NICURN29

NICURN29

NICU

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All Content by NICURN29

  1. Looking to change our current practice regarding OG/NG tubes.

    NICURN29 replied to beashers's topic in NICU, Neonatal

    We place a 5Fr. feeding tube and use it interchangeably for feeding and venting. We don't keep it OTA once feeds have started, however, but instead pull back on it to decompress the stomach. The only...

  2. When is the busiest time in NICU?

    NICURN29 replied to choco_noire07's topic in NICU, Neonatal

    We do baths every three to four days, so it's rare to have all your patients have baths the same days. We also do baths on all shifts, according to the schedules of the families. If they are not...

  3. What did you do before?

    NICURN29 replied to jm0914's topic in NICU, Neonatal

    I was fortunate to go right into the NICU as a

  4. Can't find many NNP programs anymore - What's going on?

    NICURN29 replied to beccabeth741's topic in NICU, Neonatal

    University of Pennsylvania and Thomas Jefferson University still have their programs. I also have this plan in my future, but I know that DNP will have to be my ultimate

  5. NICU

    NICURN29 replied to TinkRN8's topic in NICU, Neonatal

    Our CLABSI rates have improved, and we actually went two years without any central line infections. We develop an evidence base for all of our guidelines, so the practice of changing the TPN lines...

  6. NICU

    NICURN29 replied to TinkRN8's topic in NICU, Neonatal

    Wow. I am so glad we don't have to change lipid tubing

  7. NICU

    NICURN29 replied to TinkRN8's topic in NICU, Neonatal

    We stock Stat-locks in our NICU, but only some of the nurses use them. I like them, but I have only used them occasionally. I do love how they secure an IV, however! We change TPN, IV fluid, and flush...

  8. NICU Reunions

    NICURN29 replied to Bortaz's topic in NICU, Neonatal

    We have started doing them every two years at a local zoo for the graduates who are aged 4 and 5. Therefore, unless families have more than one baby, they usually only attend one reunion. They are...

  9. When is the busiest time in NICU?

    NICURN29 replied to choco_noire07's topic in NICU, Neonatal

    It absolutely varies. There is no consistency in the NICU. A "quiet" shift could turn into a crazy one in minutes. And the time of year that is busy varies from hospital to hospital. I don't think...

  10. Patient's Families as Facebook Friends....

    NICURN29 replied to spacey's topic in NICU, Neonatal

    I am friends with families whose babies were in our NICU, but I do not friend them, and I don't accept friend requests when the babies are still in the NICU. I am pretty careful about what I post on...

  11. Question on dopamine infusion

    NICURN29 replied to kthelander's topic in NICU, Neonatal

    We change the line every 72 hours for most fluids (except for IL, which we change every 24), and we hang a new bag or syringe every 24

  12. Visitation during handoff

    NICURN29 replied to maxx12's topic in NICU, Neonatal

    We close from 0630 to 0700 and 1845 to 1915. We are a 23-bed level III NICU with most bedspaces in an open area. We also sometimes close from 1430 to 1500 if we have more than one nurse change at that...

  13. MOD family specialist

    NICURN29 replied to spacey's topic in NICU, Neonatal

    We have a MoD Family Support program in our NICU, and one of our RNs is the Family Support Specialist. She works part time in our unit as a staff nurse (16 hrs/week) and then has four hours per week...

  14. Bullied for reporting a med error by another nurse

    NICURN29 replied to StaffNurseMcS's topic in Patient Safety Issues

    Our hospital policy is that every med error must have an incident report completed. It is not a punitive process, but it is important that they be completed in order to improve our patient care...

  15. use of diapers during phototherapy

    NICURN29 replied to al.ghada68's topic in NICU, Neonatal

    We also use diapers. We use the Pampers preemie-sized diapers on term babies, and on our preemies, we use the tiny micropreemie diapers and fold and sometimes trim them to allow for maximum skin...

  16. IV insertion issues

    NICURN29 replied to champagnesupeRNova's topic in NICU, Neonatal

    I would try advancing just a bit further after you get the flash in case the needle is in the vein but the catheter is not yet. I am talking maybe 2-3mm more of an advance. And then advance the...

  17. chinstraps on ncpap

    NICURN29 replied to wensday's topic in NICU, Neonatal

    We make our own with coban. And we only use it if the baby isn't bubbling on bubble CPAP or if the vent is reading that the baby is not getting his or her pressure (we use the PB840 and do CPAP and...

  18. To Filter or Not to Filter

    NICURN29 replied to ScammRNC's topic in NICU, Neonatal

    We also don't filter our lipids. We hang our TPN and IL separately and on a bifuse or

  19. SIDS prevention and Back to Sleep education for NICU parents

    NICURN29 replied to scrabblern's topic in NICU, Neonatal

    We use HALO sleep sacks for babies once they are 48 hours out of the isolette. We start modeling safe sleep at 33-34

  20. Suctioning of ETT on < 27 weekers?

    NICURN29 replied to Bortaz's topic in NICU, Neonatal

    We only use NSS to clear the inline suction catheter. We do not instill NSS into the airway. If you hold suction on the way in and on the way out while suctioning on the jet, you do not need to put it...

  21. Thoughts on using donor breast milk in NICU?

    NICURN29 replied to HeartNIC's topic in NICU, Neonatal

    In our state, feeding choices are not one of the things for which consent is needed. Therefore, we are following the state law when we do not require consent to feed donor milk. Every state is...

  22. Neonatal IV question

    NICURN29 replied to NickB's topic in NICU, Neonatal

    We only use armboards on IVs that are positional. We have little IV houses (like the ones used on the Peds floor) that we use on big kids, but otherwise, we do not cover our IVs. I don't have a...

  23. Premie/Infant ID Bracelets

    NICURN29 replied to CajunNurseMan's topic in NICU, Neonatal

    We use Posey bands and attach a barcode sticker to the Posey band. We then keep these on the babies'

  24. Thoughts on using donor breast milk in NICU?

    NICURN29 replied to HeartNIC's topic in NICU, Neonatal

    We use donor milk in our unit, and it is not based on consent in our state. We use it on any babies that are 1000g or less at birth, and we continue to use it until they reach 34 weeks (or will stop...

  25. VAP Bundles/Guidelines

    NICURN29 posted a topic in NICU, Neonatal

    We are in the process of forming a multidisciplinary committee to investigate VAP and revise our ventilator procedures and VAP bundle. I was wondering if anyone would be willing to share any...