ittybabyRN

ittybabyRN RN

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All Content by ittybabyRN

  1. New grad considering Travel nursing. Anyone recommend it?

    I work in a unit that utilizes travelers, being interested in it myself I have asked them about their experiences. They have all recommended at least 1-2 years of experience in one unit to start...
  2. NICU Special on Discovery Health's "Baby Week"!!

    Our NP's do lumbar puntures, as do our fellows and residents. Our NP's pretty do much everything the docs do. Anyways LP was definitely not needed...and WHY couldn't mom hold her baby. We...
  3. I am still new, only 6mo on my own so far in nicu but so far I have learned that my patients lives are literally in my hands, depending on the decisions I make. That in the large teaching hosp I am in...
  4. Should CVVHD be 1:1

    I'm in a nicu with not much experience yet, but we had a baby on cvvh and he was 1:2 meaning 1 baby w/ 2 nurses, I think he was also very unstable, also ended up on ecmo I
  5. NICU Special on Discovery Health's "Baby Week"!!

    No developmental care, assessments w/o gloves, wouldn't consider the infants particularly "critical", little focus on what the nurses actually do, way too much time on the delivery and everyone...
  6. Families requesting no male nurses for their baby.

    now that I think of it, we have had other incidents as well, one I was involved in. I came in to work and was assigned a baby who had been around the bush a few times, he was almost 6 months old (full...
  7. Diagnoses you never thought you'd see?

    anencephaly, beautiful baby boy born with half his skull/scalp missing...for some reason the OSH decided he should be transported to us (large pediatric hospital) but I think it just gave the family a...
  8. Families requesting no male nurses for their baby.

    We also have primary nurse lists for our babies...however it is the nurses choice if she wants to start a list for any particular baby, so not every baby has primary nurses. Parents may ask a nurse to...
  9. New grads at Children's?

    Some staff have left, nothing more or less than typical turnover for a 200+ rn staffed unit, people have gotten married, had kids, moved away etc. One new grad from my group decided the unit wasn't...
  10. Fed up with Stupid Parents

    it's a disorder where the colon, urethra and lady parts all have a common opening, can be very serious if not handled correctly and requires long term follow up and usually multiple surgeries to...
  11. Fed up with Stupid Parents

    mmm got one, infant, originally thought to have just an imperforate orifice, actually has cloatia, brought from birth hospital to my NICU. First day post op dad comes in to visit (baby is only 2 days...
  12. Closed system for ABG draws from UAC?

    Our unit uses a closed system, I cannot remember the name of it though, when we set it up we have the regular IV tubing that connects to the transducer and what we call a "kids kit" that includes a...
  13. In line suction on the ET

    We use inlines for all HFOV kids and can request an order for it on conventional vented kids if they have tons of secretions or don't do well with suctioning/bagging. While it is a recently new policy...
  14. Volume parameters for feedings

    I can't give you any parameters exactly but I did take care of a full term baby with an omphalocele repair, was po feeding a few days later, kind of slow to start, as soon as he would reach goal they...
  15. New grads at Children's?

    Every baby has their own...although its this adult sized, plastic yellow thing it does it's job fine though. I did eventually get a neonatal (much smaller than a peds) stethoscope of my own, I...
  16. NICU letter to parents

    There are so many topics to cover, we actually have a guide to the nicu binder we give out, it goes over everything from "who's - who" where things can be found, breastfeeding, kangaroo care, common...
  17. personal ECMO question

    I am very new, however our hospital had a baby on ECMO during my orientation who was waiting for a new heart, he was on it over a month before they transferred him, on ecmo, to chop (we don't do heart...
  18. I work in a NICU and we always have a trach "ready to go bag" at the bedside, it is also brought with us if we are taking a field trip with the pt. In the bag is a trach of same size and one size...
  19. New grads at Children's?

    we were recently told 14, but a few people have left recently, and not all the new grads from my group decided to
  20. New grads at Children's?

    i've heard there are 14 in your group...which is bigger than mine
  21. RT's Drawing from a UAC

    In my unit MD's/NP's place PALS/UAC's but only the RN's draw from them, I have never seen an RT touch any kind of line...i've cross trained in the PICU/CICU and it is the same in those units as
  22. New grads at Children's?

    Hi Jade, congrats on the job! Orientation is pretty straightforward, the first week is administrative/hospital/computer stuff with all the new hires, then you will start in the NICU. The first week is...
  23. New grads at Children's?

    I am a new grad in the NICU that recently got off orientation (January) anyways I am just impressed at how earlier and earlier our manager is hiring in the NICU...it's nuts! haha I remember I applied...
  24. Music in the NICU- need your opinions

    I work in a level 3 NICU, however we do not have a stepdown unit so eventually our critical babies become grower-feeders and start working towards home. Often those more stable babies may be paired...
  25. Some questions about gentamicin...

    Oh my gosh! that sounds like such a process! Syringe pumps are so much easier, just have a dedicated med line that you can hook your syringe right too and run over the pump, run a flush after it and...