BittyBabyGrower

BittyBabyGrower MSN, RN

NICU, PICU, educator

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All Content by BittyBabyGrower

  1. Patient's Families as Facebook Friends....

    BittyBabyGrower replied to spacey's topic in NICU, Neonatal

    I think having current patients is not right. Esp if you inadvertently post something about the workplace that is bad...and that parent sees it, prints the page and takes it to your management. We...

  2. Baby friendly NICU?

    BittyBabyGrower replied to preemie69's topic in NICU, Neonatal

    We are as baby friendly as we are able. If we have a kid for obs and the mom wants to BF and we are able to feed the kid, we call and see if mom can come over first before we feed. With the...

  3. Contacting unit director about a job

    BittyBabyGrower replied to sophie<3's topic in NICU, Neonatal

    I'd send an email, but keep in mind that at some institutions, such as mine, HR handles all the interview setups, etc. Our manager's hands are tied sometimes. I'd send a professional note stating...

  4. big babies...

    BittyBabyGrower replied to futurenurseheather's topic in Ob/Gyn

    We just had a 14lber...mom pushed that kid out, he came to the NICU and she came over an hour later like nothing happened. She is a goddess in my eyes lol She said all her babies (she has 4 others)...

  5. baby not keen on breast and jiterry..what to do

    BittyBabyGrower replied to raynienatasha's topic in Ob/Gyn

    That is a nice option for the donor EBM, we have it but we have to get permission for it, sign a consent and unless it is clinically indicated, some insurances will not pay for it. That

  6. NRP mock codes

    BittyBabyGrower replied to princess_g63's topic in Ob/Gyn

    Just run thru some scenarios from delivery room...kid with scaphoid abd, kid with small jaw/recessed jaw, meconium, nuchal cord, known diaphragmatic hernia, things like

  7. how long can you prime fluids for in advance of infusion?

    BittyBabyGrower replied to BayBabyRN's topic in NICU, Neonatal

    We window the TPN for a certain amount of hours to give the liver a break. We use it on our short gut kids especially, since they are on long term TPN and their LFT's are awful. You don't start...

  8. Floating related to age

    BittyBabyGrower replied to SandraCVRN's topic in General Nursing

    We offer different perks for different levels of year worked. We can retire after 30 years service, so this is a great thing if you have made it 20 years. At 25 years we have the option of not only...

  9. Questions involving Trach Care!!! HELP!!! CLEAN TECHNIQUE? WHAT?

    BittyBabyGrower replied to skittlebear's topic in General Nursing

    Hospital is sterile technique or closed system, home is clean. We show then how to clean the caths for home use also since the insurance companies are so

  10. Floating related to age

    BittyBabyGrower replied to SandraCVRN's topic in General Nursing

    We don't include age, but ours is after 20 years, with the assumption that most nurses start in their 20's. After 20 years of floating, I was so glad that we had this perk! And for the...

  11. uniform scrubs with embroidered "RN" offensive?

    BittyBabyGrower replied to BayBabyRN's topic in NICU, Neonatal

    We haven't had hospital issued scrubs since the late 80's. You aren't an OR nurse so it doesn't really matter what you have on. We do OR on our unit and we go in there with our regular uniforms on....

  12. how long can you prime fluids for in advance of infusion?

    BittyBabyGrower replied to BayBabyRN's topic in NICU, Neonatal

    We just prime and hang. We will sometimes prime and not hang if we have a kid on the window. As long as your end is not contaminated it should be fine. Just make sure to swab down your connections...

  13. How do I go from med/surg ICU to NICU???

    BittyBabyGrower replied to RN2B73's topic in NICU, Neonatal

    Just keep looking, internal transfers are sometimes your best bet. As for the NRP, I wouldn't, most places incorporate it into their orientation. We don't look at that if the person doesn't have any...

  14. Doctors get free food...ALL the time?!

    BittyBabyGrower replied to Little_Mouse's topic in General Nursing

    Our residents get X amt of dollars in food cards, but the regular staff have to

  15. Vent: MD visitors who are NOT intensivists

    BittyBabyGrower replied to Rabid Response's topic in MICU, SICU

    We get docs babies in our unit and thankfully they aren't supposed to be in there without the parents, but the occas one slips by because their name badge gives them access to the unit. We just say to...

  16. Is NICU for the soft-hearted sensitive types?

    BittyBabyGrower replied to ijuanabhappy's topic in NICU, Neonatal

    Ah, good question! You have to be able to let somethings go...you are going to be yelled at by parents, you are going to have kids that you know aren't going to make it, but yet we are doing all...

  17. Has anyone had a pt's family member take pictures of you during care?

    BittyBabyGrower replied to TonyaM73's topic in Patient, Colleague Relations

    We have it written into our visitor guidelines that parents are more than welcome to take pictures of their baby, but only their baby. We do not allow videotaping either. If parents are caught...

  18. a little guidance on nursing diagnosis for premature infant

    BittyBabyGrower replied to nurse_withouta_purse's topic in Nursing Student Assistance

    Our careplan says : Ineffective feeding patterns due to prematurity. Then add your interventions :) Nipple infant for x minutes 2x per day, gavage feed rest Follow appropriate labs Weight every 3...

  19. Converting grams to millileters

    BittyBabyGrower replied to ALICE54's topic in Nursing Student Assistance

    1 gram equals 1 ml when you weigh the

  20. First 4 hours of the newborn's life...?

    BittyBabyGrower replied to Tooimpatient's topic in Nursing Student Assistance

    Sugar, Temperature, Airway, Cardiac, Skin Color, Activity are the top ones we watch. Actions...just put them in a plan... Nurse will

  21. Angry mom made me cry last week

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

    What a wretched day I hate days like that and sometimes, it is the nature of the beast because of where we work. As for the privacy...we have been thru this with our legal department and it is an...

  22. The ethics and laws associated with keeping a personal diary

    BittyBabyGrower replied to Bruce_Wayne's topic in General Nursing

    "Nobody in the courtroom is going to care about your "moral and ethical code" if you cannot recall facts of an old case and were having an "off" charting day..and we ALL have them. " Yup, and you need...

  23. Brand new license, brand new job, and pregnant...

    BittyBabyGrower replied to WannaBeNrse's topic in General Nursing

    Actually, as the charge nurse in a busy NICU, I would rather have you say something than risk getting assigned something that you shouldn't have. Why...because once I have made out that assignment,...

  24. feeding tubes as foley catheters for infants

    BittyBabyGrower replied to hellolhj's topic in General Students

    You can in a pinch, but we use Uri-Cath sets that come in 3.5, 5, 6 and 8 french. You can't leave a feeding tube or UAC indwelling...that is off label use and is usually frowned on by risk...

  25. The ethics and laws associated with keeping a personal diary

    BittyBabyGrower replied to Bruce_Wayne's topic in General Nursing

    I find it interesting that she told you it was okay to keep a journal about work. I have been depo'd a few times and they always ask if I keep a journal, by both sides. If they find you do, they can...