I'mANurse!

I'mANurse!

NICU

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All Content by I'mANurse!

  1. TPN questions

    I don't work with insulin much, but I do remember that there is only one type of insulin that can be given the IV route! Hope that helps
  2. antibiotics

    Amp and gent are used while awaiting blood culture results because they are broad spectrum antibiotics, meaning they cover many different types of bacteria. Once a culture comes back positive, the...
  3. Ventilator alarms

    I'm a new grad working in the NICU and just finished my level III orientation. Ventilators still kind of freak me out and when they alarm, I don't feel like I always know what to do/why they are...
  4. For those of you that have taken the neonatal RNC or CCRN exam, how well were you doing on practice questions? I'm about half way through the core curriculum question book and have an overall average...
  5. OGT or NGT for neonates?

    We use NGT most of the time. Many times OGT are initially placed during resus to vent the stomach if any PPV is given and Babies on CPAP have OGT to continuously vent the stomach. Once feeds are begun...
  6. TPN - Peripheral vs Central

    As a general rule, my unit goes by anything D13 or less can be given via peripheral. However, not too long ago during my safety checks at the beginning of my shift, I noticed that my baby had TPN...
  7. Some questions about gentamicin...

    Kudos to you summerlove2. I know how hard it can be try and bring about change in a unit that is so resistant to change, and especially when you are the newbie! Believe me, I've been there! But it's...
  8. Some questions about gentamicin...

    That whole retrograding sounds very dangerous, especially on such fragile patients! What if the nurse accidentally forgets to clamp the port.....the med will end up being pushed in! And having to...
  9. NICU nurses - phototherapy?

    Do you know the gestation of this baby? Many times micropreemies are under therapy, but are too unstable to be moved constantly, especially if they were just born, as their risk for developing...
  10. CBC clotting

    I agree with SteveNNP, only fill the tube halfway between the first and second lines. My CBCs used to always clot when I first started working in the NICU, until a coworker shared this tip with me....
  11. Help me save my poor hands

    I've had the same problem with my hands cracking/bleeding/itching by the end of my work stretch from all of the hand washing. I used to put on Eucerine cream before bed (which I still do), but I just...
  12. Amicillin via UAC?

    A few weeks ago I was caring for a baby that had a UAC (no UVC), and a PIV in place. Babe was on amp & gent. During my shift, the PIV went bad, so I placed a new one. Awhile later, the charge...
  13. Foot Warmers

    We use the purple ones from Children's Medical Ventures. I have a really difficult time keeping them on some of the kiddos feet, or the sticky strap falls off, so I tend to wrap one around the foot...
  14. Caroladybelle gave an excellent answer to your question, but I just wanted to point out that in your original post you were thinking that it may be because of a "less chance of systemic infection"....
  15. Before you spend money for a journal subscription, check out the online resources from your school's library. Through my school's library website, I had direct access to tons of nursing/medical...
  16. night shift

    I work nights, 3 on, 1 night off, 3 on, 7 off. The night before my first night on, I will go to bed at my normal time, get a good nights sleep, and try to sleep in as long as I can. Which for me is...
  17. Starting Clinical Preceptorship in NICU Sept 3...

    Congratulations on getting a preceptorship in the NICU. You'll love it! Check with your preceptor or instructor before using your stethoscope. The NICU I work in has a designated stethoscope at each...
  18. IV air bubbles

    I'm a new grad working in the NICU, and my preceptor keeps telling me that I'm too obsessed with clearing air bubbles from my IV tubing, especially when hanging TPN. She tells me that it would take a...
  19. Help with Lab results

    Mosby's Manual of Diagnostic and Laboratory Tests by Pagana. Awesome book. Info about every type of lab and diagnostic test, from procedure, normals, significance of abnormal
  20. Feeling inept :(

    Keep your chin up! I have been off orientation for 2 days, and up until now I totally know how you feel! I was beginning to feel like nothing was completely clicking and that I will never be able to...
  21. the best thermometer for nenoates??

    We use the Welch Allen one's also. Does anyone know how to set it so that when you turn it on it will be on the peds axillary mode? Some of ours are in that mode when you turn it on, but others always...
  22. How should I respond?

    I'm a new grad starting in the NICU and I'm afraid that parents are going to ask me a ton of questions that I don't know the answers to. What is the best way to respond to these questions without...
  23. Do nurses like volunteers?

    If it hadn't of been for a volunteer holding one of my crying babies for 3 hours today, I wouldn't have gotten anything done! Love
  24. How should I respond?

    And the answer to the circ question would be??.....haha that is one of the questions I don't know the answer to
  25. After assuming the worst, I passed!!!

    congrats!!!!!! i knew you had