BittyBabyGrower

BittyBabyGrower MSN, RN

NICU, PICU, educator

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All Content by BittyBabyGrower

  1. malpractice/liability insurance for NICU RN's

    BittyBabyGrower replied to nicu4me's topic in NICU, Neonatal

    You were very misinformed. You should always carry your own insurance. Remember, in the area we are in, parents/child have 21 years to form a suit. I was just called for a 20 year old case, yes you...

  2. Ohio online license renewal

    BittyBabyGrower replied to Salesman217's topic in Ohio Nursing

    It is in that letter. You may have to make trip to Columbus if you don't find it! And the price goes up! Good

  3. the oldest baby in your level 3 nicu

    BittyBabyGrower replied to nicu4me's topic in NICU, Neonatal

    We've had first birthday parties in our unit. Once they hit that year mark, they need to go to peds....we tend to treat their ailments like they are neonates, not the peds patients they are! Esp...

  4. Infant Safety classes

    BittyBabyGrower replied to nicunana's topic in NICU, Neonatal

    We looked at that too...but it was wayyyy out of our budget! It was so nice though...I can't remember it's

  5. New PDA Treatment Recommendations??

    BittyBabyGrower replied to lvnurs9's topic in NICU, Neonatal

    Depends on the attending...with the two trains of thought, to treat or not treat surgically, we may be sending kids out for ligations all one month and the next just using ibuprofen, which works on...

  6. full assessments vs. monitor vitals

    BittyBabyGrower replied to nicu4me's topic in NICU, Neonatal

    Our sickest kids will be every 6-8 hours hands on care. We do not bother them until it is time or they require intervention. We also never stop the oscillator or high frequency to check unless it is...

  7. Casual/per diem nurses and the phone. Do you feel harrassed?

    BittyBabyGrower replied to wonderbee's topic in General Nursing

    as the charge nurse for a busy unit, we have to call everyone if we are short staffed so that we can show that we made the effort and couldn't cover ourselves. This is how we get our matrix changed...

  8. Nurse in Spain Makes Fatal Mistake in NICU

    BittyBabyGrower replied to RN4Little1s's topic in NICU, Neonatal

    That's awful. But, it doesn't matter how experienced a nurse is, mistakes get made. Never be so comfortable in the "experienced nurse" role to think that you won't make a mistake. One of our best...

  9. Carseats for premies less than 5 pounds

    BittyBabyGrower replied to PremieOne's topic in NICU, Neonatal

    Carbeds...yipes! Do the parents have to buy it? If we get them in the corificeat and secure them in with the rolls and things and they flunk the challenge, they buy a longer stay! The ones the PP...

  10. Infant Safety classes

    BittyBabyGrower replied to nicunana's topic in NICU, Neonatal

    We tried classes, but couldn't get enough parents to attend to make it worth the out of staffing time. We use videos at the bedside, most of which we have received from the march of dimes. We have...

  11. Med Errors- would you report one?

    BittyBabyGrower replied to country mom's topic in General Nursing

    Absolutely they should be reported! Near misses included. We consider near misses as wrong orders that have gone past a pharmacist, past the nurses who double check the meds, things similar to...

  12. Huron Road School of Nursing...

    BittyBabyGrower replied to Mommaofallgirls's topic in Ohio Nursing

    We get students from there for obs and they seemed well prepared :) Honestly, any of the big hospitals are in bad areas, I've been in the "ghetto" for 23 years and have survived

  13. locked unit problems

    BittyBabyGrower replied to deonj_21's topic in Ob/Gyn

    We are a locked unit, usually we have a secretary at our desk to man the door, but if we don't we get to it as we can. When they complain we give them our manager's card and tell them to tell her. I...

  14. Dual UVC catherter

    BittyBabyGrower replied to PremieOne's topic in NICU, Neonatal

    Wow, I've never heard of using 2 bags of TPN...do they get a dual charge for that? We use dual lumens on PICCS and UVCs....we either run a KVO or lipids thru the other port if we aren't using it for...

  15. heparin 2 units flush

    BittyBabyGrower replied to smilesrn22's topic in NICU, Neonatal

    If I read this right, you have a VIAL of heparin, not prefilled syringes? I didn't think units were allowed to keep vials anymore since there have been several sentinal events in the past year. You...

  16. Any extra precautions for visitors due to swine flu?

    BittyBabyGrower posted a topic in Disaster Preparation

    We have to question each visitor before they come in as to if they have been to Mexico, and anyone sick acting is denied visitation until cleared with their doc. Also, we have had a few cases around...

  17. Mini Rant

    BittyBabyGrower replied to blondy2061h's topic in General Nursing

    In the big scheme of things....does it really matter

  18. Swine Flu Outbreak, School Nurse Set Response in Motion

    BittyBabyGrower replied to herring_RN's topic in Disaster Preparation

    We have one for the whole district...makes me feel really comfortable that it is the school secretary handing out their meds. Until a bunch of us threatened to sue, the kids had to go to the...

  19. Problems with blood bank

    BittyBabyGrower replied to Sweeper933's topic in NICU, Neonatal

    We haven't had a problem here...all of our people must have passed inspection or

  20. Seeking research on human milk-based HMF

    BittyBabyGrower replied to NICURN29's topic in NICU, Neonatal

    Our nutritionist was just telling us about this yesterday....she doesn't know of anywhere using it yet because it is, get this, $40/ounce. Yikes! And insurance won't cover it right now! UH in Ohio...

  21. UAC line question

    BittyBabyGrower replied to Cassideca's topic in NICU, Neonatal

    We use the new Biosensors on our line. And you have to look under central line bundles...it doesn't matter if it is an adult or neonate, it is the same guidelines. We never even had syringes on ours...

  22. Do you give meds through your UAC....

    BittyBabyGrower replied to 2curlygirls's topic in NICU, Neonatal

    Never pressors, but we will use it if we have limited access for meds, blood, etc. And always with a specific order. In a huge pinch, we have put our HAL thru

  23. UAC line question

    BittyBabyGrower replied to Cassideca's topic in NICU, Neonatal

    You should not have a syringe on your line at all, you should be using a closed system. You can go to ihi.org and search for central line bundles, we use this for all central lines and

  24. IV fluid filtration

    BittyBabyGrower replied to HurleyRN's topic in NICU, Neonatal

    We filter HAL all the time, other fluids we don't unless the baby had a know heart

  25. I Need Advice - MD Not Signing Order

    BittyBabyGrower replied to Andrew, RN's topic in General Nursing

    I'm sorry this happened to you. When writing a verbal/telephone order, make sure you document who you spoke to and read back what they said to you. Also, does your hospital have issues with sliding...