sparkyRN

sparkyRN

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  1. What things are permissable to infuse per UAC's?

    Do you know what your unit's rationale is for heparinizing fluids in your UVC but not your UAC? We've used hep in both as well as any peripheral art line. There's a noticable decrease in circulation...
  2. What things are permissable to infuse per UAC's?

    Any maintenance IVF except lipids--PA(hyperal),dex/water,ns. No pressors, bicarb, prostaglandins or blood
  3. Little curious abt NICU levels!

    In a nutshell... Level III is the ICU. These are the most acutely ill term and preterm babies. All intubated and CPAP babies, those that are septic, symptomatic heart babies and a host of other...
  4. Just got accepted in MSN program!

    Congrats to you!!! :balloons: Is that TX or TN?
  5. staffing ratios

    That's the standard that most hospitals try to maintain. IMO those that are tightly regulated, such as California and unionized hospitals, as well as most top-tier hospitals seem to have consistent...
  6. U of Southern Indianna?

    Fergus, I'm applying to the University of Wyoming's Nurse Educator program for Fall 2006. It is entirely online, can be done on a 2,3, or 4 year tract with, I believe, 6 years to finish. It is...
  7. nec;are we doing something wrong???

    Sometimes that is just how NEC happens. Please remember the damage to the gut could be the result of an anoxic or hypoxic episode the baby underwent before, during or after birth. And really, the...
  8. Im trying to decide my career and I have some questions

    RN4NICU gave you some excellent information and advice. I'd like to add something. In reference to your question about courses to take: I would recommend any class that will help you with written and...
  9. guideline for photography on Neonatal unit! HELP!

    I would think that implied consent exists if the picture is one taken by the family and sent in or given to you for display. You may want to label the back of the pictures with the family's name if...
  10. guideline for photography on Neonatal unit! HELP!

    Another issue to consider is families taking pictures in the unit. While we encourage them to bring their cameras and shoot pictures of their baby, they are not allowed to take pictures of other...
  11. Know anything about the Olympic Medical CFM 6000?

    Never heard of it. What's it supposed to
  12. We no longer use accuchecks and haven't done urine dips in over 15 years. Most babies on TPN get a minimum of qd lab (lytes, bili, gluc, etc.) more often for the newer ones or if there's a swing in...
  13. Do our steths spread infection

    We've gone to bedside scopes that are disinfected between patients after ongoing problems with
  14. Is it a good idea, when interviewing...

    There is nothing wrong with asking about the availablity of tuition assistance and the stipulations that go with it. Most NNP programs are going to require that you have a minimum of 2 years of...
  15. How soon to apply..

    You might want to call the nurse managers at the hospitals you are interested in and ask them when you should
  16. Good idea!

    Thanks for the site, Brian! Applying for Fall 2006 MSN in Education. Not sure what I'll do with it yet. First got to get accepted and make it through the classes. I really like the bedside and...
  17. what is the normal urine output for neonate?

    Our minimum is 1cc/kg/hr 24 hours after
  18. oh wise ones...

    Absolutely. Well-baby nursery does little to prepare you for the NICU. Besides, most WBN are part of a post-partum floor and the nurses also do mother-baby
  19. Intraveneous Tubing changing. how often

    Dextrose and water soln and 1/4ns with heparin art soln are q48. Everything else is q24--fluids and
  20. neonatal gastric aspirate

    Interesting. Are litmus/pH papers a means for checking that the OG/NG tube is in place? We do not do that here. Our unit's protocol is to do a lip to ear to xyphoid measurement then place the tube....
  21. HOw often do you send twins home together?

    For us I would say even less than 20%. The babies are treated individually. Unless there is a transportation issue and the twins are within a day or two of going home together, each baby will go...
  22. My story is somewhat similar. The end of my junior year in college, one of my classmates told me the hospital across the street was hiring students to work. I didn't even know she was taking me to...
  23. broviac, who change the dressing?

    It is our protocol and our infection rate is less than what it was when we did it every 5 days or PRN. Our use of broviacs is also minimal. A PICC is the line of choice for long term IV or...
  24. broviac, who change the dressing?

    The nurse changes the broviac dressing every 48 hours in our unit. We use a dressing change kit--clean with betadine, then alcohol after the betadine dries, a very small amount of benzoine if the...
  25. NNP Please Read!

    Searching back, you can find lots of posts on this. Best thing to do is jump in to the NICU with both feet that way you don't have to unlearn the adult world. Good Luck!