lvnurs9

lvnurs9

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All Content by lvnurs9

  1. Wound VAC in NICU?

    lvnurs9 replied to MegNeoNurse's topic in NICU, Neonatal

    We had a baby with a very large abdominal wall defect (presumed ruptured oomphalocele). They did a skin graft over the site and used the wound vac. It worked really well, but she unfortuantely still...

  2. HFOV vs Jet

    lvnurs9 replied to Preemienurse23's topic in NICU, Neonatal

    I have only worked in 2 hospitals, but from what I have heard, many places only use the oscillator. For those that use both, like I mentioned before, it's a matter of what is wrong with the baby. They...

  3. Policy/Practice with capped PICC

    lvnurs9 replied to RN4Little1s's topic in NICU, Neonatal

    We also never cap PICCs. We run TKO 1/2NS+1/2unit heparin/ml at

  4. LOW Census

    lvnurs9 replied to Sweeper933's topic in NICU, Neonatal

    I just left AZ and we were dead slow all summer....very weird since it is usually full all summer. Sucked because we got floated and were cancelled all the time. When we are busy we use 26-29 nurses...

  5. What is the Highest Bilirubin you've ever seen?

    lvnurs9 replied to dawngloves's topic in NICU, Neonatal

    We got called to Peds for a 2 day old whos bili was 24 or something. The kid was dehydrated like no other and was a home birth. After a million lab draws and one IV gone bad, the parents said they...

  6. HFOV vs Jet

    lvnurs9 replied to Preemienurse23's topic in NICU, Neonatal

    First off, the Jet is NOT an oscillator. The jet has active inhalation and passive exhalation, just like a conventional vent. It just does it with tiny tidal volumes and a super high rate. This vent...

  7. Gastroschisis

    lvnurs9 replied to littlepeach's topic in NICU, Neonatal

    We stopped with the gauze too. Just throw the baby in a bag :) They always go straight to surgery so we don't worry about drying it out or

  8. Humiliating IV questions

    lvnurs9 replied to elizabells's topic in NICU, Neonatal

    I love starting IVs :) Practice is what you need, though. You have to jump in with confidence and learn from that...here are my pointers: 1. I hate those Insytes...it's hard to have to hold onto the...

  9. Duoderm as adhesive tape?

    lvnurs9 replied to baby21's topic in NICU, Neonatal

    The only thing I don't like about duoderm is that when it becomes wet, it can cause skin breakdown underneath it. I have seen several occasions where the baby's saliva causes the duoderm to get wet...

  10. Food In The Nicu

    lvnurs9 replied to NANSNURSE's topic in NICU, Neonatal

    Where I came from, we had new private rooms and they had fridges for breast milk only. Where I am traveling now, they have private rooms as well, but the families are allowed to have food and drinks...

  11. policy for flushing INT's

    lvnurs9 replied to casper82's topic in NICU, Neonatal

    We don't have a standard on how often they need to be flushed....the nurse just flushes when they feel the need! We use either saline or 0.45NS + 0.5units hep/ml. Our hep flushes are pre mixed vials...

  12. IV air bubbles

    lvnurs9 replied to I'mANurse!'s topic in NICU, Neonatal

    One way I have found to reduce air bubbles in IVF is to prime them SLOWLY. Instead of letting the fluid run through in 5 seconds, take a full minute. I rarely get bubbles that way. Flicking the...

  13. Telephone Interview with recruiter at Swedish

    lvnurs9 replied to moffist's topic in Washington Nursing

    I am moving to Seattle next week. Well, we are going to live in Issaquah and I am going to work at Evergreen for now as a traveler. I decided to go as a traveler until I sell my house in AZ. Anyways,...

  14. Premature baby 'comes back to life'

    lvnurs9 replied to SteveNNP's topic in NICU, Neonatal

    A couple years ago a mom here delivered at 24 weeks and didnt want anything done. She had watched a friend go through it and refused. Fine by me. 14 hours later....he was still alive. I guess the cold...

  15. makes you think

    lvnurs9 replied to Imafloat's topic in NICU, Neonatal

    I know how you feel. Right now I have this 20 day old 23 weeker who is trying to die. He has bilat 4s and is on REDICULOUS settings. He hasn't peed in over 24 hours and has blown up like a water...

  16. Nec

    lvnurs9 replied to babiesRmylife's topic in NICU, Neonatal

    Their rationale is that if they open them up, they can't do anything... The only other time we do surgery is if their gut is so big, we can't ventilate them. You know something is very wrong if that...

  17. Do you leave your med/flush tubing up?

    lvnurs9 replied to BittyBabyGrower's topic in NICU, Neonatal

    We leave our tubing up. If you are only running clears, the tubing is good for 72 hours. Everything else gets changed q24. So basically, everything gets changed q24 because we barely have a kid on...

  18. Hypoxic Brain Injury & Elective Hypothermia... Who's doing it?

    lvnurs9 replied to SteveNNP's topic in NICU, Neonatal

    I know that Phoenix Childrens does the head cooling thing. I went to a delivery for a "bad strip" turned crash section once we got there. Baby was born with fixed and dilated pupils, barely a heart...

  19. a case of NEC

    lvnurs9 posted a topic in NICU, Neonatal

    So I have seen my fair share of NEC cases...simple NPO and ABx for 7-14 days to dying in less then 12 hours. But, this patient that I have is just not fitting into one I have seen. I am asking for...

  20. oldest babies in the NICU?

    lvnurs9 replied to bubbly's topic in NICU, Neonatal

    The longest we have kept a baby was ~5 months. We just transferred a 3 month old baby to peds who was a gastroschesis who can't eat. We try to get them off our unit when developmental growth becomes...

  21. a case of NEC

    lvnurs9 replied to lvnurs9's topic in NICU, Neonatal

    They actually do buccal swabs and test for the genetic marker. He passed meconium and stooled normally until he got sick when he was 6 days old. I am guessing they are testing him because of the...

  22. a case of NEC

    lvnurs9 replied to lvnurs9's topic in NICU, Neonatal

    So this baby did recover...so far from the NEC. They held off on surgery and eventually he jsut got better...amazing. However...his PDA never closed. So, since they couldn't treat him, they had to...

  23. Morphine Administration of very small doses

    lvnurs9 replied to dance45's topic in NICU, Neonatal

    We don't really have a policy on flushes, but we have a standard. Obviously we have to flush enough to cover the tubing (which sucks). 0.6ml is the least amount we can flush, so we try to stick with...

  24. a case of NEC

    lvnurs9 replied to lvnurs9's topic in NICU, Neonatal

    He had a repeat head on Wed and it was normal. I am sure he has ascites. They even gave a dose of lasix, but it obviously didn't do anything because all the fluid is in his belly! His direct is 2.4...

  25. Medical marvel: Baby Macie Hope was born twice

    lvnurs9 replied to SteveNNP's topic in NICU, Neonatal

    We had a baby born with this tumor...it was about that big too..she was a 27 week twin. They did the surgery and she did live, but had to get somewhere around 400ml of PRBCs during surgery!!!!! I...