NICURN29

NICURN29

NICU
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NICURN29 has 11 years experience and specializes in NICU.

Post-Masters PMHNP student

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  1. Friending patient families on social media?

    I know I am often in the minority on this one, but I am friends with former patients' family members on FB and often follow them on Instagram. I do not ever initiate the social media relationship, and I won't be friends with them on social media unti...
  2. Mom suing nurse after suffocation accident

    This has some good information on Sudden Unexpected Postnatal Collapse and how hospitals are dealing with the risk for it. http://hospital.nuroobaby.com/wp-content/uploads/2016/04/Infant-Assessment-and-Reduction-of-Postnatal-Collapse-Risk_-The-Skin-t...
  3. I was not talking about any particular physician. I was talking about the medical model vs. the nursing model. There are plenty of fine physicians out there, but their education is very different from nursing education, and that makes a difference to...
  4. I became a nurse because I wanted to be a nurse, not because I was not smart enough to go to medical school. And I am becoming an APRN (I am in a PMHNP post-Masters) because I am passionate about mental health care and believe that our education in t...
  5. Flush solution for UVC?

    We use 1/2 NS with 1/2 unit heparin per mL to flush our second lumen. However, we put a bifuse at the top of the line with the heparinized flush on one port and a NSS flush on the other. We have to break into the line to piggyback a med, but if we ar...
  6. Hydrocolloid for skin protection?

    We also use Cannulaide. Cannulaide - Infant Nasal by Mercury Medical | Medline Industries, Inc.
  7. Facebook nurses and patients

    My opinion differs from most here (and I don't need you to convince me I am wrong...I am perfectly fine with my use of social media where patient families are concerned), but I work in the NICU, and I accept friend requests from my patients' families...
  8. COMPUTER CHARTING

    We currently use a McKesson product that is called Care Manager, but we are moving over to Epic in three months. There are several other L3 NICUs in our area that also use Epic.
  9. Hello! We are currently looking at our evidence regarding the wearing of rings in the NICU by nurses and medical providers. Currently, we are allowed "nothing below the elbows" (so no rings, bracelets, watched, Fitbits, etc.). However, in trying to a...
  10. ETT Tube feedback- Looking for input!

    We use Neobars. I think they are fantastic. They have cut down on our self-extubations and have allowed us to stop nasally intubating babies...which is what we used to go for our teeny-tinies.
  11. Medication barcode scanning

    We also use the little Posey bands.
  12. How does your NICU unit run?

    Ideally, if I have two patients, one is on each schedule. And the goal is for the feeding to start at the care time, so the assessments and cares are done with that goal in mind. If I have two babies on the same schedule, I just always care for them ...
  13. Vent: parents

    I am not sure why you are documenting in the medical record information about parents' interactions with other parents. It sounds like maybe it would be a CYA strategy, but I would think that, should a case go into litigation, that would be informati...
  14. Cleaning Supplies in the NICU

    After the cleaning solution has dried, we rinse our beds with plain water to remove any residue. They are cleaned by our unit clerks/PCAs.
  15. How does your NICU unit run?

    We have two care times...8-11-2-5 and 9-12-3-6. Our level III babies are assessed and have vitals done q3h. Our level II babies are assessed qshift, so 3x/day. Baths are done whenever parents schedule them or on nights if parents are not taking part....