RN4Little1s

RN4Little1s

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All Content by RN4Little1s

  1. advice for barcode scanning of infants

    RN4Little1s replied to kimbittybabyrn's topic in NICU, Neonatal

    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

    RN4Little1s replied to NJNICUCCRN's topic in NICU, Neonatal

    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

    RN4Little1s replied to THB4471's topic in NICU, Neonatal

    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

    RN4Little1s replied to NicuCourtney's topic in NICU, Neonatal

    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

    RN4Little1s replied to asdjkl's topic in NICU, Neonatal

    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

    RN4Little1s replied to karnicurnc's topic in NICU, Neonatal

    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

    RN4Little1s replied to soprano3's topic in NICU, Neonatal

    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

    RN4Little1s replied to soprano3's topic in NICU, Neonatal

    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!! :(

    RN4Little1s replied to NurseDevonL's topic in NICU, Neonatal

    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

    RN4Little1s replied to spacey's topic in NICU, Neonatal

    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

    RN4Little1s replied to nicu4me's topic in NICU, Neonatal

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

  12. Measuring urine output

    RN4Little1s replied to 3yrDiploma's topic in NICU, Neonatal

    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. Nurse in Spain Makes Fatal Mistake in NICU

    RN4Little1s posted a topic in NICU, Neonatal

    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?

    RN4Little1s replied to BittyBabyGrower's topic in NICU, Neonatal

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

  15. feeding problems

    RN4Little1s replied to carla.hca's topic in NICU, Neonatal

    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...

  16. Parents never cease to surprise me

    RN4Little1s replied to NFB2008's topic in NICU, Neonatal

    3 kg baby boy with first time 20 year old dad who has never really touched a baby. Changes his first meconium diaper, which was a big poop. He was very proud of himself. Asks totally seriously, "Can...

  17. Jobs W least amount of needles and blood.

    RN4Little1s replied to cute-1's topic in General Nursing

    School nursing - but those jobs are hard to get! Even then, you get bloody noses and kids who may need injections... Everything I can think of that a new grad would do involves blood or grossness in...

  18. PDA murmurs

    RN4Little1s replied to 2curlygirls's topic in NICU, Neonatal

    Ask nurses you are working with if any of their babes have a whopping murmur, and take a listen so you can start with a loud one and work your way to recognizing smaller ones. And yes, I had to learn...

  19. I am sure this is a silly question but I am truly curious.

    RN4Little1s replied to ~Mi Vida Loca~RN's topic in General Nursing

    I do work NICU and I do cry when I get attached to patients and they pass away. I got teary with my first discharge too! My big rule of thumb is to never be more emtional than the parents of that baby...

  20. I think I made a bad choice.

    RN4Little1s replied to rant's topic in General Nursing

    By the tone you use to talk about your precepter, I think you realize how she is not helping you to become a good nurse. She is not being patient or kind. And it sounds like she is trying to expose...

  21. CPAP, SiPAP, High Flow ??

    RN4Little1s replied to oglesbymom's topic in NICU, Neonatal

    We use mostly high flow. On some preemies we will use CPAP and sometimes on bigger kids if they are on 8 L high flow and it's not enough. Some fellows love it and some don't. When they are on CPAP we...

  22. Need Help with Primary Care Nursing in NICU

    RN4Little1s replied to oglesbymom's topic in NICU, Neonatal

    Sometimes the families and nurses get very close, and there have been family members who have taken advantage of nice nurses - saying "oh XXX other primary let's me read the chart whenever I want" (we...

  23. Need Help with Primary Care Nursing in NICU

    RN4Little1s replied to oglesbymom's topic in NICU, Neonatal

    For us, in general the preceptor/orientee duo has first choice of the assignements no matter who had he/she the day before. However, if the kid is REALLY sick, then the primary will most likely take...

  24. Heelstick vs venipuncture?

    RN4Little1s replied to gudiarani's topic in NICU, Neonatal

    Heel sticks for labs unless we need a large amount or a CBC keeps clotting. Our RTs do our art sticks (and a doc if nobody can get it). Remember some basics. Keep gravity in your favor! get the foot...

  25. Need Help with Primary Care Nursing in NICU

    RN4Little1s replied to oglesbymom's topic in NICU, Neonatal

    I was actually going to ask the same question, and I noticed this today! Our unit has always had a place to sign up as a "primary" for a baby - we make our own assignments together at the board in...