dawnebeth

dawnebeth

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All Content by dawnebeth

  1. Did I make a judgement error in caring for terminal neonate??

    dawnebeth replied to neonurse28's topic in NICU, Neonatal

    You did absolutely no wrong that I can see. Taking care of terminal babies is really, really hard. Especially a baby that is not viable by the point you come onto the case (as with that preemie) and I...

  2. Earliest viable gestational age?

    dawnebeth replied to everthesame's topic in NICU, Neonatal

    One time, we had a small for gestational age 29 weeker (13 oz--one of the smallest babies we've ever had) right next to a 22 weeker. It was fascinating to see the babies side by side since they were...

  3. Do you let gastroschisis babies with silos be held?

    dawnebeth replied to heymama1plus1's topic in NICU, Neonatal

    No, never. Our silos are plastic bags that fit just under the lip of skin around the defect and hang from the warming table above. There is too much danger of the bag coming off, getting twisted, all...

  4. Born with Leukemia

    dawnebeth replied to acenab4jc's topic in NICU, Neonatal

    dawnbethe, are you talking about cystic hygroma? I've seen a few of those too. One little girl had a huge one on the left side of her face and neck that wasn't completely resectable and it kept...

  5. Born with Leukemia

    dawnebeth replied to acenab4jc's topic in NICU, Neonatal

    Poor baby. I haven't seen congenital leukemia, but I have seen several babies born with large tumors (two of them were the tumors always on the neck and lower face.) Both babies had the tumors removed...

  6. Definition of Level II Nursery?

    dawnebeth replied to PedsNurse1981's topic in NICU, Neonatal

    I always wondered if there was a level IV nursery--if so, I think that is what mine would be called. We have the smallest mircopreemies and everything up to big, sick newborns. Five types of...

  7. OG /NG Tube Placement

    dawnebeth replied to THB4471's topic in NICU, Neonatal

    Generally, we chart the number visible at the lip or nares in the chart every shift and on the kardex, and pull back aspirate to check placement. We only use x-ray if the tube is in the

  8. UAC's

    dawnebeth replied to NJNICUCCRN's topic in NICU, Neonatal

    We generally only use 3 ml syringes for flushing all lines and giving meds. Sometimes a 5ml syringe, but rarely a

  9. Earliest viable gestational age?

    dawnebeth replied to everthesame's topic in NICU, Neonatal

    I have heard of the occasional 22 weeker surviving, but that is extremely rare. I've always seen 22 weekers who did not make it. 23-24 weeks is the earliest I have seen be viable and most are damaged...

  10. CBC clotting

    dawnebeth replied to NJNICUCCRN's topic in NICU, Neonatal

    We don't do CBCs by heelstick--ever. In our nursery, we always do a venapuncture, or arterial stick. Although we have them clot once in a while--and sometimes I do suspect that the lab is holding the...

  11. hard time

    dawnebeth replied to asdjkl's topic in NICU, Neonatal

    You sound like you are having a really rough time. First, take a breath and give yourself a break. You're new there and the first year is always the toughest. Is there anyone on staff that you feel...

  12. tub bathing in the NICU

    dawnebeth replied to Cindy Lee's topic in NICU, Neonatal

    Like several others have said, we give swaddled bathes to even some ventilated babies as long as they are stable, Even with a PICC line, although most of the babies using the tiny tubs from CMV are...

  13. Kardex for shift report?

    dawnebeth replied to KatRNC's topic in NICU, Neonatal

    Yours sound much like ours. The lab values are now basically on the computer. We hardly even print them out since anyone who needs to know can go and look there for the latest levels. And report any...

  14. Hepatitis B vaccine administration

    dawnebeth replied to debsto's topic in NICU, Neonatal

    I think it's from the CDC, it's a preprinted info

  15. Hepatitis B vaccine administration

    dawnebeth replied to debsto's topic in NICU, Neonatal

    We are an all children's hospital with all of our preemies and infants transported in, so what we do would be vastly different. Sometimes the babies have had a hep B shot after they arrive, but most...

  16. Breastmilk for mouth care

    dawnebeth replied to mlizhev's topic in NICU, Neonatal

    We're in Northern California. Swabbing the mouth with colostrum was started suddenly in late January. I came back from a vacation, and we were starting without any beforehand instruction. I believe...

  17. What kind of scrubs do you wear?

    dawnebeth replied to grlgid's topic in NICU, Neonatal

    Cindy Lee said--Washing makes the difference, not clothes. That is so true! We wear a gown when holding the babies close to our bodies, but when standing at the bedside, I don't wear a cover gown...

  18. What kind of scrubs do you wear?

    dawnebeth replied to grlgid's topic in NICU, Neonatal

    I'm in a large all children's hospital. As long as we are wearing nursing uniforms, scrubs or a T-shirt with the hospital logo, we can wear whatever color or style we want--just no visible belly...

  19. Low census anyone?

    dawnebeth replied to Humbled_Nurse's topic in NICU, Neonatal

    In Northern California, we were horribly slow for several months--one time getting down to 19 patients, and our high is 38. The last two weeks, the census has risen quickly and we're holding about...

  20. advice for barcode scanning of infants

    dawnebeth replied to kimbittybabyrn's topic in NICU, Neonatal

    We have a soft posey type band on the baby's foot with their name and MR number, but that cannot be scanned. There is a scannable barcode on the side of the bed and also on the chart. We usually scan...

  21. Best Practices for UAC use ?!?

    dawnebeth replied to Jack's Mom's topic in NICU, Neonatal

    We never use double lumens on UAC. We have a double lumen UVC for TPN, meds, etc. And a single lumen UAC for blood pressure and drawing blood. In an emergency, it can be used for giving a transfusion...

  22. Breastmilk for mouth care

    dawnebeth replied to mlizhev's topic in NICU, Neonatal

    It's not really for mouth care, but to introduce 'friendly' bacteria into the mouth and gut to promote good flora and hopefully reduce the incidence of NEC, Our unit just started about two months ago....

  23. Kardex for shift report?

    dawnebeth replied to KatRNC's topic in NICU, Neonatal

    No, our problem list is separate, which we use at the end of shift to identify what needs to be done or was done during the shift and write out a small paragraph on the end of shift section of the...

  24. Kardex for shift report?

    dawnebeth replied to KatRNC's topic in NICU, Neonatal

    I believe ours was adapted and changed to meet the needs of our unit, since we've had many versions over the years since I worked there. On the front are columns, on the left for lab draws and...

  25. Oxygenation guidelines

    dawnebeth replied to nurse2teach's topic in NICU, Neonatal

    (NJNICUCCRN)We dont "chase" babies esp if they are labile. However, we do first silence the high sat alarm and standby...if the sat does stay high, we will tweak the baby down. I think we respond...