BittyBabyGrower

BittyBabyGrower MSN, RN

NICU, PICU, educator

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All Content by BittyBabyGrower

  1. Downsizing Pediatric Units

    BittyBabyGrower replied to sergel02's topic in Pediatric

    We used to have two very large units, one was comprehensive care and the other was regular pediatrics. We have closed one floor in the past year due to low census. They don't hospitalize kids as...

  2. Maternity discrimination

    BittyBabyGrower replied to Kmendi's topic in General Nursing

    I would wait until after the baby is born. You may have to go out in the middle of orientation if they do hire you and that would be rough. You will also only get 6 weeks leave, unpaid, after the...

  3. What preceptorship would be most helpful for getting into nicu?

    BittyBabyGrower replied to JJ1994's topic in NICU, Neonatal

    I'd go with mother-baby first. Gives you a good foundation of the normal

  4. What happens to the paper charting when the system is back up?

    BittyBabyGrower replied to Natkat's topic in Nursing Informatics

    We have to manually re-enter the information if the system comes back up during our shift. If it doesn't then it is put in the chart and later scanned in to the EMR. You our should have a downtime...

  5. Your local policy on caring for Jehovah's Witness neonates

    BittyBabyGrower replied to wensday's topic in NICU, Neonatal

    We pretty rarely transfuse kids unless they are micros. We use Epogen regularly on all kids. We we really try to not transfuse JW kids, but if we have to we get a court order. We really don't...

  6. Pt diverting pain meds, managers aware, nothing is done!

    BittyBabyGrower replied to Peppermint_RN's topic in General Nursing

    Write it up and report it. My dad was hiding pills when he was in LTC, it was when he was found slumped over his bedside table and I found a pile of pills in his bedside drawer did it dawn on me he...

  7. yelled at by doctor at another patient bedside

    BittyBabyGrower replied to RadioJenn's topic in Patient, Colleague Relations

    At any hospital you or anyone else can write someone up. But by you not standing up to this doc, you are not only doing yourself and injustice, but anyone else who is there and will come there. It...

  8. Premmie with aspiration pneumonia?

    BittyBabyGrower replied to fuyuojo's topic in NICU, Neonatal

    So sorry about the baby. That doesn't sound like pneumonia, esp if she was vomiting yellowish stuff. Were there any other GI symptoms? I hope they do an autopsy to see what

  9. Tattoos in the OR

    BittyBabyGrower replied to erinmarie320's topic in Operating Room

    Where I work you can't have visible tattoos and no where in the hospital are we permitted to wear long sleeves in a patient care area. We do have a nurse on our floor that uses some sort of water...

  10. Allen's test and diagnosing

    BittyBabyGrower replied to psu_213's topic in General Nursing

    We do them all the time in our unit. You aren't diagnosing anything, you are performing a safety check, if you will, before you do an ABG. If you don't document it, and something happens to that...

  11. Care Teams vs Primary Nurse? What do you do?

    BittyBabyGrower replied to kellsM's topic in NICU, Neonatal

    What is CCI? I don't quite understand how you do your scheduling...you have teams that have to have the same schedule to take kids? We do primary nursing and we just self schedule (we have over 100...

  12. Bedside Reporting starting Monday :(((

    BittyBabyGrower replied to 2bTraumaRN2008's topic in Nursing Professionalism

    Bedside report is better for all involved....how many times have you gone in and seen your patients and there are like a 100 things wrong or not done...this cuts this way down. Also, if you have...

  13. Shafted on Thanksgiving

    BittyBabyGrower replied to DeeAngel's topic in General Nursing

    Sorry your day went badly. Where I work, if we try to get a hold of you to call you off and we have left a message within a reasonable amount of time, then if you show up, you get sent home. We also...

  14. am I covered by my facility when transporting?

    BittyBabyGrower replied to shisquy's topic in General Nursing

    You should have a policy and procedure on the books that outline this. Just like anything else. We only ground transport now and we have to be checked off on the ambulance every year, usually the...

  15. methadone effects on newborns

    BittyBabyGrower replied to hannahphn's topic in NICU, Neonatal

    I have to agree with most....we see the worst of the worst. Personally, I don't really care why you were on methadone, you were on it and your baby is going to withdrawl, and I am one of many that...

  16. Mandatory flu vaccines for staff

    BittyBabyGrower replied to mpccrn's topic in Disaster Preparation

    I figure I don't want to wear a mask all winter, so I got one. Do I think we should be forced, no, but if you don't get one then you have to wear a mask. Where I work it is patient care areas only,...

  17. GBS prophylaxis med error

    BittyBabyGrower replied to Eyeknit's topic in NICU, Neonatal

    http://http://www.cdc.gov/groupbstrep/guidelines/downloads/secondary-prevention.pdf This is under neonatal. They "could" send the kid home but they have to document that they instructed the mom on...

  18. extension feeding tube use

    BittyBabyGrower replied to luvmyboys's topic in NICU, Neonatal

    Syringes get changed every feed, tubing is good for 4 hours. We use the 30 day tubes and haven't seen an increase in

  19. IV Filters on all fluids for neonates???

    BittyBabyGrower replied to aimeern33's topic in NICU, Neonatal

    We only filter TPN and certain meds, unless the kid has a heart defect then we filter all

  20. Med surg RN turns OB?

    BittyBabyGrower replied to Kauai RN's topic in Ob/Gyn

    I wouldn't jump into NRP...it is best to take that class if you have some experience under your belt and most places will have you go to the class as part of your orientation. As someone who is on...

  21. Newborn identification teaching plan

    BittyBabyGrower replied to ADPIE1's topic in Nursing Student Assistance

    Most places use a 4 band system, 2 on baby and 1 to each parent. If the dad/SO isn't present in the DR the second parent band may be destroyed and they will have to provide photo ID to be able to see...

  22. Chest PT on newborns post delivery

    BittyBabyGrower replied to MzRN's topic in Ob/Gyn

    Sure do...and I teach

  23. Chest PT on newborns post delivery

    BittyBabyGrower replied to MzRN's topic in Ob/Gyn

    Do you all follow

  24. Parent education

    BittyBabyGrower replied to NICUnrs07's topic in NICU, Neonatal

    We are in the process of revamping our parent book, but it is a hard binder that has info in it. We have our parent letter that goes over visitation, general hospital rules (ie have to stop at info...

  25. Polymixin via ETT

    BittyBabyGrower replied to umcRN's topic in NICU, Neonatal

    We have never used that. We use inline suction also. Current EBP shows that you should not use saline down the tube as it washes the colonized stuff down the ETT to the lungs...I wonder if this is...