300g

300g

NICU III/Transport

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All Content by 300g

  1. UA/UVC Lines and blue fingers/toes

    300g replied to nicu4me's topic in NICU, Neonatal

    Yeah, I'm wondering about the dopamine infusion too. If infusing through the UAC, that could've definitely caused vasospasm after your gas draw. I have not worked at a hospital that infuses dopamine...

  2. Parents never cease to surprise me

    300g replied to NFB2008's topic in NICU, Neonatal

    Two of my most shocking moments... Urine drug screen comes back positive... mom denies use but says dad is user... and that they'd had sex just before baby was born... Another baby, born with severe...

  3. What should I know?

    300g replied to krenee's topic in NICU, Neonatal

    A lot of what you need to know in the NICU, you don't learn in nursing school... so go easy on yourself. Ask a lot of questions and listen to the answers. You'll do great. Just a good rule of thumb on...

  4. Deciding between two NICUs

    300g replied to raerusse's topic in NICU, Neonatal

    IF it were me... I'd work for the higher acuity, less pay hospital. You are going to learn skills there that you may not learn in the other hospital. Cardiac experience is always a bonus. Those skills...

  5. Does anyone use biodiscs on their piccs, umbilical lines?

    300g replied to BittyBabyGrower's topic in NICU, Neonatal

    I'm not sure who's post you're trying to clarify... but if it was mine, no, I meant infiltration. I guess my first question was too abstract... let me clarify... Why is assessing the insertion...

  6. giving meds that are less than 0.1 cc

    300g replied to nicu4me's topic in NICU, Neonatal

    Sorry for the confusion... it was a real situation, but I was joking with the other nurse. It's impossible to measure 0.005ml but our pharmacy sends it that way. As the others have said, there are two...

  7. Does anyone use biodiscs on their piccs, umbilical lines?

    300g replied to BittyBabyGrower's topic in NICU, Neonatal

    Do PIVs infiltrate at the insertion site? texas2007, it's nearly impossible until you do a dressing change. I guess since the biodisc is there to prevent infection at the insertion site, you trade...

  8. giving meds that are less than 0.1 cc

    300g replied to nicu4me's topic in NICU, Neonatal

    What was the med? We deal with tiny numbers in our tiny population... you just have to be very careful. I gave a dose of caffeine the other day (750gm, 10mg/kg, 20mg/ml) and the dose was 0.375ml. We...

  9. isolette humidity

    300g replied to jscrn's topic in NICU, Neonatal

    Thin duoderm... small strip across the top and small strip across the bottom of the lead, small square over the temp probe... Also, if the baby is supine, I place the leads on their back... prone, on...

  10. Managing O2 changes in preemie

    300g replied to twizzlers67's topic in NICU, Neonatal

    That's a fantastic response by LoveTheNICU! Just a couple lil things to add... I really don't adjust the FiO2 unless the sats drop into the 60's or prolonged 70's and that's generally only 2-5%...

  11. Sali-wipes for Eyecare?

    300g replied to NICUnurseKatie's topic in NICU, Neonatal

    I can't imagine that Sali-wipes in and of themselves would clog tear ducts and increase eye drainage. Maybe improper or overuse? However, I'm perfectly fine with being wrong and am interested in what...

  12. Questions Regarding Grades in Nursing School??

    300g replied to thegirlyoulove90's topic in General Nursing

    wow! stop worrying about all the negative... worrying about all this negativity only takes up space in your conscience mind. it won't solve anything and it will get you nowhere. just like nearly...

  13. RDS - please correct me if I'm wrong

    300g replied to NN2BVE's topic in NICU, Neonatal

    Good start, but not exactly... newborns (especially premies) have very little reserve and are not going to sustain tachypnea (or tachycardia r/t RDS) very long. They're probably not RDS (respiratory...

  14. Octuplets

    300g replied to Sweeper933's topic in NICU, Neonatal

    Are you certain about that? I'm not... and know next to nothing about insurance... but this is quoted directly from the Medi-Cal site:...

  15. Ett suction preterms

    300g replied to johan john's topic in NICU, Neonatal

    There are course "crackles" and fine "crackles" (or rales)... they still differ from rhonchi or generalized course breath sounds. I didn't say there's anything wrong with the term "crackles", I just...

  16. Ett suction preterms

    300g replied to johan john's topic in NICU, Neonatal

    Just a personal note... I can't stand the use of the term "crackles". They're called rales - You hear rales when alveoli have collapsed due to insufficient surface tension and they "pop" open on...

  17. Ett suction preterms

    300g replied to johan john's topic in NICU, Neonatal

    How are "crackles" (rales) a clinical finding that warrants

  18. Ett suction preterms

    300g replied to johan john's topic in NICU, Neonatal

    I agree. If you have an Attending riding you about not suctioning enough... and despite undue clinical indication you haven't suction before your q8 or q12 gas... your PCO2 is going to be above 80 and...

  19. Hanging From Open Warmers

    300g replied to mgturtle's topic in NICU, Neonatal

    I've used a device made out of metal that forms an arch over the bed and tucks under each side of the mattress of the warmer. It should work with any brand of warmer. It's been a long time and I have...

  20. Administering a Glycerin Enema

    300g replied to mgturtle's topic in NICU, Neonatal

    Ours also comes in 2ml prefilled oral syringes. Like BoonersmomRN said, a 5 or 6.5fr OG tube... prime the tube with the glycerin and leave the required dose in the attached syringe. Hope that

  21. Ett suction preterms

    300g replied to johan john's topic in NICU, Neonatal

    I abhor routine suctioning on micros (or any pts for that matter). If PIPs are rising (ie: AC/VG mode) I may suction. If baby is squirming, uncomfortable, etc. they may need suctioning... and of...

  22. Do You Go To The Funeral?

    300g replied to mauigal's topic in NICU, Neonatal

    I've gotten pretty close with some families, but generally try not to. I know my emotional self, I don't primary and try to stay somewhat detached. I've never and don't plan on attending any funerals...

  23. Ever have one of those days

    300g replied to Imafloat's topic in NICU, Neonatal

    I read this topic when you posted it on the 18th. I said to myself, "Yeah, I can relate" but couldn't really commiserate with a specific instance. Perhaps "selective memories" prevailed... Then...

  24. Nurse vs. Paramedic led transports

    300g replied to SteveNNP's topic in Flight, Surface Transport

    Hi Steve, I see the date of your post and hope that this will still be of some relevance to you. I attended a Neonatal and Pediatric transport conference in Utah this past February and I can think of...

  25. Platelet Transfusion

    300g replied to NICU Mama's topic in NICU, Neonatal

    I'm curious about your NMs answer. NICUs use leukocyte reduced blood products as a means of reducing alloimmunization in our immunocompromised populations. Leukocyte reduction is generally...