Gompers BSN, RN

NICU

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All Content by Gompers

  1. Gompers

    Ampicillin/Cefotaxime in Febrile Neonate

    Gompers replied to luckylucyrn's topic in NICU, Neonatal

    Every unit is going to have different ways of doing things, as we're seeing right here. It's best to call your hospital's pharmacy or pediatric unit to find out how they give the meds. We give...
  2. Gompers

    VLBW infants and positioning

    Gompers replied to NICU Mama's topic in NICU, Neonatal

    Now, that's something we do have a policy on, and we don't turn oscillator kids very much because they're usually unstable. They need to have their heads facing the vent because of how stiff the...
  3. Gompers

    new policies

    Gompers replied to pooperscooperrn0624's topic in NICU, Neonatal

    AZT treatment is part of our admission consent forms - it's just that we don't have every parent sign this portion, only those where the mother has HIV. We started doing it that way awhile back...
  4. Gompers

    new policies

    Gompers replied to pooperscooperrn0624's topic in NICU, Neonatal

    We change out the liner and tubing of the suction canister Q24H on night shift. We're supposed to do ALL of them, but we just do the ones where we are actually using the suction. If it's a...
  5. Gompers

    A Celebration for Gompers

    Gompers replied to Jolie's topic in NICU, Neonatal

    I thought about that, but I don't want to bring GOOD pillows - I don't want hospital germs on them. I might take an old pillow or two and then just chuck them when we
  6. Gompers

    SiPAP

    Gompers replied to danissa's topic in NICU, Neonatal

    It was an infection control issue. If I remember correctly, the cartridges they used to run the water through (I think that's where the water was heated into vapor) weren't disposable and there was...
  7. Gompers

    A Celebration for Gompers

    Gompers replied to Jolie's topic in NICU, Neonatal

    Yeah, if everything goes well, I should be discharged on the 23rd if I end up with a c-section, the 21st or 22nd if it's lady partsl without complications. If I end up preeclamptic, who knows? I...
  8. Gompers

    SiPAP

    Gompers replied to danissa's topic in NICU, Neonatal

    Well, you do need more than humidity and flow - the key to these systems is the heater. For years we've been giving kids up to 2 LPM airflow off the wall with oxygen blended in to keep sats within...
  9. Gompers

    Elective Primary C/S

    Gompers replied to Gem97's topic in Ob/Gyn

    that's what i don't understand about this whole thing - there is pain with c-sections. it's major abdominal surgery and there is post-partum pain. it's just trading one pain for another, in my...
  10. Gompers

    A Celebration for Gompers

    Gompers replied to Jolie's topic in NICU, Neonatal

    Actually, it's more like 11-12 days now! I check into L&D on the evening of the 19th and they'll start my induction, hoping to deliver on the 20th! I saw OB on Wednesday and nephrology today -...
  11. Gompers

    I did it!

    Gompers replied to cocco's topic in NICU, Neonatal

    The only time I've ever been able to do IVs on my own with no assistance have been with babies on Pavulon. The rest of the time, I need a helper! I don't like when people watch me do the actual...
  12. Gompers

    I did it!

    Gompers replied to cocco's topic in NICU, Neonatal

    Yeah, taping is hard on your own! We use Insytes and the plastic hub is hard to get taped down without an extra hand. Once someone slaps a tegaderm over it, though, I can usually finish fine on my...
  13. Gompers

    VLBW infants and positioning

    Gompers replied to NICU Mama's topic in NICU, Neonatal

    I would imagine that they lay on their sides facing the oscillator tubing? Sometimes you can lay them on their backs with their heads midline and still have a good wiggle though, but we usually only...
  14. Gompers

    SiPAP

    Gompers replied to danissa's topic in NICU, Neonatal

    Is anyone else using the Fisher Paykel version? It's a high flow, heated, humidified cannula system just like Vapotherm. Basically they just took one of the heater/humidifiers they use on...
  15. Gompers

    VLBW infants and positioning

    Gompers replied to NICU Mama's topic in NICU, Neonatal

    To the nurses whose units use these positioning guidelines - has it been shown to decrease IVH? I'd love to see some numbers on this, because I think it's a good idea myself and would like some...
  16. Gompers

    How do I get my child to take medicine?

    Gompers replied to blueyesue's topic in General Nursing

    A lot of the bigger pharmacy chains (i.e. Walgreens, CVS) have that set-up now - where you literally have every flavor a kid could want to choose from. Letting the child decide what flavor he or she...
  17. Gompers

    A question for some research we are doing

    Gompers replied to kitty29's topic in NICU, Neonatal

    Cyclomydril - 2 doses, ten minutes apart. The opthamology nurse will call the unit to tell us what time to expect the doctor, and we start the drops one hour beforehand. The doc also gives...
  18. Gompers

    How do I get my child to take medicine?

    Gompers replied to blueyesue's topic in General Nursing

    I think that medicine companies should make pediatric medicine in sprinkle form, LOL! When I was a kid, my mom would give me adult antibiotics that were in capsule form - the ones that you'd pull...
  19. Gompers

    Funny/happy NICU moments needed

    Gompers replied to 2curlygirls's topic in NICU, Neonatal

    We use something similar that we just call a "wheel" because it's round and also has a screw that you can tighten in whatever position you want. It has a flat bottom that we slip under the mattress...
  20. Gompers

    My First Transport

    Gompers replied to 2curlygirls's topic in NICU, Neonatal

    This thread has sparked some curiosity on my end... How many of your hospitals send doctors on transport and how many don't? We never go anywhere without a doctor. If it's a stable kid being...
  21. Gompers

    Questionable delivery--mom with cardiac history

    Gompers replied to Poochee's topic in Ob/Gyn

    That's how our hospital does it, too. If the babies are in good position and the labor is going well, they can definitely try for a lady partsl delivery. BUT they also do them in the OR, like you...
  22. Gompers

    have you delivered a baby on the ob unit you work on?

    Gompers replied to HappyNurse2005's topic in Ob/Gyn

    I will be having my baby at the hospital where I work. I don't work in OB, but in the NICU. I think I'd feel weird if I normally worked OB and had my coworkers seeing everything, though. As it is,...
  23. Gompers

    Teaching hospital or non-teaching hospital?

    Gompers replied to extreme's topic in General Nursing

    Another vote for teaching hospitals! Much more of a team environment, if you ask
  24. Gompers

    Where's my thank-you card?

    Gompers replied to SierraN's topic in Ob/Gyn

    This reminds me of when I did my OB clinicals. I spent my whole day with a young mom, helping her through her labor and delivery. Finally, the baby is born and the dad was all excited, saying "we...
  25. Gompers

    Name a NICU product you couldn't do without

    Gompers replied to SteveNNP's topic in NICU, Neonatal

    Oh, I agree that I shouldn't HAVE to do this... But since we're not ordering the "good" ones anytime soon, I don't have much choice. No one else seems to mind using suction catheters but me. I can't...