lvnurs9

lvnurs9

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About lvnurs9

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  1. intubation threshold

    What do you see on your unit regarding when to intubate? It seems that there is a huge push to never intubate. I understand the risks involved, but when you are dealing with tiny micropreemies, it kinda seems almost inevitable. We are extubating kids...
  2. Funny Names

    The best one yet... Athziy... this is supposed to be Ashley lol
  3. Formula / Breast Milk Fortification and Protein Supplements

    We have a million different recipies for breastmilk... for babies under a certain weight, we fortify with HMF up to 24 cal. If we need more calories, we add neosure powder, beneprotein, and/or MCT oil. There are so many different combos, I can't kee...
  4. H1N1 -- in the NICU

    Interesting point to make... we had a baby deliver recently whose mom was positive. No isolation precautions were ordered on this baby. Now 2 weeks old, her swab was positive... still no isolation orders...
  5. New PDA Treatment Recommendations??

    My biggest frustration is having a very symptomatic kid who they "sit" on because "studies show" that treatment is not effective. How does this make any sense?!?! And I'm talking 24 weeker who has always been on vapotherm (wow) being reintubated at 3...
  6. New PDA Treatment Recommendations??

    So you just fluid restrict? I guess I am trying to find out how to treat them. I am not used to using meds, because Indocin is usually more harmful then good and Neoprofen never works. But, I can't figure out what they are doing wrong here that so ma...
  7. New PDA Treatment Recommendations??

    Have you heard of these new studies that are apparently showing that there are no advantages in the long run to treating a PDA?? I am so used to ligating kids that are either micros or very symptomatic. At my new hospital (well 2 in this state), they...
  8. Yet another NEC vent :(

    Ya it just sucks all around. Looks like I could be wrong... surgery went better then expected... I pray for her and her family. They already lost her twin to NEC.
  9. Yet another NEC vent :(

    So this kid I mentioned in the other post... she was a 29 week twin... full feeds and 10 days old on NP. Had a little poochy belly all night, small residuals... nothing super worrisome. Bam. 6 hours later... no viable bowel. Took her off. That was la...
  10. Resume tips for NICU nurse

    I actually just finished writing my resume about 10 minutes ago :) I looked online for "staff nurse resume" and took some pointers from what I saw. I spelled everything out... osciallator, inhaled nitric oxide... Good Luck!
  11. I hate NEC

    We just lost a twin this weekend to NEC. I heard Sat moring when I was walking out the door she had pneumatosis on her am xray. I am guessing that either it was a scheduled morning xray or she was fine all night until her last feeding and an xray was...
  12. How long do you wait before ligating PDAs?

    The baby is 39 weeks now, and was just sent to Children's to be ligated. The twin went home 2 days ago.
  13. NICU Travel Jobs

    I sent you a PM Oh, and I am with Cross Country
  14. will i get audited

    You definately have to pay taxes on all income earned. You can't take your pay tax free, even if you wanted. I doubt your employer would let you. But, if you take the housing stipend, you can take it tax free as long as you "qualify." I agree with hi...
  15. How long do you wait before ligating PDAs?

    See, this kid didn't have a dx PDA until she was a month old. So... they didn't treat with drugs. They just fluid restricted her and prayed it would close. We are working on a month now, with no improvement. They won't even try diuretics in attempt t...