BittyBabyGrower

BittyBabyGrower MSN, RN

NICU, PICU, educator

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All Content by BittyBabyGrower

  1. screaming doctors....how can we handle them?

    BittyBabyGrower replied to KSU-SN's topic in Patient, Colleague Relations

    First off, people need to stand up to him. When he starts, someone needs to get on the phone to the nursing supervisor and any higher ups if it is during the day when they are there and make them...

  2. pregnant and unregular shifts - Mgr won't listen to Dr. recommendations

    BittyBabyGrower replied to RNmom08's topic in General Nursing

    Playing the devil's advocate here on manager side: What if I had 4 nurses who were all pregnant, I do this for one of them and then the others come in with notes, then what? I am thinking that the...

  3. Cleveland Clinic Benefits?

    BittyBabyGrower replied to w158jld's topic in Ohio Nursing

    My hubby works there on main campus...he said that it is true that it varies and it is usually only for main campus. He said there may also be a mileage limit on it too, so Dayton may not qualify....

  4. venting...

    BittyBabyGrower replied to scrabblern's topic in NICU, Neonatal

    Ok... 1. The charge nurse should have made it clear to the nursing supervisor that it was clearly unsafe...she is in charge and ultimately it is her head on the platter so to speak. 2. If no...

  5. TPN/IL through UAC??

    BittyBabyGrower replied to EarlyAdditionRN's topic in NICU, Neonatal

    If we have no other access we will run TPN, but not lipids thru the transducer. UAC's should be ideally pulled after

  6. I use up all of my compassion at work.

    BittyBabyGrower replied to TigerGalLE's topic in General Nursing

    Ah, yes...I think we all go thru that. And it is now worse because you have to suck up many things at work because of all the customer service stuff....some days I want to tell my families at work to...

  7. RT's Drawing from a UAC

    BittyBabyGrower replied to megcourt's topic in NICU, Neonatal

    All of our RT's are trained the same we are in accessing the arterial lines. They will also draw from

  8. Magnet Hospital Nursing Question

    BittyBabyGrower replied to Dresdenchick's topic in General Nursing

    I work at a magnet faciltity and we are told that all new hires will be BSN unless you can make a good case for hiring an ADN. Now, if we have one of the floors that no one wants to work on and all...

  9. insulin drip protocol for mixing/priming: how do you mix it?

    BittyBabyGrower replied to TraumaJunkieRN's topic in Patient Medications

    We just had an inservice on this...we are to prime our tubing and let it sit for 30 minutes...the insulin does have to coat the tubing/sink in or else as you run your drip the tubing will absorb the...

  10. Unit Manger Presence

    BittyBabyGrower replied to GreentigerRN's topic in General Nursing

    I've been in a management position...if I went in everytime they were short I'd have worked 24 hours a day. It is up to the institution to find a solution to chronic shorteness. I am the same as...

  11. Being Sued / Losing License

    BittyBabyGrower replied to Meraki's topic in Nursing Professionalism

    I've been a nurse for 24 some years now and I have been called to testify at 5 cases. Most of the time it is the hospital being sued, not the individual unless they did harm. I've only known of 2...

  12. Ever take care of a patient for a while to later find out...

    BittyBabyGrower replied to wanderingRound's topic in General Nursing

    It happens a lot....and the person sitting next to you at the theater could have some crud too, think about that lol You just have to use universal precautions and be aware. You can't isolate...

  13. Some questions about gentamicin...

    BittyBabyGrower replied to summerlove2's topic in NICU, Neonatal

    wow...I haven't seen that since the early 80's on any floor where I work! Your unit or pharmacy should have a med guideline for NICU...if they don't, someone dropped the ball. Our similac rep gives...

  14. Going to Work with "pink eye"

    BittyBabyGrower replied to Fairlythere's topic in General Nursing

    Our hospital policy is you stay home until it is done draining. I wouldn't chance it. Make sure you strip your bed, change out towels and wash them in hot water! And all your makeup you have used...

  15. The retro nurse's outfit has returned

    BittyBabyGrower replied to cicatrixx15's topic in General Nursing

    Oh, the Cleveland Clinic nurses wear all white :) I have to agree with the docs wearing nice clothes...some of our attendings come in, esp on the weekend and look like they just rolled in from...

  16. Enteral feeding pumps

    BittyBabyGrower replied to megcourt's topic in NICU, Neonatal

    We use the medfusion pumps for feeds 60ml and less, anything over 60 goes on a kangaroo. We gravity feed a lot of our smaller

  17. Sat monitoring -- Car Seat Test -- CHANGES?!

    BittyBabyGrower replied to spacey's topic in NICU, Neonatal

    wow. Even our nursery uses a pulseox on the late pretermers. My question would be, has your hospital policy changed? If not, you need to comply with the policy until it is rewritten. What does you...

  18. What to do when the census drops...

    BittyBabyGrower replied to lccougar02's topic in NICU, Neonatal

    Our PRNs will go up to Peds or the

  19. The retro nurse's outfit has returned

    BittyBabyGrower replied to cicatrixx15's topic in General Nursing

    We wore white for a while...didn't mind it except when some kid barfed some of the speciality formulas and med on me...then I had to trash the uniform. As for hats, they are retro, but they not only...

  20. Low census anyone?

    BittyBabyGrower replied to Humbled_Nurse's topic in NICU, Neonatal

    We usually run 45-50 kids, we are at 20 right now.

  21. NICU nurses - phototherapy?

    BittyBabyGrower replied to Isitpossible's topic in NICU, Neonatal

    We will leave the baby under the lights for long periods of time if they are micro preemies or a bigger kid with a really, really high bili (ie ABO or RH). They only time we will turn off the lights...

  22. Private NICU rooms...A Stinky Subject

    BittyBabyGrower replied to BabyLady's topic in NICU, Neonatal

    For those that allow food in the fridge with MBM.....how do you not get dinged on that? That is a health dept no no where I work and we get dinged if it is found. All fridges are labeled for what...

  23. advice for barcode scanning of infants

    BittyBabyGrower replied to kimbittybabyrn's topic in NICU, Neonatal

    We have the barcode on the ID but we don't use it, we use one we put on the bed. That way we are covered if they do a spot inspection for barcodes. Stupid, yes, the law of the land

  24. Hepatitis B vaccine administration

    BittyBabyGrower replied to debsto's topic in NICU, Neonatal

    We only use the ones from the CDC, it is the only one our legal dept will let us use. If you have a desire to change anything like that, you need to look into it first. We don't give our hep B...

  25. ASN in Neonatal

    BittyBabyGrower replied to Dr3am2baNICUNurs3's topic in NICU, Neonatal

    Our area is like dawngloves....if it is a magnet facility then only BSN are hired in, no ADN. We think it is stupid since many of the ADN programs still do clinicals at those