NICURN29

NICURN29

NICU

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All Content by NICURN29

  1. Can I pick a few brains?...

    NICURN29 replied to StressedOutRN's topic in NICU, Neonatal

    We have had one baby that I can think of that, I believe, had a subdural hematoma without skull

  2. UAC line question

    NICURN29 replied to Cassideca's topic in NICU, Neonatal

    I should also add that we never infuse meds through an arterial line. We use the arterial line only for BP monitoring and blood draws. We use UVCs, PICCs, or PIVs for medication

  3. UAC line question

    NICURN29 replied to Cassideca's topic in NICU, Neonatal

    We use a VAMP system, and we do use a syringe to keep a flush attached to the line. However, our art line flush always comes in a 3mL syringe, and it is filled only to 2mL, so you could never...

  4. primary kiddie going home--is it appropriate to get her a gift?

    NICURN29 replied to sweet0176's topic in NICU, Neonatal

    I have bought gifts for our babies before...mostly clothes for the older ones who have outgrown our NICU clothing stash, as well as books or developmental toys. I always have told the parents that if...

  5. Couple of questions...

    NICURN29 posted a topic in NICU, Neonatal

    I am wondering if some people can give me some insight into how you do some things in your NICU... 1 - Do you always glove up for routine cares? 2 - When disconnecting/reconnecting feedings to NG...

  6. Seeking research on human milk-based HMF

    NICURN29 posted a topic in NICU, Neonatal

    I have been looking for some information on the new human milk-based HMF called ProlactPlus H2MF, made by Prolacta Bioscience. Ideally, I am looking for some non-biased research, but anything at all...

  7. How long did it take to get comfortable working in NICU

    NICURN29 replied to bumblebeegaga's topic in NICU, Neonatal

    It took me about a year to get comfortable, I would say. And I have been there over two years now, and once in a while things are thrown at me that I am still not comfortable with! But for the most...

  8. pins and rubberbands for CPAP

    NICURN29 replied to uma1ashok's topic in NICU, Neonatal

    We also use safety pins and rubberbands. I have never accidentally stuck a kid in the head with a safety pin, and they stay much more secure than they do when we use the hats that come with the CPAP...

  9. NICU Job satisfaction?

    NICURN29 replied to carlajane2's topic in NICU, Neonatal

    I am someone who came to nursing as a third career (tried out teaching and then working in the non-profit world first), and I think it was a great move for me. I also came out of school with my BSN...

  10. CPAP, SiPAP, High Flow ??

    NICURN29 replied to oglesbymom's topic in NICU, Neonatal

    We use CPAP, BiPAP (is this the same as SiPAP?), and occasionally HFNC. BiPAP is used less frequently, as is HFNC, but we use a lot of CPAP here, and it is almost always prong CPAP. I have only used...

  11. Heelstick vs venipuncture?

    NICURN29 replied to gudiarani's topic in NICU, Neonatal

    Our guidelines tell us to do the least invasive method that is appropriate for the lab we need to draw. On admission, we almost always do an arterial stick to get initial labs, and the nurses can do...

  12. 23 Weeker goes home

    NICURN29 replied to ScammRNC's topic in NICU, Neonatal

    Was she on any respiratory support when she went home? Sounds like a special

  13. UVC/UAC equipment

    NICURN29 replied to nurserynurse55's topic in NICU, Neonatal

    Well...I can't vouch for what's in our tray, but I can tell you what I have to gather. I have to get together the universal tray, the catheters (a double lumen for a UVC and a single lumen for a...

  14. ETT and fighting vent??

    NICURN29 replied to nicurn08's topic in NICU, Neonatal

    If the tube is occluding his trachea, then the fact that he is an obligate nose breather isn't going to make much difference. He is breathing through the ETT, whether it's the machine breathing for...

  15. Gravity Feeds

    NICURN29 replied to NICU Mama's topic in NICU, Neonatal

    I take a little offense to the generalization you made that the younger generation has a different work ethic than you do. I am of the younger generation, and my work ethic is just fine, thank you...

  16. Hand washing?

    NICURN29 replied to babyNP.'s topic in NICU, Neonatal

    I wash or use gel before and after patient contact, but I don't wear gloves every time I touch a patient. And we don't gown up for micros...we do change all lines using sterile technique,

  17. NICU Sibling Activity Packs

    NICURN29 posted a topic in NICU, Neonatal

    I am a part of our Customer Service Council, and we are trying to come up with ideas to make an activity pack for our NICU siblings to use while their new brothers and sisters are here with us. We...

  18. Gravity Feeds

    NICURN29 replied to NICU Mama's topic in NICU, Neonatal

    We definitely hang them, either from a light attached to the Giraffe or from an empty IV pole set up next to whatever bed we are using. We use a rubber band to hang them. We don't hold them...I...

  19. Administering a Glycerin Enema

    NICURN29 replied to mgturtle's topic in NICU, Neonatal

    We use either a sliver of a glycerin suppository or a saline enema. And Quite honestly, only the docs or NPs administer the enemas, so I don't pay much attention to the actual process. I do know...

  20. Hanging From Open Warmers

    NICURN29 replied to mgturtle's topic in NICU, Neonatal

    We hang our feedings from a rubber band hanging from an IV pole next to the warmer if the heat is still on. If the heat is off, we hang it from a rubber band hanging from a paper clip hanging from...

  21. Ett suction preterms

    NICURN29 replied to johan john's topic in NICU, Neonatal

    When I take report, I try to get an idea from the previous nurse how often the baby has needed suctioning. If they claim it was every hour or every care, I observe the baby to see if that is actually...

  22. Death in the NICU

    NICURN29 replied to captn_smallfry's topic in NICU, Neonatal

    1. What are your thoughts and feelings regarding a death of your patient (baby). I would say that I am always upset and sorry for a family when I lose a patient, but it depends on what was wrong with...

  23. Post Traumatic Stress anyone else?

    NICURN29 replied to kangarooyou's topic in NICU, Neonatal

    I have also been a NICU nurse for two years, and I find that the term and near-term kids that don't make it are the ones I have the most trouble with. When a micro doesn't make it, it is hard. But I...

  24. micro preemie trophic feeds

    NICURN29 replied to kangarooyou's topic in NICU, Neonatal

    We sometimes start as low as 0.5mL q6h for micros. More often, we have bigger preemies who start at 0.5mL or 1mL q3h. One of our docs feels very strongly that green residuals are not an indication...

  25. Weaning from CPAP

    NICURN29 replied to KatRNC's topic in NICU, Neonatal

    For a kid who just had some TTN or RDS, we start on CPAP 5, wean to 4, and then either wean to 3 or go directly to 2L NC when they have no oxygen requirement. For a chronic kid who has a long...