Hannahrn

Personally, I haven't seen a jet vent since I worked in a NICU in NJ 13 years ago! Since then, I have worked in many institutions across the country & no one else used a jet. I couldn't even begin to know what the difference is; however I have heard the jet is a very old technology & the HFOV is the current way to go. Curious...where do you work (generally, like the state or country)?

Would like some input on how & why you do this: Checking residuals..... On a baby that is not nippling all feeds, but is nippling some, WHEN do you check for residual? For example, if the baby can nipple every other feed & finished the nipple feed without needing to gavage the remainder, do you check for residual prior to the next feed? Or, if the baby nipples 1/2 of the feed & gavages the remainder, do you check residual prior to the next feed? Early in my career, I seem to remember being taught NOT to check residual if the baby nippled anything at all during the previous feeding. thanks!

hi, please fill me in on how you institute safe sleep practices in your nicu? how do you address the developmental needs of the preemie and still model safe sleep? any specific policies in place? any specific program you have instituted? thanks!

Hi all, I hope this isn't inappropriate or too gory, but today some co-workers of mine told me a story about a decapitation that occurred during breech delivery when the cervix clamped down on the baby's head! I was horrfied & did not know this could ever happen! I have been to thousands of deliveries & seen some crazy things, but nothing like this! I was wondering if anyone else knows more about this or things like this, or other complications that can happen w/breech delivery, forceps, etc.

Hi...I tried Delectable dinners in HR off of County Line Rd...that was good & they even have a room for kids to play so you can do your thing in their "kitchen". Also tried Dinner N' Dash, right down the road from my home & epxected the same quality. The food (mostly crock pot meals) were awful! What a waste of $$. I've also heard super suppers is good.Many of the nurses I work with use these places, so I guess it's pretty popular.

I hope someone can clarify something that has been bothering me b/c I feel like I should know this and I am too embarassed to ask except here... Can someone clearly explain what it means when the baby/mother is a "set up" with regard to jaundice, ABO incompatability, etc. I have heard this term used & it has something to do with when the mom is a certain blood type and it puts the baby at risk for jaundice. But I never totally understood that. I have also heard the term "set up" with regard to GBS...can someone explain that too? Thanks so much. I feel like after so many years doing this, I have forgotten things & need a refresher and/or never learned something correctly and am too ashamed to ask at this late stage...:imbar

Hi, I will be driving from so Cal to Denver in about a month, in a 24 ft. rental truck. Can anyone advise me on the best way to go? I know I-70 would be quicker through the rockies, but are the roads treacherous? SHould I opt for dring through Albuquerque and then up the I-25 to Denver? Thanks...

Hi, I will be driving from so Cal to Denver in about a month, in a 24 ft. rental truck. Can anyone advise me on the best way to go? I know I-70 would be quicker through the rockies, but are the roads treacherous? SHould I opt for dring through Albuquerque and then up the I-25 to Denver? Thanks...

Hi! I'm an RN but work in NICU, a far cry from Nephrology! Wondering if anyone can offer some advice/resources for me. I was just diagnosed with IgA nephropathy. My nephrologist acted like it wasn't a big deal, just prescribed fish oil and informed me that I will need to be followed for the rest of my life. And, that since it was caught early, I will likely be ok. However, I am reading up on the internet, seems like this progresses to ESRD quite frequently. What is your experience with this and what resources do you reccomend for me? Any info is greatly appreciated...

OK, have you looked into CHOC - at Mission? Send me a private message and we can "talk", I just don't want to post all my info here.

Hi...I work in a NICU in Orange County, and as the NICU nursing world is very small, I have heard lots through colleagues who have or are working there now. Seems like it's a large, busy unit. If you are familiar with all that goes along with that, then you'll know what the unit is like. Are you currently looking for a job? Where do you live? If you're interested, I love the unit I work in...I can give you more info...

Hi! My husband and I are very strongly considering moving to Denver as well and I am also researching the possibilities for employment there. I am not sure if I am going to take a travel assignment or permanent position yet. I did contact American Mobile and they told me there are rarely travel opportunities in Denver. Not sure about other CO areas. I've traveled before so am familiar with the process. How about you? What is your specialty? Where are you living now?

placing the probe in the axilla works well of fat babies. actually, placing the probe in the axilla is contraindicated due to the presence of brown fat there...you can get a false high reading if the baby's core temp is low & they are burning brown fat to warm up, thus making the axillary temp read higher. also, to clarify what i wrote previously, the liver is supposedly an area with increased blood flow/metabolic activity which makes the temp coorelate closer with the core temp. therefore, it is the preferred place for a temp probe. has anyone else heard of this or has any further info?

when i first started in nicu, i learned that over the liver was the best place for the temp probe since that area will have the closest reading to core body temp. the place i work currently avoids over the liver! what do you all do out there???

It's probably a good idea to do a rectal once upon admission to make sure that the rectum is patent (r/o imperforate orifice), unless the baby has already passed stool, then axillary is fine. As for blood sugar -ONLY if there are risk factors. A normal newborn's blood sugar should not be an issue.