RN4Little1s

RN4Little1s

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About RN4Little1s

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  1. advice for barcode scanning of infants

    We have the soft band on the baby that has a place to loop through the laminated-type ID band. Most of us put it on their lower extremities and on the outside of any clothing they have. If bundling...
  2. CBC clotting

    We are having a huge problem with this! We are supposed to write a safety report every time it happens... we can't be drawing CBCs one after another on these tiny babies, depleting their body! As the...
  3. OG /NG Tube Placement

    Check placement with every feed or med given by making sure tube is at same measurement, air bolus pop, and aspiration. With continuous feeds, we check aspirates Q4 hours. We record residuals and...
  4. weighing on NCPAP

    The trend of weight gain is most important. When you weigh the baby with their ETT, the weight is not exactly the weight of the baby no matter how hard you try! Once CPAP is placed on the baby, yes...
  5. need vent tips - mainly for flipping / suctioning

    Disconnecting the infant from the vent can make it easier to flip their head sometimes, however this leads to an increase in ventilator associated pneumonia (VAP). I try not to disconnect unless there...
  6. nurse hydration

    There are several pods with 6 bedpots each. We are not supposed to have any food or drinks EXCEPT pregnant or breastfeeding women can have water. Isn't that crazy? If the water can be in the pod......
  7. primary care teams

    We post have a large dry erase board divided into sections. Next to bedspot and pt name there is a spot for primaries labeled with "Day," "Night," and "Weekend." Then there is another block next to...
  8. primary care teams

    We do more along the lines of what you were thinking. When a baby is admitted, nurses sign up to be the day shift, night shift, and weekend primary (because we have several straight weekenders)....
  9. May have 2 job offers, please help!! :(

    It sounds like you are leaning toward #2. You will learn more and be more valuable in the NICU field if you ever need to move to a different area. And you said you like the town better while it is a...
  10. H1N1 -- in the NICU

    I realize most parents choose to stay away when they are sick until they start feeling a little better, but you actually deny parents access? Can they not just wear a mask? I can't imagine the way a...
  11. busy or slow

    We are doubling up bed spots - SO full! Several really sick ones with my new little friend being one of
  12. Measuring urine output

    We'll place a foley as well if their urine output drops off or we need more specific measurements or we need to separarte urine/stool. Is that
  13. Have you read about this nurse who worked her 1st day in the NICU... and gave formula through an IV?
  14. Does anyone use biodiscs on their piccs, umbilical lines?

    We use them on infants >1000gms on PICC insertion sites. We don't use them on umbilical lines... never thought of
  15. feeding problems

    If they are losing weight, their nutritional issue must be treated and they will soon have a feeding tube down again. I agree that parent education about enteral feedings should be completed and if...