BittyBabyGrower

BittyBabyGrower MSN, RN

NICU, PICU, educator

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All Content by BittyBabyGrower

  1. Hiring/Education Question

    BittyBabyGrower replied to Adams_Mommy_07's topic in NICU, Neonatal

    Having an ADN is fine, but be aware that most Magnet status hospitals prefer BSN over ADN for hiring. Many hospitals are under hiring freezes right now, so that may be a factor into opening...

  2. PICCs Broviacs and Clothing

    BittyBabyGrower replied to qaqueen's topic in NICU, Neonatal

    We allow them to wear clothes, there is not a medical reason not to. We have kids up to a year old with broviacs...they can't just lay around naked all the time It also keeps those bigger kids from...

  3. Does anyone use biodiscs on their piccs, umbilical lines?

    BittyBabyGrower posted a topic in NICU, Neonatal

    I know there is a age limit on biodiscs, but our ID team is talking about using them on piccs and umbilical lines. Just wondering if anyone has started this yet? We use the biodiscs on our older...

  4. UA/UVC Lines and blue fingers/toes

    BittyBabyGrower replied to nicu4me's topic in NICU, Neonatal

    I am guessing now it was the BP and the kid as fluid depleted, and when you are fluid depleted, vasopressors won't help much. Her MAP should be about equal to her gestational age...ie her lowest map...

  5. mid-shift floating

    BittyBabyGrower replied to StudentNurseSteph's topic in General Nursing

    We do this also. If we come in at 7p we will have an assignment for 4 hours and if it is our turn to float at 11p we go. Is it ideal, probably not, but I am not aware of any studies like what you...

  6. Methadone and cleft palate

    BittyBabyGrower replied to NeoNurse04's topic in NICU, Neonatal

    It doesn't matter why the mom is on methadone, they can't be sent home while on methadone/morphine. we have been bit in the butt one too many

  7. Maybe an ignorant question, but I'm asking it anyway....

    BittyBabyGrower replied to greenfiremajick's topic in NICU, Neonatal

    You also have to have an MSN for prescriptive privleges. I think that the bottom line is that you should have experience in the area you are going into. You can't go from working at Wendys to brain...

  8. UA/UVC Lines and blue fingers/toes

    BittyBabyGrower replied to nicu4me's topic in NICU, Neonatal

    Was your dopamine going thru the UAC? If so, that is a big no-no and could have been one of the roots of the problem....the second is that the kid's tank was low and was having perfusion issues. We...

  9. Maybe an ignorant question, but I'm asking it anyway....

    BittyBabyGrower replied to greenfiremajick's topic in NICU, Neonatal

    Without NICU experience I know that you would NOT be hired where I work, and I suspect many places. I do not know of any NNP that doesn't have experience in the area they pick. Steve has the right...

  10. Infant Massage in the NICU

    BittyBabyGrower replied to BittyBabyRN's topic in NICU, Neonatal

    Our OT/PT do massage 3x a week for all kids who need it! They will teach parents

  11. Methadone and cleft palate

    BittyBabyGrower replied to NeoNurse04's topic in NICU, Neonatal

    We don't release them to mom if the baby is on any controlled substance...the moms have been known to take or sell babies stuff. We have had to send several kids to long term care facilities because...

  12. Parents never cease to surprise me

    BittyBabyGrower replied to NFB2008's topic in NICU, Neonatal

    We've had our docs tell parents who have come up with a hundred excuses not to take Jr home "Well, your baby doesn't need to be here any longer, so we will be calling social services who will find...

  13. Parents never cease to surprise me

    BittyBabyGrower replied to NFB2008's topic in NICU, Neonatal

    I am so glad that we have classes for the parents...I couldn't stand to have to teach them and have them ask me something like that..I'm afraid I would scream!!!! I had a mom one time tell me that...

  14. therometers

    BittyBabyGrower replied to JBKRUM's topic in NICU, Neonatal

    We use the IVAC portable, we clean the cords between each patient and new covers for each patient. We use either bleach wipes or Saniwipes in between. If there is an isolated kid, they get a...

  15. Methadone and cleft palate

    BittyBabyGrower replied to NeoNurse04's topic in NICU, Neonatal

    We've seen arise also...please, give me the heroin kid, they withdraw so much faster. Also, many of them get pregnant on purpose because it is an automatic in to the meth program....drugs without...

  16. pain management in infants with chest tubes

    BittyBabyGrower replied to dopeyrn's topic in NICU, Neonatal

    OMG....I would be furious! Dont' you all get dinged on chart reviews for your goals in pain management not being met? We were dinged 2 years ago by JaCHO! Your docs would not want me in their...

  17. major error in NICU

    BittyBabyGrower replied to ana97abby03's topic in Patient Safety Issues

    If anyone tells you they have never made an error, they are most likely lying! You will learn from this mistake, and so will everyone else. Everyone always thinks that they would never do that or...

  18. Transcription Policies

    BittyBabyGrower replied to hamartin1515's topic in Patient Safety Issues

    We transcribe all our own orders, but we have to have a second RN check the MAR and our calculation sheet. You must also verify the original order when the new MARS come from pharmacy, but this is a...

  19. Managing O2 changes in preemie

    BittyBabyGrower replied to twizzlers67's topic in NICU, Neonatal

    We have a rapid wean protocol we follow. We get them to RA as quickly as we can, set the limits 85-94% and adjust accordingly. The alarms are enough to set your teeth on edge! Our monitors have an...

  20. Sali-wipes for Eyecare?

    BittyBabyGrower replied to NICUnurseKatie's topic in NICU, Neonatal

    We use sterile water and guaze. Does your skin team have any EBP to support their statement? I'd be curious to

  21. pain management in infants with chest tubes

    BittyBabyGrower replied to dopeyrn's topic in NICU, Neonatal

    We ALWAYS give pain meds for chest tubes! That is one of the most painful things to have, and I can speak from experience on that one! I thought I was going to come off that bed everytime I moved...

  22. IV Infiltration

    BittyBabyGrower replied to Ellen59's topic in NICU, Neonatal

    We use hydrogel to the area after consulting with wound management. Have had great results with it. Never apply

  23. Home Births -- The Good, the bad, and the Ugly

    BittyBabyGrower replied to michael79's topic in Ob/Gyn

    If you do a search, you will find some lengthy and heated topics about homebirth, I am sure that is why she is

  24. Transportation of the deceased neonate

    BittyBabyGrower replied to mollyaqua's topic in Ob/Gyn

    Your hospital should have a policy in place. We have specific morgue bags for the baby and it is either carried by the mortality services person or in a bassinett. We have to wrap the baby with...

  25. Octuplets

    BittyBabyGrower replied to Sweeper933's topic in NICU, Neonatal

    Gads, do the math.....NICU is at LEAST $2000 per day x say 60 days=$120,000 x 8= $960,000. Plus whatever else gets added in: added days, surgeries, consults, etc. There is NO way she is paying out...