lvnurs9

lvnurs9

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All Content by lvnurs9

  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??

    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...
  6. 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...
  7. 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...
  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. I'm not looking for general circumstances.... this is related to one case I am working with now. This kid was a 27 week twin who is 37 weeks corected today. She was only 370g at birth, but has done really well. She's 1.4kg now. She didn't have a murm...
  13. 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.
  14. NICU Travel Jobs

    I sent you a PM Oh, and I am with Cross Country
  15. 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...
  16. 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...
  17. Gravity Feeds

    I never understood what difference it made to hold a feed for 30min or put it on the pump, but where I just left, they were anti pump feeds! We were NOT allowed to hang feeds. I think it's actually a JAHCO violation of some sort. Anyways, they made u...
  18. How long do you wait before ligating PDAs?

    See, that is what I am used to as well... They are acting as if being on 6L isn't symptomatic! HELLO!!! Again... I beat my head...
  19. chronic cpap

    So this kid is 40 weeks now? I rarely see a CPAP of 8. I would think that if steroids haven't worked, that the MDs need to create a timeline. I mean, you can't keep a kid in the hospital forever just because you don't want to do anything about their ...
  20. Good nicu

    I worked with an awesome NNP in AZ who had a full time position at CMC in Charlotte. She loved it there. She traveled to AZ every few months and worked for a few weeks. I would recommend my unit in AZ, but they are ******* people off with layoffs rig...
  21. rotating shifts?!

    I would die if I had to rotate working days and nights. I work nights. I DO NOT get up in the morning and function. I never have. I work my 3 nights in a row. I take a 2 hour nap before my first shift and I sleep from 830am till at least 3pm between...
  22. Hand washing?

    A lot of people I work with will wear gloves when working with micros, but it's not required. Universal precautions unless otherwise necessary :)
  23. will i get audited

    My company MAKES you participate in the tax advantage program. Either way, you are entitled to those deductions, so whether you take them up front or while you file, you still don't have to pay taxes on that money.
  24. Help . . . Need a J O B!!!

    There is nothing out there! I extended where I am... so did all the others. Hopefully things will open up, but as they do, it's going to be a serious competition! Good Luck!
  25. NICU Travel Jobs

    Very hard to come by! I am in WA right now. I extended against my wishes, but there isn't anything out there. I don't know what is going on! I just heard back home that 5 nurses were laid off in my old unit