lvnurs9

lvnurs9

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All Content by lvnurs9

  1. Does your unit use Vapotherm?

    We just got one last week. The new set up is pretty nice, but the tubing weighs about 10 pounds. I am a CPAP girl. I haven't been convinced that 5-8L NP is better then CPAP just yet, so to me, it's...
  2. Explain this "pay package" to me.

    To give you another perspective... my company is making me switch to their tax adv program with my new contract. Prior to it, I made $30/hr and $1550/mo housing. Now I make $21 something/hr plus...
  3. Should I renew?

    I work in the NICU. I like BUSY... where I'm at now is too low acuity for me. I am bored out of my mind!! My contract is up the 21st of Dec (I actually extended for 2 weeks already). I really don't...
  4. Should I renew?

    Ya I think I will probably wait until I get back, but I don't want to shut any doors in case I need to sign on again! There are a few other units, but no one is hiring right now. I just don't want to...
  5. quintuplet births

    The most we have done were quads, but everyone pretty much touched on the important parts. I know we had a sign up sheet for being called when the day came. You jsut had to make yourself available....
  6. NICU Pet Peeves

  7. What do you mean by differential pay? And in comparison to what? I work in the NICU... you get paid what your unit decides to pay you, I guess... I have no idea how it compares to other units, but my...
  8. tiniest micropreemie

    Our little kid is a whopping 580g now. She just cleared up a serratia blood infection that her and her twin apparently got from mom- found out mom's incision was infected. GREAT! They are both...
  9. tiniest micropreemie

    our little one is still kickin it. She is 450g now... still on the osc and now on abx.... her 800g sis is doing much worse... I am sure she will do just fine as long as they dont blow her gut
  10. IV rates

    Do you run rates less then 0.1ml/hr? Do you push meds less then 0.1ml or do you dilute? I know there has been a thread about this, but I want to know what the standard is NOW around the country. I was...
  11. IV rates

    Have you ever had to dilute insulin? I needed it to be 0.05u/kg/hr when we first started the drip in order for it to run faster then 0.1ml/hr... I got crap for it :) She is on 0.1u now, so we are...
  12. tiniest micropreemie

    I have this little twin... 27 2/7 weeks... 370 grams. Her sis was 790. She is doing amazing! Someone forgot to tell her how small she was. No meds, on low oscialltor settings and that's it :) I am...
  13. HFOV vs Jet

    Where I just left, we never sedated just because a baby was on high frequency. When we did have drugs, they would usually want us to ASK them to give a PRN dose... it sucked. But, I also dont believe...
  14. nasal intubation

    I'm just curious... how, exactly, do you nasally intubate? I mean, how does a 3.0 or 3.5 ETT FIT in a 35 weekers
  15. Do you use Mylicon in your older gassy babies?

    What always gets me, is if nothing else is working, why not try? What is the harm? I am so sick of Neos playing power trips about what they believe. Why can't it just be about making the baby feel...
  16. shaky hands?

    I worked with an NNP in AZ who had epilepsy and had very shaky hands... she was great at IVs and everything :) You probably just have to learn how to
  17. Funny Names

    My kids tonight... Cruz and Trail. Their 3 yo brother is Canyon. Dads phrase... Cruz'in down the Trail through the Canyon. Stupidest thing I have ever heard. Poor
  18. E.Coli in sputum aspirate cx

    We had a little 24 weeker who was covered in e. coli sepsis. They say he got it from mom... his birth culture was positive. His poor skin fell off... he looked like a 500 gram burn patient. It was...
  19. yes. I have no idea what the brand is but they were called cannulades at my last job. It actually said that on the package, so maybe that was the brand. They use something where I am working now, but...
  20. Death rates in your NICU?

    Wow that is a lot of deaths. I came from a 80 bed unit and we had pretty high acuity, although not all the time. Mostly micros. I would say we would lose on average 1 a month. Sometimes it would be 3...
  21. Humiliating IV questions

    Ya I know.... that is why I hate the Insyte caths. They always do that. The Protectives slide very easily in and out of the caths, and since they are a closed system, it stays sterile. So yes, it is a...
  22. Subutex withdraw

    We always treated withdrawl babies.... otherwise they are in your unit longer then the months they are already there.... I think it's sad that some people believe in not treating them. They are...
  23. HFOV vs Jet

    We were always good about using HFV when it was warranted before things got out of hand. We also started using it as a first line for micros. We have actually decreased our number of head bleeds....
  24. HFOV vs Jet

    You leave a baby in the same position for 3 days?? We are HUGE on developmental positioning. We "tilt" them differently with each set of cares, and rotate them every 12-24 hours depending on the...
  25. What is the Highest Bilirubin you've ever seen?

    Apparently the peds didn't care enough to argue. He discharged the baby... I would love to know if she is still even alive or if she died of