NICURN29

NICURN29

NICU

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All Content by NICURN29

  1. What are the smallest diapers available?

    NICURN29 replied to HealthShepherd's topic in NICU, Neonatal

    We use the Pampers XS, and I like them, although the tabs stick to everything when you are trying to get them on the kid. We also use another brand that is wrapped like a maxi pad, but it has a very...

  2. Maybe I need some reassurance...

    NICURN29 replied to RNin2007's topic in NICU, Neonatal

    I am glad that we don't have to write up incident reports for self-extubations! It doesn't happen to us all that often, but it does happen...I think it is, in some ways, part of working in the NICU....

  3. NICU Report Sheet

    NICURN29 replied to LGarner279's topic in NICU, Neonatal

    Sure...I am supposed to work tonight, although it is overtime, so I might be cancelled (they are cracking down, which is sad for my wallet), but next time I am there, I will grab the sheets we have...

  4. NICU Report Sheet

    NICURN29 replied to LGarner279's topic in NICU, Neonatal

    We use an SBAR format (situation, background, assessment, recommendations), and I usually use a separate sheet for each of my patients if I am on a full 12-hour shift. Our sheet is divided into...

  5. Feeding Protocols

    NICURN29 replied to HawkeyeRN's topic in NICU, Neonatal

    Do you mean as far as PO feeding goes? We recently instituted a cue-based feeding protocol. We use a feeding readiness scale developed by Susan Ludwig, OTR/L and a feeding quality scale developed by...

  6. Poll: What do you love about the NICU?

    NICURN29 replied to carolina_girl's topic in NICU, Neonatal

    I love that baby poop is so much easier to deal with than big people poop. I love the babies. I love the fact that we are caring for the entire family, from the baby in the isolette to the mom and dad...

  7. Central Line Tubing Change

    NICURN29 replied to jack4408's topic in NICU, Neonatal

    We change out TPN, IL, and any dextrose solutions Q24h, including tubing. We change out art line tubing q72h and the bags of art line fluids q24h. For central lines, we use sterile technique,...

  8. Talking to your neonate patients

    NICURN29 replied to Journey_On's topic in NICU, Neonatal

    I basically keep up a running commentary with the babies when I am caring for them. I talk to them less when they are less stable, but other than that, sure! They probably "know" more about me than...

  9. Kangaroo Care

    NICURN29 replied to kangarooyou's topic in NICU, Neonatal

    I forgot to mention that we do not allow for KC with a UAC in place...or when a baby is on HFOV or the Jet. We have had a mom hold a baby who was on the Jet because it had been a while, and she had...

  10. Bedside Supplies

    NICURN29 replied to 3yrDiploma's topic in NICU, Neonatal

    Our bedside cabinets have four drawers. The first two contain things like syringes, IV supplies, lab supplies, tape, bandages, alcohol wipes, chloraprep wipes, sims, and oral swabs. The third is for...

  11. NICU parent as a NICU nurse good or bad?

    NICURN29 replied to jenj1928's topic in NICU, Neonatal

    One of our best nurses was a NICU mom. She had been a flight attendant but went to school to become an RN and is

  12. How do you sanitize your hands?

    NICURN29 replied to NeoNurseTX's topic in NICU, Neonatal

    We do either a scrub with chlorhexadine for three minutes to our elbows or a hand-washing following by Avagard to the hands and up to the elbows to scrub in to the unit. After that, we hand wash if...

  13. Kangaroo Care

    NICURN29 replied to kangarooyou's topic in NICU, Neonatal

    We use kangaroo care, although not everyone is totally on-board with it in all cases. We try to use it even when kids are stable on the vent, and we are pretty good about doing it when kids are on...

  14. What do level III RNs think of level II?

    NICURN29 replied to Peanut_RN's topic in NICU, Neonatal

    I work for a network that has both a level II and a level III and I am part of a group of us that work at both campuses, and I think it's true that sometimes people think the nurses at the lower level...

  15. NCPAP hats/systems

    NICURN29 replied to iyqyqr's topic in NICU, Neonatal

    How were his gases? If the PaCO2 on a baby drops too far, our docs will extubate even the little ones...to prevent damage from the low PaCO2. Oh, and we make our own CPAP hats out of stockinette...

  16. Methadone withdrawal

    NICURN29 replied to elizabells's topic in NICU, Neonatal

    We tend to wait on these kids a little bit, but once their scores go above 7 or so for more than 24 hours (we use the NAS score...is that the same as a Finnegan?), we treat with

  17. Question about your unit

    NICURN29 replied to EarlyAdditionRN's topic in NICU, Neonatal

    We have an attending on during the day who rounds and takes care of daytime stuff, and then we have a doc on call at night. We also usually have an NNP in-house for either 16 or 24 hours (either...

  18. Umbilical Tox Screen

    NICURN29 replied to MegNeoNurse's topic in NICU, Neonatal

    We definitely still do urine and mec screens. We actually do mec screens rarely...urine screens are more often done

  19. Value of certification

    NICURN29 replied to brandy143's topic in NICU, Neonatal

    I am in PA, if it matters. 1. Does your instituition place any value on specialty certification? Fourteen of our nurses just became RNCs, and there were several who already were. Because our hospital...

  20. Anyone use meditech in NICU, or at least chart by exception

    NICURN29 replied to iHeartNICU's topic in NICU, Neonatal

    We assess NICU-status babies q3h (and do vitals q3h), and we assess stepdown babies qshift. We do sometimes do "hands-off" every other when a baby is really touchy, but for the most part, we are...

  21. Career Change, Need Help/Advice

    NICURN29 replied to mommymakingchange626's topic in NICU, Neonatal

    I would just go ahead and apply for posted positions in hospitals in your area. We have some nurses who were originally adult critical care nurses who now work in the NICU. We have a nurse who...

  22. Visiting Guidelines

    NICURN29 posted a topic in NICU, Neonatal

    Can anyone give me an overview of the visiting guidelines for your NICU?

  23. shaky hands?

    NICURN29 replied to mslinzyann's topic in General Nursing

    I also have hand tremors, and I am doing just fine working in the NICU! I have had people mention it to me before, and I just tell them that I have had hand tremors my whole life and leave it at...

  24. Visiting Guidelines

    NICURN29 replied to NICURN29's topic in NICU, Neonatal

    I did a search and didn't find anything. So, on that note... If anyone is willing to share some of their visiting guidelines, I would really appreciate

  25. Enteral Feeding equipment

    NICURN29 replied to NICU_babyRN's topic in NICU, Neonatal

    We use syringes that are strictly for feeding...they are manufactured by a company called Baxa. They are labeled "Exacta-Med Dispenser." We use tubing by Children's Medical Ventures. The tubing is...