corks

corks

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All Content by corks

  1. Pressure limits on infusion pumps

    Hi Guys, Yet another question from me!!!! Can anyone tell me what the current reccomended pressure limits are for infusion pumps? we use Graesby's and we have low (77-105mmHg), med (200-240 mmHg approx), high (400 mmHg approx). Do you use different s...
  2. Textbook of Neonatal Resuscitation?? For NRP

    Amazon.com has one for $39 if thats any help.:)
  3. Pressure limits on infusion pumps

    You guys should become sales reps for Alaris - you've sold me. :up:Will access there web site and see what they have to offer here in the UK:typing Hey might even get a free lunch out of it!!!!!!!!
  4. How did you decide NICU is the right place?

    i worked as a midwife for years and could not practice to the standard that i wished cos of work load and pressure from management to achieve so may home bookings, home confinements, on top of 24 hr on calls. then one day i went on duty, only midwife...
  5. Pressure limits on infusion pumps

    Don't beat yourself up about it. Have just been reading some articles about it and this is a quote from one of them 'it is a common misconception that occlusion alarms on infusion pumps will signal infiltration. In fact, pumps will alarm only when do...
  6. Preemie that Only Tolerates Breast Milk.

    Sorry, my last thread is behind the times, read the first page of replies and did not realise that the babe had turned the corner.Having several senior moments today!!!!!H Good News about babe:yeah:!!!!!!!
  7. Preemie that Only Tolerates Breast Milk.

    We try half EBM and half low birthweight formulas (LBW). We start with the EBM and then give the LBW on top. We don't mix the two in the same bottle. Then we would try progestermil and finally as steve said Soya. Has the babe been investigated e.g pH...
  8. Cool new products in the NICU

    Who makes Neoprep? Googled it but came up with nothing. Cheers Corks
  9. peripheral line insertion

    Thanks guys. We don't use bethadine cos of the risk of iodine absorption through the skin with the risk of thyroid problems. It is hard trying to strke a balence between infection control and protecting the integrity of the skin!!!:
  10. peripheral line insertion

    Hi Guys, When inserting a peripheral line what do you use to cleanse the skin with? We currently use sterets which contain 70% isopropyl alcohol. :down:That aint gud!!!!!!!!Do you use different solutions dependant on gestational age? Cheers
  11. Peripheral line infiltrartion

    MgSo4 is a pulmonary vasodilator because of this it can cause hypotension so you end up having to infuse inotropes on top. Hopfully we will start using NO in our unit soon.
  12. Peripheral line infiltrartion

    Yep we do. We don't have the facility in my unit and would have to transfer the infant to our sister regional unit. Have worked in other units were NO was used sometimes sucessfully sometimes not.
  13. Rain-out in Humdifiers

    For nNCPAP we run the tubing through the length of the incubator and set the temp control to 40 and the chamber control to minus 3. We have found that reduces rainout.
  14. Peripheral line infiltrartion

    Viagra is slowly becoming fashionable here in the UK but MgSo4 is still one of the first choices for pulmonary hypertension in our unit. Our consultants are a bit too stiff to try anything up and coming:jester:or am I being too naughty!!!!!!!!!!
  15. Peripheral line infiltrartion

    For PPHN.
  16. Peripheral line infiltrartion

    Hydrallinase or normal saline flush outs whereby several needle pricks are made around the site and saline is used to flush. Actiform cool for a dressing-great for pain relief during dressing changes! May need plastics referral. Have seen bad ones wi...
  17. hiya, can someone direct me to where i could find evidence based neonatal hygeine and skin care guidelines? would anyone be able to share their unit's guidelines? thanks a million. corks:up:
  18. neonatal hygeine and skin care guidelines

    Thanks for that. We don't use iodine because of the risk of thyroid dysfunction and use chlorohexidine,limiting contact time to 30 seconds and then wiping off with sterile water. We still use sterets (alcohol swabs) to cleanse the skin for cannula in...
  19. Sick twin

    I recently had to put a reflective piece together on a resusitation which I felt was carried on for too long. Minefield! However I found a framework which is adapted from Gibb's reflective model which may help you for your case study. Don't want to t...
  20. Sick twin

    eventhough there was no recent feed this could still be reflux or aspiration as different babes have different transit times. the blood sugar is high which could be due to stress or infection especially as your blood cultures have shown a growth. do ...
  21. skin cleansing prior to procedures

    Hi Guys :balloons: Have not been on line for ages and when I come back it's to pick your brains. Hope you don't mind. Wonder what you clean the preemies skin before procedures like UAC's, LP's and venflons. we recently had a chemical burn from chlo...
  22. Nights, don't ya just love 'em?

    Love Nites. get more cups of tea! No Doctors. No phone calls. No politics. Just plain old nursing care! Smashing!corks:smokin:
  23. self-scheduling

    We worked out the skill mix that was required for every shift, eg; 3 trained and 3 nursery nurses. made out blank rosters covering one month which are displayed for one week for red requests, these are must have shifts and then the following week...
  24. Newborn Resuscitation

    Create senarios for them around an open cot with a resus dummy baby but they have to ask you, whats the colour of the baby, whats the tone, whats the heart rate..and so forth. As they ask the questions, they have to tell you what they are doing that ...
  25. Triple Dye

    We do not have a cord care policy as such. Ensure nappy is below cord, Willy ( if you are a boy! ) pointing downwards. If it is a mucky cord and the base has become inflammed then it's a course of Erythromycin. But we generally let nature take it's c...