BittyBabyGrower

BittyBabyGrower MSN, RN

NICU, PICU, educator

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All Content by BittyBabyGrower

  1. New manager seeks input

    BittyBabyGrower replied to catlover314's topic in NICU, Neonatal

    Our manager will sit down during a unit meeting and discuss what happened. She lets us talk too, which is important. We have had several very difficult situations in our unit and she made sure the...

  2. Who's responsibility is it?

    BittyBabyGrower replied to PEBBLES1's topic in General Nursing

    If you are still on the clock...still your patient. You both should have gone, or if she still had other patients to get report on, you should have gone without

  3. Lasix and Bumex

    BittyBabyGrower replied to littleneoRN's topic in NICU, Neonatal

    We only use Bumex on those kids in renal failure. We substitute

  4. When nursing staff ask for medications

    BittyBabyGrower replied to dblpn's topic in Geriatric, LTC

    All joking aside. No you shouldn't.. They can also fire you if it is found out you are giving stock meds off the floor. Just tell people to carry it in their bag..and I am sure there are people who...

  5. Infant Pain Management

    BittyBabyGrower replied to 2muchHeart's topic in Ob/Gyn

    Check the OB board..there is a thread there. We premed with Tylenol, use lidocaine or emla cream depending on gestation age and weight, tylenol q6 for 24hrs after. No excuse to not use pain...

  6. Working while pregnant

    BittyBabyGrower replied to Nightingale11's topic in General Nursing

    Worked all night, went over and had my baby that afternoon lol I was 40 2/7 weeks

  7. recent ankle fracture camper staying at camp

    BittyBabyGrower replied to lynswim's topic in Camp

    She had an OPEN reduction and is back at camp???? Can I just tell you I had an open reduction internal fixation of my ankle and there was no way I wanted to be anywhere but home after that! All I...

  8. Isolation Gowns

    BittyBabyGrower replied to Redhead28's topic in General Nursing

    ID had us change to the blue plastic gowns. They said that it was because they are fluid proof and disposable. Try being in a room for 12 hours straight with only your lunch break in one of those...

  9. EMLA Cream with Circs

    BittyBabyGrower replied to rickdon19's topic in Ob/Gyn

    We use EMLA, but the kids have to be a certain gestation and weight, I believe 35 weeks and at least 1800grams. The kids are much happier with EMLA..no pokes. It does have to be put on 20-30 minutes...

  10. Nursing...recession proof??

    BittyBabyGrower replied to FAMUNewGrad's topic in General Nursing

    We have plenty of positions to fill...we just can't because they are frozen due to budget. And this freaking NASH company they PAID to come in and irritate us every 4 hours about our staffing and...

  11. Are smart pumps smart?

    BittyBabyGrower replied to tokmom's topic in General Nursing

    Our pharmacy worked with the company and had all our med info put in (concentrations, etc). We still have to have a second person verify what we put into the pump though. I love that you can titrate...

  12. Preceptor woes

    BittyBabyGrower replied to aerorunner80's topic in NICU, Neonatal

    I agree with kids....sometimes death is not the worst thing that can happen. You are speaking purely from inexperience. Once you have taken care of a kid for several days who is being kept alive and...

  13. topical pain relief before ROP screening

    BittyBabyGrower replied to SharonChichester's topic in NICU, Neonatal

    Whoops..need to clarify...Tylenol before and after routine exam. We conscious sedate with Fent and Versed for laser. Are all your kids intubated for laser? We then give Tylenol for 24 hours after...

  14. Nursing Shortage?

    BittyBabyGrower replied to mboulis's topic in Ohio Nursing

    There are positions in many institutions, but a lot of those are frozen right now due to budgets. Also, the big 3 in Cleveland are routinely looking for BSN over ADN due to their magnet status which...

  15. topical pain relief before ROP screening

    BittyBabyGrower replied to SharonChichester's topic in NICU, Neonatal

    We use it for laser surgery, but not routine exams. We premedicate with Tylenol and then x 2 after. Haven't really noticed any SE from

  16. State is coming and I'm a wreck..

    BittyBabyGrower replied to cebuana_nurse's topic in Geriatric, LTC

    -Is the 1hr before and after window during medpass universal or does that depend per facility's policy? I believe this depends on the state...ours is half and hour...got dinged by CMS on that one....

  17. I thought CF was screened for in pregnancy?

    BittyBabyGrower replied to anon456's topic in PICU, Pediatric

    No, it is not in the newborn screens, it is tested for separately if the parents are carriers or if the infant is displaying

  18. Pharmacy said no, conventional practice said yes

    BittyBabyGrower replied to anon456's topic in General Nursing

    Always follow hospital policy. If a mistake is made, and you didn't follow guidelines or P/P, the hospital will not back you. With our guidelines, if the 3 sources we use do not have compatibilty...

  19. cross-train from L&D

    BittyBabyGrower replied to adpiRN's topic in NICU, Neonatal

    NICU is just as chaotic as L/D, so looking for a break probably isn't in the cards. You could ask to cross train and then drop down, but can you afford to be part time if there is no time to be...

  20. Got asked to primary!!

    BittyBabyGrower replied to aerorunner80's topic in NICU, Neonatal

    That is great to be asked. But on the other hand, if you are a new grad, I would think about it more carefully...if you tie yourself to that patient as a primary, you may miss out on learning...

  21. Being a NICU parent while working on the unit...

    BittyBabyGrower replied to JoshuaAdamsRN's topic in NICU, Neonatal

    One of our nurses had a baby in our unit for 5 months...she chose to work in the nursery because she found it hard to stay with her patients if she heard a doc being called to her baby's room or if...

  22. Families requesting no male nurses for their baby.

    BittyBabyGrower replied to theatredork's topic in NICU, Neonatal

    We don't put up that kind of stuff either. We also have only had females for some of the Muslim families, but usually if they are breastfeeding. As for the intent to harm, I think she probably...

  23. Just how much can a CT tech do?

    BittyBabyGrower replied to TwilightRNurse's topic in Radiology

    Are you sure it is the tech and not the radiology nurse? My SO is a tech and he said that they can give certain meds, etc, but he has never given any of those. You need to make sure there is a...

  24. oral care

    BittyBabyGrower replied to spacey's topic in NICU, Neonatal

    We use sterile water and a toothette or a guaze. and yuck to the saline bullets...would you want salt water in your mouth! We are looking into breastmilk for mouthcare too...that is going to be a PI...

  25. Closed system for ABG draws from UAC?

    BittyBabyGrower replied to Bortaz's topic in NICU, Neonatal

    We use biosensor...not one umbilical line infection for going on over one year. We will also put it on central lines for the bigger kids that we draw their labs off of (they have a separete set...