ittybabyRN

ittybabyRN RN

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  1. Children's Hospital ICU's

    ittybabyRN posted a topic in Massachusetts Nursing

    Hi all! I am just trying to get some general info about the ICU's at Children's Hospital. I am currently a New Grad from Massachusetts & I relocated to DC to work in their Children's Hospital...

  2. Can an R.N. just be PLOPPED into ICU to work???!??

    ittybabyRN replied to ShimmaShimma0304's topic in General Nursing

    I don't think this person realizes how dangerous this could be, you don't just "learn" icu while you have a crashing patient, the drugs, drips, procedures and even certain scopes of nursing practice...

  3. How often do you change clear fluids? Pressors in particular!

    ittybabyRN replied to NICU_babyRN's topic in NICU, Neonatal

    We change drips every 72 hrs, if we think the kid will bottom out we start the drips running on a new pump for a few minutes and then change over

  4. Ratio?

    ittybabyRN replied to NebraskaRN's topic in NICU, Neonatal

    I would also like to know. I am a new grad...well I guess I was a year ago anyways while I love my unit I get pretty bored with the feeder/growers and am looking into travelling/working elsewhere...

  5. Transitional feeding guidelines to bolus feed

    ittybabyRN replied to rnaffah's topic in NICU, Neonatal

    We also start with bolus feeds and see how they tolerate it. It can also depend on the baby's attending on how they are fed goes too. No set

  6. Ratio?

    ittybabyRN replied to NebraskaRN's topic in NICU, Neonatal

    I work in DC in a 54 bed level 3c unit. We have 46 private rooms and 2 4bed pods. We have level 2/3 mixed (no stepdown or intermediate area). We often have 1:1's, the usual is 2:1 and rarely we have...

  7. Tape on the ET tube tearing skin

    ittybabyRN replied to canesdukegirl's topic in General Nursing

    I work in nicu and some of those supposed to still be fetuses have the same type of skin. We use replicare as a barrier under the tape and a special adhesive remover that unsticks the tape from skin...

  8. Is this safe?

    ittybabyRN replied to resilientnurse's topic in Pediatric

    I'm pretty sure that's something you need to claqrify with your pedi but I will tell you, I work in nicu and we use albuterol nebs all the time, not sure about the others

  9. Guidelines/ Requirement for one to one Nursing Care in a NICU

    ittybabyRN replied to ona fofah's topic in NICU, Neonatal

    I don't think we have any policy, just depends on how acute/busy the pt is. Any hfov/cooling/ecmo/cvvh, pd kid will be 1:1. Kids on pressors may be paired depending on how stable they are on their...

  10. older babies in level 3

    ittybabyRN replied to nicu4me's topic in NICU, Neonatal

    Movies?! Yipes! I work in a private room unit and not even the parents get to watch

  11. older babies in level 3

    ittybabyRN replied to nicu4me's topic in NICU, Neonatal

    Once in the nicu always in the nicu, I have spoken to a few nurses where I work since I've only been here a year, kids never get tx to picu, if they are d/c and readmitted and no longer nicu material...

  12. Management of PPHN, pre-ecmo

    ittybabyRN posted a topic in NICU, Neonatal

    Hello! I was just wondering what other ecmo-utilizing units to do to best manage PPHN before it reaches that point? We had a kid this past week who was doing pretty well until he "flipped" during line...

  13. Dear PICU Nurses...

    ittybabyRN posted a topic in PICU, Pediatric

    Dear PICU nurses... I am a NICU nurse with WHat bothers me is the attitude the other ICU nurses have towards the NICU nurses, especially the PICU nurses when they have to care for some of our...

  14. Are there PAs in the NICU?

    ittybabyRN replied to AnnieOaklyRN's topic in NICU, Neonatal

    We have PA's. They work on the same team as the NNP's under the same attending and have the same scope of practice (at least I haven't noticed any difference between having an NNP baby or a PA

  15. Cross train in PICU?

    ittybabyRN replied to aerorunner80's topic in NICU, Neonatal

    We had to cross train to PICU and CICU as soon as we got off orientation (6mos). I have to say, I liked the CICU better and hope to try working there someday, and when I floated to PICU they gave me a...

  16. I need help from a neonatal nurse!!

    ittybabyRN replied to Brittne''s topic in General Nursing

    this exact thread appears in the NICU forum: A Day in the Life of a NICU Nurse - Nursing for

  17. hanging blood with the wrong fluids

    ittybabyRN replied to newnurse012's topic in Medical-Surgical

    This is a little off topic but something I have been wondering for a while...I work in a NICU and we don't hang blood with anything, we just run it alone as is. I have floated to the PICU/PCICU but...

  18. How to find a NICU in a different state

    ittybabyRN replied to none the wiser's topic in NICU, Neonatal

    What I did was start with looking at all the states major children's hospitals, teaching hospitals and hospitals with large women/infant programs. Typically if you start with the area of the...

  19. Bereavement

    ittybabyRN replied to iluvnicu's topic in NICU, Neonatal

    Our unit does similar things to yours, every experience is different of course. Last weekend I experienced my first patient death, it was very very sad but looking back probably one of the better...

  20. WHC, Veteran Affairs, or Children's employees - How is your commute?

    ittybabyRN replied to opensails's topic in General Nursing

    I live in Arlington and love it. I live near the courthouse metro stop. I work at Childrens and I alternate between driving and taking the metro. Driving takes about 20 minutes - I can leave at 615,...

  21. Closed system UAC problems..help

    ittybabyRN replied to sarapRN's topic in NICU, Neonatal

    I think that's what we use too...don't know the exact name, we call it a "kids kit" with a "pigtail"

  22. Biggest baby?

    ittybabyRN replied to aerorunner80's topic in NICU, Neonatal

    13lbs, 8oz! Giant omphalocele is what landed him in the NICU (so he was a csection). However, poor kiddo, it was easy to forget he was just a day or two old being as big as he was, it was so hard to...

  23. My first NICU death

    ittybabyRN replied to usameisje's topic in NICU, Neonatal

    Hugs :hug: I experienced my first death today as well. I've been off orientation about 7 months now and while I have helped others with bearevement cares this was my first patient death. She and her...

  24. home remedies you would NEVER try

    ittybabyRN replied to ktwlpn's topic in General Nursing

    Heard from a momma at work: place an egg above the baby's crib to prevent teething pain...she tried to do it too but nurses wouldn't let her keep the egg in the

  25. Management of PPHN, pre-ecmo

    ittybabyRN replied to ittybabyRN's topic in NICU, Neonatal

    Interesting, I've never heard of a PPHN-er on milirinone (we do have the older, pulmonary hypertension kids on it), and we would have dopamine/epi on if hypotension is also an issue (which it