NICURN29

NICURN29

NICU

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All Content by NICURN29

  1. VAP Bundles/Guidelines

    NICURN29 replied to NICURN29's topic in NICU, Neonatal

    Thanks for the quick reply! I have one more question...how often do you change your inline suction? Do you do it every 24 hours, or do you change as needed? I am hearing from some people who work in...

  2. Crib Cards & HIPPA - researching policies

    NICURN29 replied to DonnaH123's topic in HIPAA Challenges

    We have blue and pink crib cards that we print in our print shop. They go like this: Lastname, Baby Boy/Girl DOB Time of birth Weight Length We do make decorative cards with the baby's first...

  3. Do you kangaroo while infant is still in humidity?

    NICURN29 replied to ittybittyfootprints's topic in NICU, Neonatal

    Humidity precludes our babies from being kangaroo'd, according to our policy, although I don't know of a specific research study we used to come to that

  4. Best shoes ever?

    NICURN29 replied to redraccoon's topic in Scrubs, Uniforms, Gear

    I like Crocs, and I got a pair of the professional ones, which don't have holes, have a higher heel cup in the back, and have a non-skid sole. I also have a pair of Alegria shoes, which are clogs made...

  5. Brand of nasal prongs/mask used for CPAP

    NICURN29 replied to menemsha's topic in NICU, Neonatal

    We use Hudson prongs and protect the septum by using Cannulaides, which are manufactured by Beevers. We usually use bubble CPAP, unless the baby needs a rate or we want to give some pressure support,...

  6. Type of Feeding Tubes used

    NICURN29 replied to menemsha's topic in NICU, Neonatal

    We use the INDWELL feeding tube, which is made by Kendall/Argyle. We change our tubes every three days. We used to allow them to stay in for 30 days, but recently changed our practice in an attempt to...

  7. Med-Surg to NICU or Intermediate Nursery

    NICURN29 replied to applesRN's topic in NICU, Neonatal

    I think it's hard to say that you would like better, as I don't know you. I work in a NICU that has the intensive care nursery and the intermediate care nursery in the same unit, so we work with both...

  8. NICU Swings Policies

    NICURN29 replied to charryse77's topic in NICU, Neonatal

    We use the portable swings and bouncy seats (example: http://www.toysrus.com/product/index.jsp?productId=3739297) that have removable and machine washable covers. When we have a chronic baby who is...

  9. Current Method of Gavage Syringe Warming

    NICURN29 replied to faitdog's topic in NICU, Neonatal

    We use a lukewarm water

  10. Do you use oxyhoods?

    NICURN29 replied to NeoPediRN's topic in NICU, Neonatal

    In the past, we have rarely used oxyhoods for term babies with pneumothorax to administer 100% FiO2. We do not do this anymore, however, and one of our docs told us a few weeks ago that there is some...

  11. TKO/KVO vs. Saline Lock

    NICURN29 replied to NurseAnt's topic in NICU, Neonatal

    We saline lock our PIVs and flush them with NSS every 6 hours. For PICCs, we pull them when we are infusing into the primary

  12. checking residuals

    NICURN29 replied to Hannahrn's topic in NICU, Neonatal

    We check residuals prior to every feeding if an NG/OG tube is in place. I agree that it is useful for checking tube placement. We don't really do anything about a residual, however, unless 1/2 or more...

  13. Oral dextrose water

    NICURN29 replied to NurseAnt's topic in NICU, Neonatal

    We do stock both D5 and D10 water bottles, but I have never, ever opened one since I came here. I am not sure why we still have them in stock, actually. We do use sterile water bottles for oral care...

  14. High Frequency Jet Vent?

    NICURN29 replied to Bortaz's topic in NICU, Neonatal

    We use both the HFJV and the HFOV in our unit, and we use it for different conditions. As a PP mentioned, HFJV is useful for PIE, and this is most often what we use it for, although we have also had...

  15. TPN - Peripheral vs Central

    NICURN29 replied to EricJRN's topic in NICU, Neonatal

    We will infuse D12.5 TPN or lower concentration via peripheral line. Anything else requires a central

  16. Giving report....how much information is necessary to pass on?????

    NICURN29 replied to BabyLady's topic in NICU, Neonatal

    After you have been at it for a while, you will learn who wants a ton of information and who can and will read it off the Kardex. I have been working in our NICU for three years, so I know who of my...

  17. Circumcized on a vent?

    NICURN29 replied to 2curlygirls's topic in NICU, Neonatal

    Ditto PP...I can only imagine a baby being circ'd on a vent if he were on a vent for surgery and they threw the circ in as well. Otherwise, our circs happen the day before or the day of discharge...

  18. Where can I find CEUs relating to NICU

    NICURN29 replied to denicu's topic in NICU, Neonatal

    www.pediatrix.com Under "Clinicians," choose "Pediatrix University." On the left side of the screen, choose "Nursing Pavilion." There are a series of CEs called "60 Minute Studies." You have to...

  19. malpractice/liability insurance for NICU RN's

    NICURN29 replied to nicu4me's topic in NICU, Neonatal

    I have been advised not to carry my own policy, unless I am working for a facility that does not cover their employees. I know of people who have been named individually in lawsuits after revealing...

  20. New PDA Treatment Recommendations??

    NICURN29 replied to lvnurs9's topic in NICU, Neonatal

    Also, what if there is shunting, and the gut is not getting good blood flow? Wouldn't you be concerned about NEC? We are talking a lot about that now and how some hospitals don't start feeds until...

  21. Carseats for premies less than 5 pounds

    NICURN29 replied to PremieOne's topic in NICU, Neonatal

    We are not permitted to tell parents they can't use a five pound and up corificeat on a baby less than five pounds, as long as they pass the corificeat tolerance test. We do use blanket rolls to...

  22. 3 baby assignments

    NICURN29 replied to MA Nurse's topic in NICU, Neonatal

    We can have up to four babies on the intermediate side of our level III NICU, and we can have up to three on our NICU side. It is rare to have an unstable kid in more than a two baby assignment, and...

  23. Dual UVC catherter

    NICURN29 replied to PremieOne's topic in NICU, Neonatal

    When we have double-lumen UVCs, we attach a 10mL syringe with our NSS/Heparin flush solution to a medline, attach that to the second lumen, and flush with that solution every six hours. We use that...

  24. What do you do with your dogs during 3 7a-7p shifts???

    NICURN29 replied to goofygreyhound's topic in General Nursing

    I leave my dog at home when I am at work with no problems. I just make sure to give him plenty of attention when I get home, and then he snuggles up to sleep with me. And then I make sure to give...

  25. The current economy and your job

    NICURN29 replied to diamondqueen's topic in NICU, Neonatal

    I myself would not comment on the state of the economy and my hospital on a public forum. However, it is true that hospital admissions are down across the country, especially for more elective...