NICURN29

NICURN29

NICU

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All Content by NICURN29

  1. Friending patient families on social media?

    NICURN29 replied to Missie Hannie's topic in NICU, Neonatal

    I know I am often in the minority on this one, but I am friends with former patients' family members on FB and often follow them on Instagram. I do not ever initiate the social media relationship, and...

  2. Mom suing nurse after suffocation accident

    NICURN29 replied to MunoRN's topic in Nursing News

    This has some good information on Sudden Unexpected Postnatal Collapse and how hospitals are dealing with the risk for it....

  3. Do you ever feel like you 'settled' for being an APNP instead of an MD?

    NICURN29 replied to Alexxoxox's topic in Nurse Practitioners, NP

    I was not talking about any particular physician. I was talking about the medical model vs. the nursing model. There are plenty of fine physicians out there, but their education is very different from...

  4. Do you ever feel like you 'settled' for being an APNP instead of an MD?

    NICURN29 replied to Alexxoxox's topic in Nurse Practitioners, NP

    I became a nurse because I wanted to be a nurse, not because I was not smart enough to go to medical school. And I am becoming an APRN (I am in a PMHNP post-Masters) because I am passionate about...

  5. Flush solution for UVC?

    NICURN29 replied to Cfholmes's topic in NICU, Neonatal

    We use 1/2 NS with 1/2 unit heparin per mL to flush our second lumen. However, we put a bifuse at the top of the line with the heparinized flush on one port and a NSS flush on the other. We have to...

  6. Hydrocolloid for skin protection?

    NICURN29 replied to Cfholmes's topic in NICU, Neonatal

    We also use Cannulaide. Cannulaide - Infant Nasal by Mercury Medical | Medline Industries,

  7. Facebook nurses and patients

    NICURN29 replied to Annaleemabey's topic in HIPAA Challenges

    My opinion differs from most here (and I don't need you to convince me I am wrong...I am perfectly fine with my use of social media where patient families are concerned), but I work in the NICU, and I...

  8. COMPUTER CHARTING

    NICURN29 replied to mina123's topic in NICU, Neonatal

    We currently use a McKesson product that is called Care Manager, but we are moving over to Epic in three months. There are several other L3 NICUs in our area that also use

  9. Looking for some hand hygeine policy input...

    NICURN29 posted a topic in NICU, Neonatal

    Hello! We are currently looking at our evidence regarding the wearing of rings in the NICU by nurses and medical providers. Currently, we are allowed "nothing below the elbows" (so no rings,...

  10. ETT Tube feedback- Looking for input!

    NICURN29 replied to jonathonm's topic in NICU, Neonatal

    We use Neobars. I think they are fantastic. They have cut down on our self-extubations and have allowed us to stop nasally intubating babies...which is what we used to go for our

  11. Medication barcode scanning

    NICURN29 replied to E_slick74's topic in NICU, Neonatal

    We also use the little Posey

  12. How does your NICU unit run?

    NICURN29 replied to LucyRn4's topic in NICU, Neonatal

    Ideally, if I have two patients, one is on each schedule. And the goal is for the feeding to start at the care time, so the assessments and cares are done with that goal in mind. If I have two babies...

  13. Vent: parents

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

    I am not sure why you are documenting in the medical record information about parents' interactions with other parents. It sounds like maybe it would be a CYA strategy, but I would think that, should...

  14. Cleaning Supplies in the NICU

    NICURN29 replied to alyssak517's topic in NICU, Neonatal

    After the cleaning solution has dried, we rinse our beds with plain water to remove any residue. They are cleaned by our unit

  15. How does your NICU unit run?

    NICURN29 replied to LucyRn4's topic in NICU, Neonatal

    We have two care times...8-11-2-5 and 9-12-3-6. Our level III babies are assessed and have vitals done q3h. Our level II babies are assessed qshift, so 3x/day. Baths are done whenever parents schedule...

  16. Not cut out for NICU

    NICURN29 replied to navyblueRN's topic in NICU, Neonatal

    Honestly, it took me a good two years of working in the NICU to not feel anxious coming to work everyday. And I think that was an important part of what made me successful...I had respect for the...

  17. Medicine used to treat respiratory conditions

    NICURN29 replied to tinkerbell419's topic in NICU, Neonatal

    Betamethasone is given during the pregnancy, so I would not say that qualifies. There is also Lasix, Aldactone, Diuril, and/or Aldactazide, which are often used to help us wean babies off respiratory...

  18. Sedation/Intubation

    NICURN29 replied to kjk47's topic in NICU, Neonatal

    We definitely do if a baby is on high-frequency ventilation. And otherwise, it depends on the baby. Our nurses are good about advocating for pain control and/or control of agitation if it seems...

  19. Administering NICU MEDS

    NICURN29 replied to powerRN91's topic in NICU, Neonatal

    You could also check out the Neofax and the Core Curriculum for medication

  20. Unplanned extubation while on orientation

    NICURN29 replied to tictac's topic in NICU, Neonatal

    I would not agree that "most" NICUs do daily CXRs for tube placement. In fact, that is contraindicated by the evidence. While your L3 may do that, mine does not. We do sometimes do daily CXRs on...

  21. Unplanned extubation while on orientation

    NICURN29 replied to tictac's topic in NICU, Neonatal

    I had a patient self-extubate when I was on orientation. My preceptor asked me if I was comfortable bagging her, and I said no, so she did it. Once it was obvious the tube was out, we called for the...

  22. Latex free!!

    NICURN29 replied to Susie McShea's topic in NICU, Neonatal

    We use Neobars on all of our ETTs and LOVE them. They are manufactured by Neotech, and we rarely have babies self-extubate when their tubes are secured with

  23. Breastmilk Errors

    NICURN29 replied to tinkerbell419's topic in NICU, Neonatal

    I have no other information.

  24. Breastmilk Errors

    NICURN29 replied to tinkerbell419's topic in NICU, Neonatal

    There is very minimal risk to a baby getting the breast milk of another mother. Here is some information from the CDC...Breastfeeding: Recommendations: Another Woman's Breastmilk | DNPAO | CDC This...

  25. ECG leads for micropreemies

    NICURN29 posted a topic in NICU, Neonatal

    Hello! I am looking for some product information and/or care information regarding the use of ECG leads on micropreemies. We have recently had several 23-weekers, and even using the limb leads has...