Gompers BSN, RN

NICU

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All Content by Gompers

  1. Gompers

    Are you afraid to go to the ER?

    Hey, I got Toradol twice in the ER for my kidney stones and it was wonderful! Why use a narcotic when Toradol works just as well to relieve pain? I actually asked for it the second time, because I...
  2. Gompers

    Nursing major vs. Premed major

    Just wondering what makes you guys think that becoming a doctor is going to be easier than becoming a nurse? Yes, the four years of premed undergrad might be easier than the nursing program - but...
  3. Gompers

    Video cameras banned in L&D

    Nurses are allowed to have opinions. We're discussing this on an anonymous forum - not forcing our opinions on our patients. We have every right to think what we want about this topic and to post...
  4. Eeeeek! I just had an ultrasound yesterday at 25 weeks and they estimated the fetal weight to be 880 grams! He or she is large for gestational age though (70th percentile) and I'm guessing your...
  5. Yikes. FOUR years old? We transfer them to PICU at one year, if they aren't stable to go to a pediatric rehab facility yet. We are just not trained to care for children that age. And I agree with...
  6. Gompers

    Medication error causes 2 deaths in Indiana NICU

    If we have double lumen lines, we keep them open by running 0.3-1 cc/hr (depending on size of the baby) of heparinized saline - either 0.45 or 0.9%, with 2 units of heparin/cc. The 0.45 bags are made...
  7. Gompers

    Online support group for infertility?

    I have PCOS, too. If you can, make an appointment with a reproductive endocrinologist - these docs deal with PCOS and fertility on a daily basis. Some gynecologists treat PCOS, but really a...
  8. Gompers

    NICU staffing

    We have several posts on this topic in the NICU forum already. Let me see if I can find some for you... https://allnurses.com/forums/f33/nicu-safe-assignment-173833.html?highlight=ratio...
  9. Gompers

    Medication error causes 2 deaths in Indiana NICU

    I, too, am surprised at the number of units using heparin for flushes. It just seems like an unnecessary medication, and opens up room for errors like this tragic one. We just use normal saline - we...
  10. Gompers

    Amniotic Band Syndrome? Heard of it? Seen it?

    I saw it on a baby who had a band around his lower trunk - it looked like someone had put a tight rubber band around his waist. Nothing else was affected, but plastic surgery was going to be involved...
  11. Has anyone else ever been on an airplane when this panicked announcement has been made overhead? I was on a 2-hour flight last night when this happened to me. I looked around for about 30 seconds...
  12. Gompers

    Night shift naps

    I think there was just a bit of confusion. Somewhere along this thread it went from talking about nurses sleeping DURING their shifts, to nurses sleeping on their breaks. We've pretty much agreed...
  13. I think she was referring to me, the original poster. But I may be
  14. I believe the current NRP guidelines are 400 grams OR 23 weeks. So every once in a while we'll get a 500 gram 22-weeker or a 300 gram 25 weeker, things like that. They are a little lenient sometimes...
  15. Gompers

    Nightmares about work??

    This is probably the biggest trend in nursing-related nightmares. If you do a search, you'll likely find several posts on this topic over the past few years. Many of us have these dreams, even...
  16. I have seen this happen, too. Yes, second opinions are sometimes necessary and valuable. But in cases like this - a micropreemie without any small intestine - they're not really useful. There is no...
  17. From what I can tell, it sounds like she's on D10 Lytes or something similar - but not because of her liver. It's because the docs, ethics committee, and courts have decided on pallative care only....
  18. Gompers

    ever have one of those days where you just

    I'm so sorry to hear about your day - believe me, we all understand! But didn't anyone ever tell you? The sicker the baby, the nicer the parents.
  19. Gompers

    Vitamin A injections in VLBW preemies!!

    Yep, we'll do 1 or 2 LPM airflow and only blend in enough oxygen to help the baby saturate within the ordered range. If it's more than 2 LPM, we'll use the Fisher Paykel high flow humidified cannulas...
  20. Gompers

    Can all parents really make good decisions

    I agree, Dawngloves. I also agree that there needs to be more social and ethical intervention in ALL cases, not just the one the original poster described. Also...just a note... We, as NICU nurses,...
  21. Gompers

    Things Patients Have Taught Me NOT To Do

    I was wondering about that,
  22. Gompers

    i'm really angry.. should i be??

    Yep, gotta agree that a write-up is in order. As a nurse, you delegated a task to the support staff with specific instructions, and these instructions were not followed. Not just once, but TWICE....
  23. Gompers

    Bedside Cards

    We are limiting more and more what we can display at the bedside because of HIPAA regulations. Right now, all we have is a sign with the baby's first and last name plus the birthdate. There was talk...
  24. Gompers

    Night shift naps

    Tell me about it! I feel dead to the world when I wake up at 5am, but when I sleep during the day and wake up at 5pm I feel fine. I'm a night owl by nature though. But yes, to answer the question:...
  25. Gompers

    Can all parents really make good decisions

    Thanks for bringing this up. While I was still a child during the Reagan Administration, I have read about this topic before and you touched on some good points. It makes sense, too, because many of...