NICURN29

NICURN29

NICU

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All Content by NICURN29

  1. NICU resources?

    nicuniversity.com
  2. My manager is awesome, and she brought treats in all week and gave us a tote bag. I feel fortunate that she shows us everyday how much she appreciates
  3. The physicians group owned by the network also has a business-casual uniform, and there has been a standardization of lab coats and
  4. How to respond and act to a baby that is desatting?

    Oh, right. I always forget that because we do not use self-inflating
  5. How to respond and act to a baby that is desatting?

    Blow-by just means holding the mask by their face so that air with a higher concentration is available for them to breathe. It does not mean that you use the mask to make a seal over their
  6. Quite honestly, on the list of things I have to worry about, whether or not I am being made to wear a certain uniform is pretty far down the list. I am fortunate to have a job I really enjoy in a...
  7. What Scrub brands run the largest?

    I think Cherokee makes a good product, especially in the Luxe lines. I would go to a store where you could try on different styles, but I wear Cherokee and like
  8. Best shoes for wide, flat feet.

    I was also going to suggest Alegria. I really like them, and they have a wide toe
  9. We recently started color-coding, and I am a fan. I work in a NICU, so this has meant giving up my fun, kid-friendly scrubs, but I do like the look and the ability to identify who works in what...
  10. We do not use heparin for PIVs. For maintenance fluids and flushes in central lines, we add 0.5 units of heparin per mL of
  11. Disgusted

    I have to agree that this is a place that we come to vent frustrations at times to fellow nurses. It is not meant to be for the general public to come and judge us. Being frustrated with a situations...
  12. How to respond and act to a baby that is desatting?

    It depends on the situation. Sometimes blow-by is enough to pull a baby out of a desat. Sometimes PPV is required. And if a baby is truly centrally apneic, breaths should be given until the baby...
  13. Formula issues

    The WIC contract in our state is held by Similac, so that is the formula our babies go home
  14. How long until day shift on your unit?

    I was fortunate to get a day weekend position about two years in, but that is not the norm. We have had a couple of nurses take day/night rotations (six weeks of days, six weeks of nights, etc.) to...
  15. Cleaning Isolettes

    Our unit clerks clean all our
  16. polyurethane nasogastric tubes

    We had a spike in GI issues, and this was a practice change we made as a result, with the thought that leaving the tubes in for that long might have contributed to some
  17. polyurethane nasogastric tubes

    We do use them, and we change them every 72 hours. The manufacturer of our tubes says up to 30 days, but for infection control reasons, we do not leave them in that long. We tape, for the most part,...
  18. Timing of antibiotics

    Our first doses of amp and gent are profiled at the same time, soon after admission. And we usually choose to give the amp first due to the quicker infusion time, but it's really up to the individual...
  19. Has anyone ever 'taped' a gravity feed?

    We usually use rubber bands to hang our feeds from either the light on the Giraffe or from an IV pole. I have taped a syringe to the wall or a bed when I didn't have rubber bands or when a baby was...
  20. how are NAS babies cared for in your nicu?

    Maybe it's because fewer of the moms are on methadone/suboxone maintenance? There are plenty of people who believe that babies don't withdraw as much from street drugs because the use is less regular....
  21. how are NAS babies cared for in your nicu?

    When it is not RSV/flu season, we sometimes transfer our NAS babies whose families want to be in house to care for them to our peds unit once they are well-controlled on morphine. If a baby's family...
  22. hypothermia therapy

    We do >36 weeks, 1800 grams. Our algorithm also lists a major perinatal event as a criterion (cord prolapse, abruption, etc.). We do have a witnessed seizure by a reliable observer as a "slam...
  23. Charge and Resus --How does your facility do it?

    We usually have a charge nurse with a lighter patient assignment (but plenty of other stuff to do), as well as a designated first admit nurse. We have a 23-bed level III NICU. We don't always get a...
  24. Baths on your unit

    We bathe every 3-4 days, and we schedule according to when the families can some in and take part in it (unless the baby is too unstable, in which case the night nurses do it). It can be anything from...
  25. High frequency vents on your unit

    We use both, and they are not really used interchangeably in our unit. I prefer taking care of babies on the oscillator, but we have seen the jet do great things as