BittyBabyGrower

BittyBabyGrower MSN, RN

NICU, PICU, educator

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All Content by BittyBabyGrower

  1. Closed system UAC problems..help

    BittyBabyGrower replied to sarapRN's topic in NICU, Neonatal

    We use Biosensor and haven't had any problems at all. We draw back our "waste" to the syringe farthest from the baby and use the first port near the baby to draw the sample from, then reinfuse the...

  2. conflict with head nurse...

    BittyBabyGrower replied to socalRN3's topic in General Nursing

    No they don't own you, but as someone else said you may have to wait 6-12 months before you can transfer. We put a list up for who wants to move to other shifts and then it goes by

  3. Carseats for premies

    BittyBabyGrower replied to nicunana's topic in NICU, Neonatal

    We will use rolls and head supports as necessary. It is hard to get those kids fit sometimes, even with the smaller ones. We have only used a carbed once in all the years I have worked. They are...

  4. Management of PPHN, pre-ecmo

    BittyBabyGrower replied to ittybabyRN's topic in NICU, Neonatal

    We use Dobut too, then head to Milrinone if the pressure still suck. We rareley use

  5. Sugar for newborns does not relieve pain: study

    BittyBabyGrower replied to dawngloves's topic in NICU, Neonatal

    There are other threads on circ....it is standard of care to give a block or emla before. We do NOT just use

  6. New Grad hoping for NICU

    BittyBabyGrower replied to RN.after.your.HEART's topic in NICU, Neonatal

    Sounds like you are on the right track...but I'd hold off on the certs....most of those come with orientations and really don't do you much good without some experience to be able to understand what...

  7. Management of PPHN, pre-ecmo

    BittyBabyGrower replied to ittybabyRN's topic in NICU, Neonatal

    Wow. If we have a kid flip, they are on a fent and versed gtt faster than we can say order it. If they are teetering we sedate with versed at least. We rarely use vec...those kids start to third...

  8. NNP's---in demand, or not so much?

    BittyBabyGrower replied to d2k2ross's topic in NICU, Neonatal

    FNP's do not practice in NICU or the nurseries at our hospital, they have to be specialized. FNP's do have more job opportunities than an

  9. Really having difficulty with ped calculation

    BittyBabyGrower replied to Isitpossible's topic in Pediatric

    375mg divided by 18.18kg = 20.6 x 2 (times per day) = 41.2mg/dose On paper test...out of range, in real world...get an order to

  10. Syringe Feeding Near Term Infants

    BittyBabyGrower replied to PremieOne's topic in NICU, Neonatal

    I just had a mom that was insisting we cup feed her infant. No way...first, we are not allowed to do that due to the fact that a few years ago we had 2 kids from NBN that aspirated. Then she wants...

  11. RT's Drawing from a UAC

    BittyBabyGrower replied to megcourt's topic in NICU, Neonatal

    Our RT's get the same training as the RN's do....and they have to go thru our bacterimia inservice also on how to access lines with the proper

  12. cross-train from L&D

    BittyBabyGrower replied to adpiRN's topic in NICU, Neonatal

    Usually internship is for new grads, not people with experience. At least where I work it is. We have been super busy lately, and we are giving our floats and prns 4 kids...and most of them have...

  13. Sugar for newborns does not relieve pain: study

    BittyBabyGrower replied to dawngloves's topic in NICU, Neonatal

    You have to remember that this is one study with only about 60 patients in it vs the many other ones that have been

  14. Does your phlebotomist ask you to draw blood from a PICC line for them?

    BittyBabyGrower replied to koinurse's topic in Geriatric, LTC

    Only RN and MD can access a PICC at my

  15. "I am sorry - I refuse to float to Peds!"

    BittyBabyGrower replied to abbaking's topic in Patient Safety Issues

    Believe me when I tell you this....we used to get floats from all over the house to our NICU (we floated EVERYWHERE) and we would be like....wow, you are not going to be any help at all....and we...

  16. Moms visiting while impaired

    BittyBabyGrower replied to BabyLady's topic in NICU, Neonatal

    You can't keep them from visiting, but you can set limits. That is within your boundaries. We have told parents that they seem really sleepy and we just can't permit them to hold the babies. We are...

  17. NRP Certification = Experience?

    BittyBabyGrower replied to mcchampe's topic in General Nursing

    We would hire the experienced RN. You can take the NRP class, but it is better to have some work experience before you take the the test. Most hospitals have this in their

  18. What do you NICU nurses think about this?

    BittyBabyGrower replied to PedsRN1975's topic in NICU, Neonatal

    Reminds me of the episode of Gray's Anatomy when George kangaroo'd the dying baby and it lived. I really hate stories like

  19. Any 22 weekers out there?

    BittyBabyGrower replied to mauigal's topic in NICU, Neonatal

    I am suspecting that your 22 weeker may have dubo'd higher. We've had a few 23 weekers survive but never a 22 weeker. But if he was a true 22 weeker, he should be written up in a journal so others...

  20. Any 22 weekers out there?

    BittyBabyGrower replied to mauigal's topic in NICU, Neonatal

    In the NRP world, yes, in the real world...not always is it followed. We will code a kid in L/D for an hour when there is nothing to code...NRP has guideline for that too. But the reality of it...

  21. Someone said what does a NICU nurse do?

    BittyBabyGrower replied to mauigal's topic in NICU, Neonatal

    I've never heard of a teaching hospital that didn't allow residents. Interesting. Yup, my favorite thing in the world is to babysit these new docs. We have electronic charting orders and they are...

  22. Any 22 weekers out there?

    BittyBabyGrower replied to mauigal's topic in NICU, Neonatal

    Depends on the month..if it is 500gms and gasping, it is coming back Sometimes less than 500gm and twitching and we'll take it. Then we proceed to basically torture these kids for 6 months or so,...

  23. Can I bolus this patient? A legal / practice question about sedatives and narcotics

    BittyBabyGrower replied to simvee's topic in MICU, SICU

    Do you have electronic MARS? We have to go in and change of rates every time we change a rate. You should be charting what you are doing. Esp with Fentanyl...I'm not sure about the adult world, but...

  24. Jehovah's Witnesses & blood transfusion

    BittyBabyGrower replied to carebeth's topic in NICU, Neonatal

    Most don't let their child die...when we get a court order we take that decision out of their hands and they don't have to go against their belief. We have had parents tell us that they were glad we...

  25. County Hospitals??

    BittyBabyGrower replied to RUN_RN's topic in General Nursing

    What does he mean by sink or swim??? A county hospital is no different than a regular hospital except that it is funded