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300g

NICU III/Transport

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All Content by 300g

  1. ...and, typhoid is caused by bacteria, not a virus. Despite both of those points,... a completely uneducated response by lamazeteacher. It infuriates me when people, especially medical professionals, compare influenza to any other vaccine. They're s...
  2. Amicillin via UAC?

    It's really going to depend on your unit policy and culture. Yes, you can give ampicilllin, gentamicin and a lot of other medications through UACs (and some should never be given via UAC like inotropes). However, I'm with you and the others here......
  3. Ec 135

    Wow, I see this is more of a problem than I thought. We've been using an isolette on a stretcher-type set up for our EC135 but it recently broke and we need to find a replacement. Apparently, the Airborne unit is the only one available to fit the EC1...
  4. Interpreting Blood Gases

    It's worth the $6 to purchase it, or take the S.T.A.B.L.E. course. I don't think it would be right for me to post a copy of their chart. You're going to be able to determine your acid/base balance with a CBG. pH and CO2 should be pretty close. Wher...
  5. Interpreting Blood Gases

    This chart is helpful - S.T.A.B.L.E. Blood Gas Interpretation Chart Blood gases just take practice. Is there something specific that you're having trouble with? Here's something that might be helpful: Arterial Blood Gas Interpretation
  6. Nursing Refresher? Review?

    Where in Florida are you? I don't know of a specific refresher course for your situation. But I would imagine that a NCLEX book with testing software would pretty much summarize nursing school. Then, study/review your weaknesses. Something like this:...
  7. Houston Jobs?

    Don't let Magnet status deter you from applying to any hospital you'd want to work for... in fact, I'd rather apply to a hospital with Magnet status. Magnet status is afforded to hospitals who support and promote their nurses. As an ADN they might ev...
  8. NICU or L&D?

    I also enjoy attending the delivery to care for the neonate. As transport nurses, we attend all high risk deliveries. My first job as a RN was pretty much L&D. I was hired NICU but we transferred almost all the babies to our sister hospital. The...
  9. URGENT: I need help about caffeine

    For apnea of prematurity, as already noted, 20mg/ml (60mg/3ml) is the appropriate concentration. Loading dose 20-40mg/kg and maintenance dose 5-8mg/kg/day q24hours after loading dose. No dilution necessary. example: 1kg patient = 20mg loading dose ...
  10. awkward Nicu Mom/nicu nurse

    I think it's great that you would like to work NICU after your experience. You will have a special advantage in relating to the parents of your patients. As NICU nurses, we understand the HBP, anxiety, and depression meds and stress that you go throu...
  11. FL RN Salaries....yes another salary thread lol

    I'm sorry to say you will be disappointed by the pay here in Tampa. I moved here from Texas and took a $22K/year pay cut to work at one of the largest hospital in Florida. ouch. All of my experience is NICU LIII. I fear what non-acute/specialized RNs...
  12. We use HMF, usually 1 pack/25ml so no measuring equipment involved. We have a separate room, but it's very small so sometimes the BM/HMF is mixed at the bedside. I believe our standard initial TPN/HAL is also 3g/kg protein... I'll have to double ch...
  13. heparin 2 units flush

    if this was a written order, it reads to add 2 units heparin to 10ml 1/2ns vial (or use a prefilled 2 units heparin per 10ml 1/2ns --- 0.2 units heparin/ml 1/2ns)... then withdraw 0.3-0.5ml to use to flush. i can't imagine that this is your units p...
  14. Prevent Hypothermia PT

    In addition to plastic wrap, humidified isolette, etc., we use Transwarmer mattresses under the patient.
  15. FL/GA/SC/NC NICU Nurses

    There's a hospital in Tampa, FL and and in St. Petersburg. Both are Level III with ECMO except the one in St. Pete does their ECMO in CVICU not NICU. Both are fairly large NICUs and both are in the process of large expansions. One hospital is situate...
  16. Parents never cease to surprise me

    That would have been the perfect response. Wish I'd have thought of it! The baby lived for 3 days.
  17. micro preemie trophic feeds

    Hopefully this will change soon. Two of us transport nurses and an ARNP from our unit (TGH) attended the conference.
  18. Ventilator alarms

    Everything that chare said! It would take quite a while to post all the alarms and their meanings for each of the settings on all the ventilator types. For example, on a Drager Babylog, a very common alarm in AC/VG mode is MV Low... and that usually ...
  19. micro preemie trophic feeds

    I'm curious about this too. There were only two countries mentioned that were initiating probiotic use. I think China and maybe Norway...? UC Davis is/will be conducting a study on the use of pre/probiotics. Here's a good article on that if you're ...
  20. Securing UVC/UAC?

    Here's a simplistic drawing I found of a bridge: http://www.cs.nsw.gov.au/rpa/neonatal/html/images/Image10b.gif My current hospital uses thin duoderm to abdomen and looped lines secured to duoderm with tegaderm (like a lot of others have described). ...
  21. RNC--Low Risk Neonatal vs. Neonatal Intensive Care

    2 years and 2000 hours in the specialty is required. I don't know if they differentiate between LII/LIII. My background is very large/very busy/very sick LIIIs. In addition to what Steve posted, there are a lot of questions on E/VLBW and FEN manageme...
  22. micro preemie trophic feeds

    Current studies support this method of initiating feeds with micro premies. Early on, increasing to full feeds quickly as tolerated and with breastmilk or BM with human (not bovine) HMF and no formula. I'm at a NICU conference and when I return and d...
  23. UA/UVC Lines and blue fingers/toes

    I'm guessing your baby was 1100g. :wink2: (NS dose of 10cc/kg) Not really. Supine with head midline is good, so is Left or Right, or partially Left or Right... just so long as the head is midline. When you turn the patients head, it can obstruct bl...
  24. UA/UVC Lines and blue fingers/toes

    First of all,... don't be so hard on yourself. Sounds like you're doing a great job! Just to clarify... I didn't mean to mention midline positioning in reference to the vasospasm. Midline positioning, although relevant to blood flow, has more to do w...
  25. Information for parents

    We also provide an admission packet with a general "Welcome to NICU" booklet that discusses basic terminology, what you can expect, care team member descriptions, etc. Additionally, we have a storage room full of information sheets that we add to the...