justjenny

justjenny

NICU- now learning OR!

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All Content by justjenny

  1. Checking for breakdown of nares

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

    I would be curious as to the rationale for such a thing....seems like a waste of time. (Like you said...the babies would be oh-so-helpful!) It is important to check and document breakdown or no...

  2. ET tube

    justjenny replied to mawjood's topic in NICU, Neonatal

    While some of our nurses are comfortable retaping with the neobar alone...I will never attempt it. Even if the person just stands there in case you need an extra "hand" it is not worth an extubation...

  3. Retrograde IV

    justjenny replied to Band_Aid_Girl's topic in NICU, Neonatal

    This technique is used in our Peds unit but NOT in our NICU. I would argue it could be used safely on a larger person but it is not appropriate for NI.

  4. Anyone else slow?

    justjenny replied to Humbled_Nurse's topic in NICU, Neonatal

    We are bursting at the seams also! We are down 5-7 nurses on some shifts and have had to pay double time, pull from the pool, etc. Very scary stuff! I feel like I am doing DOUBLE the work when I...

  5. When to quit Bottle feeding

    justjenny replied to maxienurse's topic in Pediatric

    We are unable to give advice on allnurses. It is a good idea to ask your pediatrician for advice on this topic. Thanks!

  6. In line suction on the ET

    justjenny replied to sofiam's topic in NICU, Neonatal

    I honestly would not want to use anything else. With in line suction available, you keep a "closed" system which is better for the patient and easier (IMO) for the nurses

  7. ET tube

    justjenny replied to mawjood's topic in NICU, Neonatal

    I know sounds totally weird, right?!!? This is for tiny babies, obviously. Before intubation the clamp is slid onto the ET tube via the hole that was predrilled. (I believe, they are 99% intubated in...

  8. NICU's w private rooms?

    justjenny replied to aviator411's topic in NICU, Neonatal

    It depends on how the rooms are designed. Our NI has 3 "pods" of private rooms and it works just fine. (1)Our monitors will show if another bed is alarming and you can view the alarming babies monitor...

  9. ET tube

    justjenny replied to mawjood's topic in NICU, Neonatal

    We use Neobars and they are fantastic...but they do seem to have some "play" with the tube (ie: even with a secure tape job the tube can move slightly up or down because the plastic has a little bit...

  10. bilimeter readings

    justjenny replied to asher315's topic in NICU, Neonatal

    Are you talking about the irradiance of the lights?? We typically will start out with a "white" bili light if there is no real concern but frequently utilize "blue" lights and sometimes multiple...

  11. Interview questions for paper dur tomarrow

    justjenny replied to futureNICUnurse1725's topic in NICU, Neonatal

    Welcome to all nurses! These questions have been answered many times on this forum...simply do a search. I would also suggest that you find a nurse in your area to interview for your homework.

  12. Skin care for Premature Neonates

    justjenny replied to wrighty's topic in NICU, Neonatal

    That is a great idea! I have never heard of this practice and I will have to mention this at work! We use humidity x 2 weeks and aquaphor...same as mentioned above. Very low infection rate overall...

  13. Hypoxic Brain Injury & Elective Hypothermia... Who's doing it?

    justjenny replied to SteveNNP's topic in NICU, Neonatal

    We just transferred a baby to U of M (Ann Arbor, MI.) for this. Why don't you contact some of the hospitals that already utilize the cooling system for information on policies, etc. ???? Does the...

  14. STUPID PARENTS!! (vent here)

    justjenny replied to tgb3rn's topic in General Nursing

    Thanks for your reply. I agree with you....but the people posting how they would punish their child, etc. have children who do not do such horrible things. Clearly you are a positive role model for...

  15. NCPAP with a rate

    justjenny replied to Love_2_Learn's topic in NICU, Neonatal

    Someone correct me if I am wrong...we use the VIP Birds and I was told that they are ancient...ie: the manufacturer no longer makes them. It has been discussed that eventually we will have to change...

  16. Speaking of changing lines....

    justjenny replied to BittyBabyGrower's topic in NICU, Neonatal

    We use brand new tubing for each med -unless it is two meds due at same time (ex: 1300 Amp and Gent are due....Some RNs hook up Amp and run it over 5 minutes, flush then run Gent, flush and D/C...

  17. STUPID PARENTS!! (vent here)

    justjenny replied to tgb3rn's topic in General Nursing

    Wow. Where to begin...... I am very sorry to hear of this very painful situation for you and your daughter. I can't imagine how difficult this must be. Now, with that said...I am SHOCKED by the...

  18. Any Advice for NEW MCC students?

    justjenny replied to NemoEscape's topic in Michigan Nursing

    Congrats! I am a Macomb grad who has survived her first year in nursing and lived to tell about it! LOL! Everyone learns in a different way but here is what I learned about MYSELF: For clinicals, I...

  19. New career in Nursing, help! :)

    justjenny replied to Henry27's topic in Michigan Nursing

    Congrats on your decision! I am assuming that you need a job first and foremost. I don't personally know of any CNA programs and I don't know your knowledge level in the medical field (medical...

  20. Any Michigan NICU nurses?

    justjenny replied to MelRN13's topic in Michigan Nursing

    I have to agree with the above poster. Just reading a few books is not going to be enough. You will have a lengthy orientation and almost have to "relearn" some aspects of nursing. (premature babies...

  21. Summer Intern/Externships?????

    justjenny replied to jennybenny025's topic in Michigan Nursing

    During nursing school I looked for the same type of program, and never found one. Instead, I got a job at a local hospital as a contingent nursing assistant. As a contingent, I could work nearly...

  22. Do you change your TPN tubing Q24 or Q72??

    justjenny replied to MA Nurse's topic in NICU, Neonatal

    Our hospital mixes TPN with lipids...but even if there are no lipids we still change out everything Q24

  23. Do you change your TPN tubing Q24 or Q72??

    justjenny replied to MA Nurse's topic in NICU, Neonatal

    Our tubing is changed Q24 along with the bag....all new setup each time.

  24. Article on MSNBC about 22 weekers

    justjenny replied to preemieRNkate's topic in NICU, Neonatal

    We DO have a blanket policy at our hospital. Resuscitate 23+ weeks...22 weeks is a loooong discussion between the Neo and parents about the 10% chance of survival and everything that this child will...

  25. Article on MSNBC about 22 weekers

    justjenny replied to preemieRNkate's topic in NICU, Neonatal

    wow....125 pages worth of discussion....99% of it ignorance!! I love the posts..."I was a 3 lb. 21 weeker and now I'm fine" Hmm.... Or the posts "My twins were 32 1/2 weeks....blah blah blah....and...