RN4Little1s

Latest Activity

1. advice for barcode scanning of infants

   RN4Little1s replied to kimbittybabyrn's topic in NICU

   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 the baby, it is easy to pull out the looped ID band ...

2. CBC clotting

   RN4Little1s replied to NJNICUCCRN's topic in NICU

   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 ones drawing labs, we felt we were doing everythin...

3. OG /NG Tube Placement

   RN4Little1s replied to THB4471's topic in NICU

   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 alert physician if it is high. No pH testing at all. X...

4. weighing on NCPAP

   RN4Little1s replied to NicuCourtney's topic in NICU

   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 the initial weight may change... but after that when...

5. need vent tips - mainly for flipping / suctioning

   RN4Little1s replied to asdjkl's topic in NICU

   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 is a large amount of water in the tubing. Our RTs...

6. nurse hydration

   RN4Little1s replied to karnicurnc's topic in NICU

   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... why can't everyone have water? That said, most peopl...

7. primary care teams

   RN4Little1s replied to soprano3's topic in NICU

   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 that for Associates to sign up. You can only have on...

8. primary care teams

   RN4Little1s replied to soprano3's topic in NICU

   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). Whenever that nurse is working, they will have that bab...

9. May have 2 job offers, please help!! :(

   RN4Little1s replied to NurseDevonL's topic in NICU

   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 closer drive to "home." And there will be less floa...

10. H1N1 -- in the NICU

    RN4Little1s replied to spacey's topic in 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 parent must feel to actually be told they cannot co...

11. busy or slow

    RN4Little1s replied to nicu4me's topic in NICU

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

12. Measuring urine output

    RN4Little1s replied to 3yrDiploma's topic in NICU

    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 odd?

13. Nurse in Spain Makes Fatal Mistake in NICU

    RN4Little1s posted a topic in NICU

    Have you read about this nurse who worked her 1st day in the NICU... and gave formula through an IV? http://abcnews.go.com/International/wireStory?id=8076645

14. Does anyone use biodiscs on their piccs, umbilical lines?

    RN4Little1s replied to BittyBabyGrower's topic in NICU

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

15. feeding problems

    RN4Little1s replied to carla.hca's topic in NICU

    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 the parents and medical team are comfortable with it...