IttyBittyBabyRN

IttyBittyBabyRN

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All Content by IttyBittyBabyRN

  1. Mandatory "on-call" scheduling

    Due to our having some short staffed days on our unit schedule, or manager has implemented a "mandatory on-call" policy. While our unit is in no way nearing a staffing crisis, I work in a unit where you NEVER take care of more than three babies. Th...
  2. Attendance

    Sorry this is so long but I really want to get a perspective on how other hospital's attendance policies work. Consider what our hospital implemented this year: There is no longer ANY excused absence. Absences and tardiness are assigned point values ...
  3. Attendance

    Our manager actually said that anyone who possibly could should get intermittent FMLA. Work the system......We say all the time how we would LOVE some California nurses to come over here to Tennessee and teach us how it's done . The problem here is t...
  4. How to Hang a Tube Feeding in a Crib?

    I do the tongue depressor thing if they are in a small crib. If in the large metal crib, we usually string rubber bands together to stretch diagonally across the crib and hang the syringe from a couple in the middle. Really high tech :):)
  5. Advice for "seasoned" individual going for RN

    I had a BS when I decided to go to nursing school as well. It was the same length of time for me to go to the BSN program as it would have taken to do the other. My advice is to compare each based on length and cost. A BSN will be required to advan...
  6. CPAP/Hood/Vent Setups

    How often does your unit change out these setups? Currently we change all of ours every 4 days. I would think that the vent tubing is important since it's blasting straight into the lungs, but I'm not convinced that a hood or cpap setup should requ...
  7. Feeling inept :(

    Don't quit!!! It is like this for everybody--I promise!!! I just changed from one unit to another after doing this job for 7 years and I still felt like a new grad orienting at the new unit. Once you get on your own, you can stand at the bed and j...
  8. Trimming of Neonatal Fingernails

    I think I would vomit if I heard someone tell a parent that or saw them actually do it!!!! I view that as being very unsanitary for the parent and especially the baby. We always ask parents to use hand sanitizer if they touch their face,nose,mouth, ...
  9. IV air bubbles

    It's great that you care enough to find out for certain before feeling comfortable with this--more people should be that way. You can never get all the little bubbles out and "thumping" on it, like we all were taught to do, will drive you nuts eve...
  10. An hour of my life I'll never get back.

    Welcome to nursing school.......I found 90% of it to be the most ignorant, non-adult centered pointless blah, blah, blah and 10% actual learning environment. Apparently it was not just my school. I went back to nursing school after finishing anoth...
  11. What's the weirdest baby name?

    Most of these are in our unit now.........some are old favorites. Taniah Jermiracle Sema'J Uziah Kasonia La-Nya Sa'Mya Mhersi ToGodHeOwe (as in, To God he owe his life as stated by the mother) Kevasea Michael/Michaelneesha (twins, of course) Armoney...
  12. Privacy/Patient Info

    What are your policies regarding information given out at a baby's bedside and who is allowed to visit? We let parents and grandparents visit, but anyone else has to come with the mother. What do you do when family members are badgering you for inf...
  13. "cpap Head"

    Ok, need some info on everyone's CPAP experiences. Most of our babies have the kind with 2 corrugated hard plastic tubes held on their head with 2 blue sponges and a cap that has a band to secure around it. Sorry, don't know the brand name. Anywa...
  14. White scrubs

    Are there any that you REALLY can't see through??????
  15. hyperal use in the NICU

    Do many of you have lipids mixed in the same bag?? Do you run it in the UAC? We have to run the lipids separately in a PIV only.
  16. Home birth vs. hospital

    I would bet that no one who works in a NICU would ever recommend at home birth!! It is somewhat of a blessing and a curse that the average mother has no idea of all the things that could go wrong during a pregnancy and delivery. I was pregnant wit...
  17. White scrubs

    Are there any that you REALLY can't see through??????
  18. More Strange Baby Names

    How about these.... Jarquarious, Antavious, ToGodHeowe (as in, To God he owe his life, as the mother told us.....,) Antasia, Quendarious, Twins: Kevinesha & Kevinasha Michael & Michaelnesha Diamond & Sapphire ...
  19. More Strange Baby Names

    How about these.... Jarquarious, Antavious, ToGodHeowe (as in, To God he owe his life, as the mother told us.....,) Antasia, Quendarious, Twins: Kevinesha & Kevinasha Michael & Michaelnesha Diamond & Sapphire ...
  20. Admission criteria

    I work at a teaching hospital where usually we only have residents at night (unless by the grace of God we get an NP for a night) so as you can imagine it can be quite scary when you're stuck with someone who doesn't know their head from...well...you...
  21. Admission criteria

    Guess I should have been more clear. We did not do anything for the 224 grammer. The issue was that the Dr. brought it up to our unit which requires us to go through the "admission" process thus creating a chart, charges, etc. I am convinced that...
  22. Ethics part 2

    This is going to be my favorite topic with you guys because I often think I work in a science lab. I had a pt. the other night that perfed and was about 4 days post-op w/ostomy. Obviously in pain w/his belly the size of a basketball. Our fellow ...
  23. It's been awhile... How about another ethics question?

    Dawngloves, do you work with me?????? This is so typical where I work also. I don't think our hospital must have an ethics committee--I sure know they don't darken the doors of the NICU!!!! I often chant "We're all going to hell!!!!!" to the tune o...
  24. Privacy/Patient Info

    I asked this question because I have been very surprised since entering the healthcare setting that with the huge emphasis on privacy, there really isn't a lot of it! Our babies' name cards on their beds have a summary of their delivery history and ...
  25. Septic workup-CRP???

    We do CRPs on anyone with any risk of infection upon admission and it's our first check whenever a baby starts having increased desats, etc. Can't say I've ever seen one that high!! Normal to us is