dawnebeth

dawnebeth

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All Content by dawnebeth

  1. Oxygenation guidelines

    dawnebeth replied to nurse2teach's topic in NICU, Neonatal

    For our babies under 32 weeks, we have the ROSE limits: 85-93%. ROSE stands for Reducing Oxygen Saves Eyes in out hospital. This has definitely helped reduce the amount of ROP we have and is backed by...

  2. Povidone Burn

    dawnebeth replied to Julie Basilio's topic in NICU, Neonatal

    Exactly. We have a nurse, Carolyn Lund, at our hospital who has written many articles on preemie skin issues, and this was one of the first ones I recall hearing about. We haven't used iodine on our...

  3. Povidone Burn

    dawnebeth replied to Julie Basilio's topic in NICU, Neonatal

    We hate the stuff in our unit and wash it off as soon as possible after surgery. We rarely use anything but mild soap on the babies--not alcohol, not benzoine. The 2 percent clorhexidine (I'm a...

  4. Kardex for shift report?

    dawnebeth replied to KatRNC's topic in NICU, Neonatal

    Our kardexes stay at the bedside and the charge nurse goes from bed to bed to get end of shift report. She and the next shift charge nurse meet together at the nurses station while the bedside nurses...

  5. Neonatal Nurse Questionaire--PLEASE HELP ME OUT!

    dawnebeth replied to tashadanielle1234321's topic in NICU, Neonatal

    Well, at least where I work in California, there is no extra training required before you are hired in the ICN. Often, the hospital wants a nurse who has had a year or two working elsewhere, but not...

  6. littmann or ultraScope better for nicu nurse?

    dawnebeth replied to Qoolala's topic in NICU, Neonatal

    In our unit, the stethoscopes are supplied, one for each baby, so we don't have to own a special one. And the nursery buys littmans, I think, but I haven't a clue which is the best. As long as it has...

  7. NICU-BRAIN-Capstone!

    dawnebeth replied to rschneider's topic in NICU, Neonatal

    Hi, I think I know who you are--and I'll see you in a few days. lol Just take things slow--you already know how to do an assessment, it's just a smaller patient this time--and you can't ask the...

  8. Volunteer Cuddling

    dawnebeth replied to scrabblern's topic in NICU, Neonatal

    We have several men who hold the babies in our unit--one is like the grandpa for the whole unit. He's always buying rocking chairs, mobiles for the babies and cookies for us. Another man drives more...

  9. Volunteer Cuddling

    dawnebeth replied to scrabblern's topic in NICU, Neonatal

    Our ICN is a 36 bed unit in an all children's hospital. We have volunteers to hold the babies almost every day and on both day and PM shift. They are required by the hospital to work for 100 hours...

  10. infection-free NICU

    dawnebeth replied to Julie Basilio's topic in NICU, Neonatal

    Because I had a primary (who just left) who wasn't intubated for the last month that she was here, I cannot accurately tell you the check list, but some of it was keep the head of the bed elevated,...

  11. Sensormedics

    dawnebeth replied to Julie Basilio's topic in NICU, Neonatal

    Oh, yes, with a High Frequency vent, we always have an RT help to turn the baby because of the stiff tubing. Usually every 4 to 6 hours. On rare occasions, if the RTs are insanely busy, I do know how...

  12. Help! I am starting my internship in the NICU on Tuesday.

    dawnebeth replied to Johnnysx3Girl's topic in NICU, Neonatal

    Keep breathing, take your time and focus on the baby, not the equipment. Review what you know--doing an assessment is the same on every person--just on a baby, you rely more on what you can see. Is he...

  13. What do you do with the rashes acquired from phototherapy?

    dawnebeth replied to Julie Basilio's topic in NICU, Neonatal

    I don't recall seeing many rashes simply from phototherapy. We put a cloth mask on the baby, not the kind that stick to the baby's head. And aquaphor for dry skin. Make sure the old style of...

  14. infection-free NICU

    dawnebeth replied to Julie Basilio's topic in NICU, Neonatal

    What measures does your unit use to recognize and prevent VAP? In my previous unit with adults we had to go through a checklist daily of signs to look for on every vent patient, but in the NICU I'm in...

  15. Sensormedics

    dawnebeth replied to Julie Basilio's topic in NICU, Neonatal

    I don't know what a sensormedic is, but we try to change the baby's position every two hours, if at all possible. If not, then every four to six, making sure to check pressure areas like buttocks and...

  16. Cleaning protocol in nicu

    dawnebeth replied to Julie Basilio's topic in NICU, Neonatal

    We do the same as the above post. Clean with anti-microbial wipes every shift and reduce clutter as much as possible. Wipe the monitors with alcohol wipes and wipe down pens and stethoscopes before...

  17. Amicillin via UAC?

    dawnebeth replied to I'mANurse!'s topic in NICU, Neonatal

    The only thing I have ever given through a UAC routinely (as opposed to a code or an emergency) is blood by aloquots. Otherwise, yeah, you did need a PIV.

  18. Who runs your ECMO pumps?

    dawnebeth replied to elizabells's topic in NICU, Neonatal

    We have specially trained ECMO nurses at Oakland Children's--in fact, they not only do the pump in the nursery but also in the PICU, since ICU never trained any of their own nurses for the pump. One...

  19. FOOTPRINTS

    dawnebeth replied to NANSNURSE's topic in NICU, Neonatal

    We tried a kind of inkless printer paper and it was hopeless, no one could get it to work! lol. We went back to our old inky prints.

  20. the oldest baby in your level 3 nicu

    dawnebeth replied to nicu4me's topic in NICU, Neonatal

    We have nearly all of the same thing in our hospital, except for the long term chronic care unit--that would be us. Got the long term kids (one is nine months old right now) and the preemies all mixed...

  21. the oldest baby in your level 3 nicu

    dawnebeth replied to nicu4me's topic in NICU, Neonatal

    We frequently can't get round the clock care for most of our babies, so some go to a full care facility. Babies with doubtful viability--like some severe brain damaged babies, as well as babies whose...

  22. full assessments vs. monitor vitals

    dawnebeth replied to nicu4me's topic in NICU, Neonatal

    I would never wait all of a shift to do a full assessment--possibly a couple of hours on a stable chronic, but not a baby on HFOV. I always immediately look the baby over with my eye and a quick...

  23. Weaning from an isolette

    dawnebeth replied to luvnicubabies's topic in NICU, Neonatal

    We have a specific protocol--once the baby is over 1500 grams, and not having any changes such as just off IV fluids or just starting feeds, anything that could cause weight loss on its own, then they...

  24. Does anyone else do quiet hour?

    dawnebeth replied to NurseKerry's topic in NICU, Neonatal

    When I first started, in '88, we did have a quiet hour (I forget now, but maybe 1800-1900?) but that went out of voque in the '90s. I would like to have it back--along with making the parents stay out...

  25. the oldest baby in your level 3 nicu

    dawnebeth replied to nicu4me's topic in NICU, Neonatal

    We now tend to have them out by 6 months or maybe 9 months (although we recently readmitted one of our old chronics and I don't even want to know how old he is. Surely his birthday is coming soon.)...