BittyBabyGrower

BittyBabyGrower MSN, RN

NICU, PICU, educator

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All Content by BittyBabyGrower

  1. Fortis

    BittyBabyGrower replied to student123columbus's topic in Ohio Nursing

    I just have to put my 2Cents in....when you go to these type of schools I can pretty much tell you that the bigger hospitals will not look at you. I sit on the retention and hiring committee of one of...

  2. Smart pumps = Stupid pumps?

    BittyBabyGrower replied to IvoryLena's topic in NICU, Neonatal

    If the med is the volume of our tubing we push it thru the med tubing and then hang a flush for the time the med should go over. There is liablilty if you don't use the library and a med error is...

  3. How are things normally handled when census is low?

    BittyBabyGrower replied to Mia_2011's topic in General Nursing

    When our census drops, we cancel OT, the ET, then we float if needed. If no floats needed then PRNs get cancelled. If all that is done and we still need to cancel we have a book that has your last...

  4. Is this a good NICU opportunity?

    BittyBabyGrower replied to MSNICU's topic in NICU, Neonatal

    If you are hesitant about the drive, how are you going to feel taking call and having to go in extra? Also, I would ask how flexible they will be working with you if you need time off for your...

  5. Changing out isolettes

    BittyBabyGrower replied to ccnicurn's topic in NICU, Neonatal

    Weekly unless super critical...and it is documented on our treatment record in the electronic

  6. Breast milk Identification

    BittyBabyGrower replied to JGriffin's topic in NICU, Neonatal

    We also do two Rn check and document on the flowsheet, I haven't heard that

  7. Unusual/Disruptive ways my unit functions

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

    As the charge nurse of a very busy 50+ bed unit, I can tell you that constant interruptions when I am trying to hand off report to the other charge nurse is really annoying. If there is a code or a...

  8. Sad story for all nurses

    BittyBabyGrower replied to Kevinwrightjr's topic in NICU, Neonatal

    That is just tragic...and they wonder why people don't report med errors, you shouldn't be punished like that and it doesn't make things any safer We are human, and unfortunately humans make...

  9. what do you do during a tornado?

    BittyBabyGrower replied to abbaking's topic in General Nursing

    I've done the HEICS training too...and we were just discussing this yesterday as we had some horrendous weather move thru...in our unit, one side is all windows, on the other are windows to a hall...

  10. JCAHO in relation to NICU care

    BittyBabyGrower replied to HurleyRN's topic in NICU, Neonatal

    We always have to enter comments...honestly,it doesn't take that long. You have to look at it to get the number and right then you just hit comments and what you did. Covers your butt. When we dock...

  11. Gloves or not for IV meds?

    BittyBabyGrower replied to Shibby3's topic in General Students

    Best bet is to check with the institution you work at. Some protocols require gloves for any IV accessing, hanging bags, etc. We have gone to this policy in the last 2

  12. PICC Lines And TPN

    BittyBabyGrower replied to pearldiaz's topic in General Nursing

    We do the same in our NICU as Nicugal....our lipids are run separately thru another lumen on our trifurcated, most NICU's do not mix lipids with tpn in the bag. We have followed CDC and IHI...

  13. What is your attendance policy?

    BittyBabyGrower replied to tokmom's topic in General Nursing

    We run on a point system. We get 15 sick days per year, but after a certain number of points (it is prorated on how many hours you work) you get a written warning, at the next level you get a verbal...

  14. Passing gas after surgery...

    BittyBabyGrower replied to MikeyJ's topic in General Nursing

    OMG....I had my GB out last year with a scope..sure, it was an easy surgery, home withing 4 hours of going in, but that pain....I thought I was gonna die! Thank goodness for vicodin! That pain lasted...

  15. SBAR and Medical diagnosis help

    BittyBabyGrower replied to elilop's topic in Nursing Student Assistance

    You have your medical diagnosis right in there....think about it. CHD,

  16. Nursing Care Plan, Baby who spits up consistant amounts of formula.

    BittyBabyGrower replied to RNkeepLearning's topic in Nursing Student Assistance

    I would do Alteration in Nutrition related to frequent emesis and Parental Teaching and Involvement related to feeding infant. That about covers it. The reflux one, not so much....I see as many...

  17. Self Scheduling

    BittyBabyGrower replied to ICNClinicalRN's topic in NICU, Neonatal

    We went to self scheduling 2 years ago and it has worked out pretty good. There are always going to be the ones that think they should get everything, but our schedulers are very good about making...

  18. No jobs in NICU...where to in the meantime??

    BittyBabyGrower replied to Shanlee79's topic in NICU, Neonatal

    The thing is, you won't get a full orientation as a float and most likely you won't be given sick kids, etc. You can always orient to PICU and once you are comfortable there, ask if you can pick up...

  19. Can RNs pull Picc Lines

    BittyBabyGrower replied to Chan285's topic in General Nursing

    I work for a large teaching facility and it is our hospitals policy that only fellows and NP's are to pull any central lines, including PICCs. All of our fellows are trained to insert PICC's and if...

  20. No jobs in NICU...where to in the meantime??

    BittyBabyGrower replied to Shanlee79's topic in NICU, Neonatal

    I'd go the PICU route, I don't think that new grads should be in a float

  21. Can RNs pull Picc Lines

    BittyBabyGrower replied to Chan285's topic in General Nursing

    It depends on the facility, so be sure to check the policy and procedure. Where I work, we are not allowed to pull any central access line. Our NP's and docs do

  22. any advice? (for a soon-to-be intern)

    BittyBabyGrower replied to prplscrubs's topic in NICU, Neonatal

    We have a huge binder we give the girls which is used in conjunction with reading material and a book. We also send them to several classes. Good

  23. Log book for phone calls...

    BittyBabyGrower replied to shortstuff31117's topic in Ob/Gyn

    We aren't allowed to give any advice over the phone. For a recently discharged kid we give them to the fellow, otherwise, we tell them that we can't see the baby over the phone, therefore we can't...

  24. Infection control in NICU

    BittyBabyGrower replied to happyhati's topic in NICU, Neonatal

    also go to ihi.org for bacteremia bundles about central line sepsis and VAP. I can't say we have an overabundance of eye

  25. Baby friendly NICU?

    BittyBabyGrower replied to preemie69's topic in NICU, Neonatal

    Most hospitals use it for normal newborn, but some are trying to institute it into NICU's by having private rooms with sleep chairs, refridge, etc, allowing parents to care for their baby 24 hours if...