Mira

Mira

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All Content by Mira

  1. reflective practice

    Hi everyone, I just like to know if any of you is keeping a diary and writing down every event while at work. Does it help you improve your practice?Here in UK,some hospitals require their most senior staff to do reflective practice,the higher your ...
  2. timing of newborn bath

    Sorry I can't seem to get the point,maybe I'm thinking about the theory of having your meal and going in a rollercoaster ride, or maybe I'm thinking about bathing the baby right after feeding.Is'nt it they have glucose reserve from maternal influence...
  3. timing of newborn bath

    This is interesting. In comparison to the practices in United Kingdom, bathing in the first few hours is not common. They can have their bath whenever convenient or necessary (i.e. going home and it's the first born child,baby got dried lochia,parent...
  4. Stinky babies? What's your secret?

    Yes Dawngloves maybe right,maybe it was only you that's giving a nice bath for that baby:).I feel shameful when my baby stinks(babies w MRSA or pseudomonas are exceptions).To prevent stinky babies,I bath them thoroughly(clean folds,and orifices)and r...
  5. reflective practice

    Thank you so much Kristi for responding:) I was thinking abou it and thankful that you reminded me about its potential to be used in a court room. Safer to talk about events with a friend or vent my sentiments in this forum:) At times,I write about t...
  6. interesting research

    brilliant,I managed to read it well the second time because I was looking at the paragraph as a whole the first time I saw it:)
  7. were do you live?

    Hi,I qualified `94.done endosocpy,theatre,and now NICU.I`m in London,married,my babies are all in NICU.:) :)
  8. withdrawal/withholding of treatment

    I was looking after a baby w tracheostomy tube,she is going to be one year old next month,there is another one with gastrostomy 7mos.old,and another one with trachy 14mos.We just transferred 2 1y/os to paediatric ward they can`t take anymore babies f...
  9. withdrawal/withholding of treatment

    There is a referral unit for parents to learn how to look after their kids on ventilatory support and send home once they are competent,but they have a long waiting list and the community should be funded for nurses who can support these families(fos...
  10. withdrawal/withholding of treatment

    MomNRN:I feel sad for your loss but I`m happy that you found the light at the end of the tunnel. Kristi:I look at the NICU life as a roller coaster ride for parents and babies.Everyday we deal with the emotional/social side of the parents.We exactly ...
  11. Co-Bedding

    There are many issues that the Health and Safety groups are concerned about sp. w regards to SIDS,like giving wrong signal to parents.W co-bedding we usually explain that we are doing it because the nurse is always on guard for any danger that might ...
  12. Co-Bedding

    Co-bedding with whom?w Mum?Health and safety reasons does not allow it.w twins?so long as the bed is not too small for them or the other twin got no infectious disease,bonding thru co-bedding is allowed her in the UK,they`ve been together for several...
  13. withdrawal/withholding of treatment

    Yes,small vomits/spit.When the feed is delayed by 15minutes,when the baby is still wearing the same clothes he had the previous day,when the baby did not have his solids,when the baby is sleeping(the baby got bored as the nurse was not paying attenti...
  14. Urinary Drainage Devices??

    We still use feeding tubes for big babies unable to wee,sterile plastic glove for very prem,we have U-bag(not good if sterile spcimen is required) and prem Urinicol(too sticky for prem skin).I hope appropriate catheters from NY will be shifted to Lo...
  15. Hang time for breastmilk

    That is a good point donnuchi because I have been attending breastfeeding study days but I have never heard how long can we hang breastmilk for continuous feeding.In my unit it is based on pure assumption that the length of time you can hang it on is...
  16. broken bones in the NICU

    We had an ex-preemie b4 w CLD exacerbated with so many things,he was on dexamethasone+diuretics.One time I was warned to be careful when moving him because he`s got a fractured bone(`forgot if hip or leg).Apparently because of the above meds(more on ...
  17. Importing nurses from the Phillipines

    As previously posted,I agree that treat anyone as you would like to be treated(i.e. treat them as a co-worker anyway,there is a governing body responsible for looking for their qualifications and accepting them).The messages here got more than enough...
  18. CRP stays in high 30's all the time???????

    I agree with the above answer.C-reactive protein is not a reliable indicator for infection alone,apart from positive cultures,raised wbc and etc.we need to look on the changes in vital signs,overall behavior of the baby,and color of the skin that ind...
  19. Hypoplastic Left Heart syndrome?

    Is it coincidence with regards to the predisposing factors of HLHS?I had two patients before whose parents belong to elite families.`just wondering:p
  20. Professionalism vs verbal diarrhea

    I usually keep my mouth shut when I am new to the place but when I am truly uncomfortable,I contemplate for my options(show apathy/tell her off/talk to the most professionaly behaved person/change job/request shifts avoiding working with her/change h...
  21. What a feeling!!

    I love hearing true-to-life stories,I love the wisdom I can earn and share as much. I am addicted to the smell of this babies,I think there is a chemical that produces a calming effect to those who care for them.:)
  22. Cpap

    Are you using the eme ncpap?wrong size for prongs,cap and poor nose care is a sure culprit.Permanent damage to the septum or a pugged nose later in life results to this.EME brand got a prongs measurement in its packet.I usually get 1-2cms smaller cap...
  23. explaining the procedure emphasizing the word "important/essential to prevent long term damage...",a good massage on the heel with vaseline/paraffin before heel prick plus a nice hug to settle the baby after, shortens the procedure and prevents mothe...
  24. Maybe I'm crazy...

    I would love to see visiting parents like you.It would make a difference to see how you are coping and it gives reassurance that you might be in the last stage of the grieving process and you are wanting to come into terms of what happened to your be...
  25. Privacy/Patient Info

    parents can visit anytime except during rounds(might be called to ask questions and voice concerns about their baby,after their baby they are asked to leave the room) and reports.Relatives can`t visit without one of the parents.If possible only 2pers...