ScammRNC replied to ScammRNC's topic in NICU, Neonatal

    No oxygen, no BPD. Only caffeine and a home monitor. Her ROP is the biggest problem. Along with laser surgery she also had Avastin injections. Left eye better, right eye questionable. Pretty close...

  15. Alarm limits and ROP

    ScammRNC replied to Mithrah's topic in NICU, Neonatal

    My unit uses 3 different sat ranges: 29-34 weeks -- 85%-95% >34 weeks -- 90%-98% Of course the high limits are 100% in in room air. We have seen quite a decrease in the number of ROP cases and/or...

  16. micro preemie trophic feeds

    ScammRNC replied to kangarooyou's topic in NICU, Neonatal

    We start trophic feeds on the micros (DOL varies) at 1 ml q 12 hrs then if tolerating will increase to 1 ml q 6 hrs. Some docs will then increase volume to 2 ml q 6 hrs and some will go with 1 ml q 3...

  17. Ett suction preterms

    ScammRNC replied to johan john's topic in NICU, Neonatal

    We do not use routine suctioning, but only as needed on a case by case situation. We also suction 30-60 min prior to blood

  18. Question about your unit

    ScammRNC replied to EarlyAdditionRN's topic in NICU, Neonatal

    I work in a 35 bed Level 3 unit and we have: 4 Neos during the day 1 of which is on 24 hours 5 NNP's during the day Our neos/NNP's attend all high risk deliveries along with the charge nurse for that...

  19. From med-surg to NICU?

    ScammRNC replied to CTRN2679's topic in NICU, Neonatal

    I started and spent 3 years on a Med-Surg floor. While it was an overwhelming experience at the beginning, I "got the hang of it" after a few months. I just think you need to give it a while longer...

  20. tiniest micropreemie

    ScammRNC replied to mweaverrn's topic in NICU, Neonatal

    We had a 23 + 3 weeker that weighed 350 grams about 2 years ago that is doing well at home. She was in our unit for about 18 weeks and had a few complications along the way, but stage 3 ROP was her...

  21. Isolette covers

    ScammRNC replied to elizabells's topic in NICU, Neonatal

    We use the giraffe covers or quilts/blankets that parents have brought

  22. men and neonatal

    ScammRNC replied to uscstu4lfe's topic in NICU, Neonatal

    We are a level 3 nursery and have 4 men working in the unit. We had 5 for a while but he left because it was "harder on his back" than he thought it would be. He was very tall and found it difficult...

  23. Cleft palate & lip

    ScammRNC posted a topic in NICU, Neonatal

    We have a 25 week twin that has a cleft palate and lip. He is intubated now, but everyone is trying to figure out how to manage him after extubation. He basically has no left nare and we are unable to...

  24. Cleft palate & lip

    ScammRNC replied to ScammRNC's topic in NICU, Neonatal

    Thanks Loralai. That is the type of apparatus that our doctors are talking about putting together. The LMA has also been

  25. Formula Prep

    ScammRNC posted a topic in NICU, Neonatal

    What is everyone's policy on formula prep and storage? Ex: If you open a bottle of formula and only use a partial amount then how long do you consider the rest of it good