iyqyqr

iyqyqr

NICU

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All Content by iyqyqr

  1. NCPAP hats/systems

    iyqyqr replied to iyqyqr's topic in NICU, Neonatal

    Thanks, AJA, for the vote of confidence. I love these wee ones and always as I care for them I picture their brain in my hands and the dreams that their parents have for them. I still am in regular...

  2. NCPAP hats/systems

    iyqyqr posted a topic in NICU, Neonatal

    I had an 800 gm 26 2/7 one day old infant last night who was intubated at delivery and given one dose of Curosurf and then tolerated weaning to 15/5 IMV 10 and RA. Gases are great so Neo says to...

  3. NCPAP hats/systems

    iyqyqr replied to iyqyqr's topic in NICU, Neonatal

    THanks, 300g, for your long and thoughtful note, I will clarify a few things in my note, hoping to get more responses. It is my understanding that 90% of IVH's occur in the first 48 hours in the VLBW...

  4. Increasing Parental Involvement/Satisfaction

    iyqyqr replied to BittyBabyRN's topic in NICU, Neonatal

    Friends: I made two errors on the web sites I listed (worked too many nights, I guess and had too little sleep) Here are the corrections: www.pediatrics.org/cgi/content/full/111/4/SE1/e437...

  5. Mid Life Change in Career

    iyqyqr replied to ready4anything's topic in NICU, Neonatal

    Dear ready4anything, Hey, at age 40, you're just a sweet, young, thing. Sometimes all we can do is have faith and make the leap. I'm 58, near 59 and have been on weekend nights in my home unit, for 14...

  6. Increasing Parental Involvement/Satisfaction

    iyqyqr replied to BittyBabyRN's topic in NICU, Neonatal

    Dear BittyBabyRN, What a great thread! I have spent the last year researching on customer service satisfaction and hope to write an article on the topic soon. I can share with you some tidbits that...

  7. What kind of bottle nipples do you use?

    iyqyqr replied to preemie69's topic in NICU, Neonatal

    Dear Preemie69, Our unit struggles with this aspect of care, also, and I so wish their was more EBP research on the topic!! According to our feeding protocol we are to try to breast/tube feed only for...

  8. Need Kardex Samples

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

    I work in a 48 bed Level III NICU and we redid our report/kardex/pathways system 2 years ago. I left that unit and traveled to 3 top units last year and got to use other systems and I like my my home...

  9. looking for kardex to use in NICU

    iyqyqr replied to missapoo's topic in NICU, Neonatal

    Hi, Babybug, I'm from your border state, OK, and I traveled to three NICU's last year, but liked my home unit's system the best. We had a nurse committee that developed all our clinical...

  10. NICU Pet Peeves

    iyqyqr replied to heartwort's topic in NICU, Neonatal

    For any of you who sometimes work charge: Our charge and transport nurses are not counted in staffing and so they float about the unit and offer help. Of course, often they sit at the front desk...

  11. NICU Pet Peeves

    iyqyqr replied to heartwort's topic in NICU, Neonatal

    :nono:My pet peeve is containment or kids stuffed in a Snugle-up and lying on a bed with no supportive nest around them. If, when a baby moves or kicks/cries the Bendy/blanket roll is pushed away;...

  12. Adjusting

    iyqyqr replied to courthousenette's topic in NICU, Neonatal

    I'm saddened to hear that your unit is mentoring new orientees with young new nurses. My unit has done the same the past two years and we are seeing lower customer service scores and gaps in knowledge...

  13. blood gases and your standard of care regarding them

    iyqyqr posted a topic in NICU, Neonatal

    Throughout my many years of NICU nursing I've experienced numerous changes in practice and standards, but this one has me concerned, so I'm asking for your input. Our neos have set up a corporation...

  14. AACN's Standards for Healthy Work Environments

    iyqyqr posted a topic in NICU, Neonatal

    In 2001 AACN made a commitment to actively promote the creation of healthy work environments that support and foster excellence in patient care wherever acute and critical care nurse's practice. I...

  15. AACN's Standards for Healthy Work Environments

    iyqyqr replied to iyqyqr's topic in NICU, Neonatal

    The six standards for establishing and sustaining healthy work enviroments are:1. Skilled Communication: Nurses must be as proficient in communication as they are in clinical skills.2. True...

  16. Do you use music therapy?

    iyqyqr replied to BittyBabyGrower's topic in NICU, Neonatal

    Mobiles for preemies are actually frowned on, but they are fine for older chronics. In the last two years I gathered all the research on music therapy in the NICU that I could find, including a book...

  17. Isolette covers

    iyqyqr replied to elizabells's topic in NICU, Neonatal

    Correction, (I should proof my writing before sending) . . . It is a Disney or baby print on one side, ( they have so many great choices, like Curious George, Disney Princesses, Care Bears, My...

  18. Isolette covers

    iyqyqr replied to elizabells's topic in NICU, Neonatal

    Elizabells, Iso covers are a big part of developmental care, esp if one is working in a an open room NICU where if you tunr on lights for one, you turn on the lights for many!! I traveled last...

  19. hands on care schedules in your unit

    iyqyqr posted a topic in NICU, Neonatal

    I'm curious about how other units schedule feedings and hands on care. My unit has all 3 hour feedings done at 8-11-2 and NPO stable kids are done at 8-12-4. We have some demand feedings, but not...

  20. hands on care schedules in your unit

    iyqyqr replied to iyqyqr's topic in NICU, Neonatal

    If you schedule your own kids, it sounds to me like their feeding times would vary from day to day. How do parents know when to come in to breast feed or nipple or even just help with cares a bit for...

  21. hands on care schedules in your unit

    iyqyqr replied to iyqyqr's topic in NICU, Neonatal

    How do you deal with infants who are too sleepy, sick, or preemie to waken on their own to give cues that they are hungry? Many gavage feeder are like that. How do you manage their cals and fluids??...

  22. hands on care schedules in your unit

    iyqyqr replied to iyqyqr's topic in NICU, Neonatal

    Dear 'Little', I find no benefit to having all infants due at the same time!! We have 2-3 RT's in our unit each shift and since we cluster our cares with theirs and they assisit us with...

  23. Travel nsg.

    iyqyqr replied to babiesRmylife's topic in NICU, Neonatal

    Hi, I have 26 years of NICU, level III, and I took a year's leave from my current NICU and traveled to three sites. I remained ECB status at my present job and each month flew home to work the...

  24. Preemie that Only Tolerates Breast Milk.

    iyqyqr replied to sunny17's topic in NICU, Neonatal

    I'm assuming you've tried Pregestimil already, because it is easily digested and often used post NEC issues on preemies whose moms are no longer lactating. Some babies hate the taste and won't nipple...

  25. Nice NICU to work?

    iyqyqr replied to klh0400's topic in NICU, Neonatal

    I have been a NICU nurse 26 years and have worked in 11 different units. This past year I've been traveling, so I've worked in three Level 3 units and all have pluses and minuses. My favorite unit...