HyperSaurus, RN

HyperSaurus, RN BSN

NICU

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All Content by HyperSaurus, RN

  1. What do you think of this story?

    Woops, double
  2. What do you think of this story?

    Pronounced dead, revived by mom's hug: 'Miracle baby' turning 2 - Parents - TODAY.com This is an update to that story, the baby is 2 now and it doesn't sound like he has much for delays, but who...
  3. Esme Needs Your Prayers and Well Wishes

    Best wishes and speedy recovery,
  4. E 68 and visitation

    My unit is just parents and grandparents, with a max of 2 visitors at bedside. During flu season it's just parents. We do make exceptions for minor mothers, allowing one grandparent in with her, or if...
  5. Low glucose baby, NPO, no access to dextrose

    Sorry, what's a
  6. Waiting for Labor to start on its own strongly recommended (no surprise here):

    I'm in NICU, and there's nothing that irritates me more than an elective section at 37 weeks because first-time mom doesn't want to go into labor and the kid ends up in NICU because he just wasn't...
  7. Anyone worked ICU and NICU at the same time??

    We do have a few adult ICU nurses who occasionally float to our NICU. They are treated like any other float (we get floats from the staffing pool, OB, or other random floors that have cross trained)...
  8. Is using sucrose in neonates a good idea?

    I try not to use it (some of my coworkers are a big fan), but if they are stable and eating, and really crying while I am assessing, I will sometimes give them 0.1mL to get through the assess. I...
  9. Your Specialty & Why

    NICU. I didn't expect to want to work there when I started as a student, I wanted Peds ICU, but that isn't available in my area. However, through a bit of luck, I had more rotations in the NICU than...
  10. No more 12 hour shifts?

    I work 8 hour shifts, 32 hours a week, which averages out to 5 shifts 1 week and 3 shifts the next. It's not too
  11. If you didn't start in NICU

    I started on a medical/oncology with telemetry floor. I was there for a year and a half before moving to NICU. My NICU does not hire new grads, so working on medical helped in that it gave me RN...
  12. "Floating" IV

    I've seen it done a few times. "Floating" the catheter in is the concept of flushing as you advance the catheter. It's a useful technique to get past
  13. picc teams

    I work in a small level III (a or b) NICU (20-ish beds). We don't have a PICC team, but we do have PICC nurses who are capable of starting PICCS. I think we have 4 or 5 PICC
  14. Level III to Level IV

    We do nitric, but no surgicals or cooling either. I think that puts us at level IIIa or
  15. Holiday Pay-- Anyone else heard of this??

    In other words, our holiday pay is from 2300 the night before until 2300 the night
  16. Holiday Pay-- Anyone else heard of this??

    Our holiday counts as the night going in to the holiday. Holiday pay starts at 2300 the night before as time and a half. For me, I was scheduled from 2300 July 3 to 0730 July 4th, which all counted as...
  17. NICU patients with gastroesophageal reflux disease

    Smaller NICU here..we don't treat for reflux too often. We went through a phase of using Reglan a lot (but then we went through a phase of NEC, so the Reglan stopped). Usually we just use reflux...
  18. Survey on how many patients you get in a shift

    So, Tallynurse, you take 4 patients, including vents, with no aides or anything? You're responsible for all feeds, labs, and vent change stuff? That's crazy. It's good that you have a good team that...
  19. Code Cart/Box

    Oh, that reminds me, we also have intubation tackle boxes at every bedside (at least in the main NICU
  20. NICU IPOCs

    Oh, gotcha. We do have nurse initiated care plans (We use McKesson Paragon), and ours are specialized to the neonatal population. When we start a care plan, we can just search "Neonatal" and that...
  21. NICU IPOCs

    What's an
  22. Code Cart/Box

    We have NRP boxes for deliveries, which is a tall tackle box with several drawers, as well as what looks like an archetypal 'crash cart' and a procedures
  23. Walkie Talkie

    I'm also confused as to how 'non compliant' is putting a self formed opinion on people. They either are or are not compliant with care. They may have a good reason, or simply not understand what or...
  24. Walkie Talkie

    Yes, I've heard it, used it, and am not offended by it. The NICU equivalent, so to speak, is feeder/grower. It's concise, gives you an idea of what the patient is like or will need in as few words as...
  25. Infant Driven Feeding

    That's interesting--We do have 'nipple as tolerated, ad lib on demand no longer than 4hrs', but there's nothing set or formalized to determine when they are ready to eat, so you find that unless the...