NJNICUCCRN

NJNICUCCRN

NICU

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All Content by NJNICUCCRN

  1. HOB elevation

    NJNICUCCRN posted a topic in NICU, Neonatal

    Our NICU is looking for a product to recommend to parents when babies are sent home with the HOB elevated. Has anyone used a wedge or riser under crib legs that they feel is safe and

  2. HOB elevation

    NJNICUCCRN replied to NJNICUCCRN's topic in NICU, Neonatal

    I didn't mean to write a lengthy post but.... I am well aware of the AAP guidelines on safe sleep environments. In my 30 years of level 3 NICU experience I have seen just a handful of babies go home...

  3. HFOV

    NJNICUCCRN posted a topic in NICU, Neonatal

    Just wondering... Does anyone use gel-pillows/pads under patients on HFOV?? Has anyone heard that it is

  4. Advice about last night

    NJNICUCCRN replied to Kaligirl02's topic in NICU, Neonatal

    I think your assessment of the baby was spot on! I had a similar situation many years ago and I too felt pressured to do something that I felt was not necessary. That never happened again

  5. HFOV

    NJNICUCCRN replied to NJNICUCCRN's topic in NICU, Neonatal

    I too think it sounds rediculous! We don't use z-flow mattresses but use 5" radius pads under head/chest when baby is prone. They are taken out for x-rays. I KNOW it doesn't alter the delivered...

  6. HFOV

    NJNICUCCRN replied to NJNICUCCRN's topic in NICU, Neonatal

    Some feel that a gel will"absorb" the bounce. I feel like it is softer than tha standard mattress and better for the

  7. HFOV

    NJNICUCCRN replied to NJNICUCCRN's topic in NICU, Neonatal

    A resp therapist told me it was contraindicated but couldnt give me any research/rationale. She said the gel pillow under head/chest will absorb the "bounce". I feed like the "bounce" is on the...

  8. Which Milk Warmer Do You Use?

    NJNICUCCRN replied to mgturtle's topic in NICU, Neonatal

    We use penguins. Love

  9. CBC clotting

    NJNICUCCRN posted a topic in NICU, Neonatal

    We have been having many CBC specimens clot! We are tracking the number clotted and are coming up with about 7-9%! These are all specimens obtained by heelstick. Anyone else have this problem in...

  10. Some questions about gentamicin...

    NJNICUCCRN replied to summerlove2's topic in NICU, Neonatal

    We also use the NeoFax and we receive it at no cost from Abbott

  11. OGT or NGT for neonates?

    NJNICUCCRN replied to Bortaz's topic in NICU, Neonatal

    We use oral tubes if it is a tiny baby on cpap that needs a real good seal with the prongs. Once the baby begins to gag on the OG tube, it needs to be switched to

  12. UAC's

    NJNICUCCRN posted a topic in NICU, Neonatal

    Our unit just recently started using only 10ml syringes for anything pushed in our uac's. Anyone else using this size syringe? (We were told that the manufacturer reccommends this

  13. Earliest viable gestational age?

    NJNICUCCRN replied to everthesame's topic in NICU, Neonatal

    Never a 20 weeker! The earliest i have seen is 23-plus. We are not aggressive with under 24 weeks unless the baby is very active at

  14. the best ETT securing methods and devices

    NJNICUCCRN replied to ligucis21's topic in NICU, Neonatal

    We just use tape in our unit. I have worked in 2 nicus and we have trialed about 3-4 different methods but always come back to tape. If we could get together and come up with something that really...

  15. Babies discharged on caffeine

    NJNICUCCRN replied to nicunana's topic in NICU, Neonatal

    Our babies rarely go home on caffeine but sometimes we use theophylline. Maybe they would pay for that med instead. Just a thought

  16. Oxygenation guidelines

    NJNICUCCRN replied to nurse2teach's topic in NICU, Neonatal

    We dont "chase" babies esp if they are labile. However, we do first silence the high sat alarm and standby...if the sat does stay high, we will tweak the baby down. I think we respond quicker to...

  17. Oxygenation guidelines

    NJNICUCCRN replied to nurse2teach's topic in NICU, Neonatal

    We are a 42 bed level 3 NICU. We get a fair share of micro-preemies. Our alarms limits are monitored every shift. The alarms are responded to (high sats) immediately. Also, we changed our...

  18. Oxygenation guidelines

    NJNICUCCRN replied to nurse2teach's topic in NICU, Neonatal

    this is what our NICU uses: >2000grams on oxygen target sats 90-94 alarms at 86-96 >2000 grams on RA target 90-100 alarms at 86-100 we have had no ROP since starting these parameters

  19. First NICU job

    NJNICUCCRN replied to RNN09's topic in NICU, Neonatal

    I'm so sorry that you had that experience. I have heard of others that had the same. Some units are very difficult due to personalities. It is the manager that should put a stop to that behavior....

  20. Iv infiltration/extravasation from prbc transfusion

    NJNICUCCRN replied to Julie Basilio's topic in NICU, Neonatal

    I have seen many blood infiltrates. They all look so awful but they have all turned out fine with no treatment at all. The parents really take it hard because they look so bad. Check sites very...

  21. WITHDRAWL SKIN CARE

    NJNICUCCRN replied to 3yrDiploma's topic in NICU, Neonatal

    i completely agree with the practice of open to air. My colleagues all know which are my babies because if my babies have red or broken bottoms, the butt is naked and heat lamp

  22. NICU vs. PICU

    NJNICUCCRN replied to caitiecait's topic in NICU, Neonatal

    I believe that adults and babies are as different as night and day. If you really want NICU then you should go for it. Just remember that you have to be open to learning all over again and keep an...

  23. sucrose for sedation

    NJNICUCCRN replied to soprano3's topic in NICU, Neonatal

    we use sucrose for minor painful procedures ie IV sticks, heel sticks, circs. WE do NOT give it to NAS babies though because it can alter your Finnegan

  24. Counting resps in a neonate

    NJNICUCCRN replied to AussieTina's topic in NICU, Neonatal

    I agree with all the above. Sounds like we are all doin it the

  25. NICU duties

    NJNICUCCRN replied to BlaineCM's topic in NICU, Neonatal

    a little scarey that you would need a morphine/versed cocktail. is this a standing