BittyBabyGrower

BittyBabyGrower MSN, RN

NICU, PICU, educator

Member

  • Content

    1,823

  • Visitors

    14,714

  • Followers

    0

  • Likes

    28

All Content by BittyBabyGrower

  1. developmental positioning

    BittyBabyGrower replied to qcumba's topic in NICU, Neonatal

    Make her a nest of blankets and get them tight around her...and get her on her sides at least once a shift. We make the blankets into a circle and then fill in with soft cloths to get them nice and...

  2. Methadone withdrawal

    BittyBabyGrower replied to elizabells's topic in NICU, Neonatal

    We have had docs say that they don't believe our scoring either...okay, well you stand here for 12 hours and listen to juniour scream for 12 hours and when you pick him up he is so tight you could...

  3. Ethical question

    BittyBabyGrower replied to AmericanChai's topic in NICU, Neonatal

    Well said Steve!!! We have several kids right now that all of us are struggling with and it is starting to make me wonder if I can do this job until I retire....sometimes I wish the docs would...

  4. Ethical question

    BittyBabyGrower replied to AmericanChai's topic in NICU, Neonatal

    A lot of what you asked depends on the attending at the time in the unit. We have some that are very willing to do pallative care and involve hospice right away, others don't go that route and we do...

  5. Methadone withdrawal

    BittyBabyGrower replied to elizabells's topic in NICU, Neonatal

    We will start with morphine and then move to methadone if the scores progressively go higher. We have had to send kids to a long term care facility because we had them for 2 months and just can't...

  6. Low K level - possibly getting written up...

    BittyBabyGrower replied to uscstu4lfe's topic in General Nursing

    I don't know about writing it as an order.....what type of order...."don't do anything" and then you have to have it as a telephone or verbal order read back to the doc who in turn would have to sign...

  7. Things that make an ER nurse go hmmm...

    BittyBabyGrower replied to AnnieOaklyRN's topic in NICU, Neonatal

    Hmmm....were you guys able to pull the kids chart and see if the apnea's were documented? I find it really hard to believe that that kid made it out of there acting like that. We've had kids like...

  8. tiniest micropreemie

    BittyBabyGrower replied to mweaverrn's topic in NICU, Neonatal

    I took a look at that data base.....we have 2 kids on there and they haven't been up dated in years. Not a reliable tracking source. Our kids limits are set at 84-92....drives us NUTS with the...

  9. Need Help w/ Charge Nurse Duties, Please

    BittyBabyGrower replied to jennifer79RN's topic in General Nursing

    Your hospital should have guidelines for being in charge. Having been a charge nurse of a busy unit for 4 years now, I can tell you that you should NOT be orienting while in charge. Do you not have...

  10. MetroHealth Medical Center, CLEVELAND -- Thoughts?

    BittyBabyGrower replied to CleveRN2008's topic in Ohio Nursing

    Being a county hospital, MH doesn't have the cash flow other hospital do,but they VP of nursing does her best to keep perks for

  11. banked milk anyone?

    BittyBabyGrower replied to UTVOL3's topic in NICU, Neonatal

    We are doing a study with donor breastmilk. We currently have 10 kids on the study. Because it is a study, the insurance companies aren't billed, but it is

  12. Enteral Feeding equipment

    BittyBabyGrower replied to NICU_babyRN's topic in NICU, Neonatal

    We use the orange too. Huh, we were told that the purple was for Canada and UK too. Wonder if there is another brand that is

  13. How do you mark the length of the feeding tube

    BittyBabyGrower replied to chescat58, RNC-NIC's topic in NICU, Neonatal

    Ours have cm's on them also. If we are using a repogly or salem without markings we measure it, mark it with a piece of white tape. We put duoderm(the thin stuff) and then opsite, unless the kid is...

  14. Harlequin sign

    BittyBabyGrower replied to prmenrs's topic in NICU, Neonatal

    Oh man, when we get one of those we have to have everyone looks...isn't it

  15. HFOV vs Jet

    BittyBabyGrower replied to Preemienurse23's topic in NICU, Neonatal

    We don't use jet, we only oscillate. I wish we started these tiny ones on the osc at first, but it seems that our docs like to wait until their co2s are nice and high and then they put them on it....

  16. Wound VAC in NICU?

    BittyBabyGrower replied to MegNeoNurse's topic in NICU, Neonatal

    We've use them on abd incisions from dehis or defects, and it worked

  17. Policy/Practice with capped PICC

    BittyBabyGrower replied to RN4Little1s's topic in NICU, Neonatal

    We hep lock ours.....usually the kids that have them are terrible sticks, so we leave them, esp if they have intermittent IV meds...why stick them over and over if you don't have to? We rarely have...

  18. Feeling inept :(

    BittyBabyGrower replied to twizzlers67's topic in NICU, Neonatal

    So you have any type of conference with the unit managers or CNS? Our orientation is set up so that each week the orienter and the preceptor sit down separately with one of the two and go over their...

  19. Patient request you not take care of them?

    BittyBabyGrower replied to Cambria1023's topic in General Nursing

    don't sweat it, it happens a lot in NICU's. In our unit, we will tell the parent that we can't make a promise for a certain person to NOT have their kids and we leave it at that. NICU mom's are under...

  20. IV air bubbles

    BittyBabyGrower replied to I'mANurse!'s topic in NICU, Neonatal

    The only thing we filter is HAL and a few meds, everything else doesn't have to have a filter. A filter is mainly used to filter particulate matter. As for the air bubbles, just concentrate on the...

  21. Trimming of Neonatal Fingernails

    BittyBabyGrower replied to ldh's topic in NICU, Neonatal

    We aren't allowed to clip nails or even file them, the parents have to do it. But ewww, I'd never tell a parent to chew them off...the human mouth is one of the nastiest things on earth when it comes...

  22. Food In The Nicu

    BittyBabyGrower replied to NANSNURSE's topic in NICU, Neonatal

    We let them have water/soda in the room, no hot beverages. If the mom is diabetic she is allowed to keep snacks with her. They may let you have food in the room since most peds floors, including...

  23. Gastroschisis

    BittyBabyGrower replied to littlepeach's topic in NICU, Neonatal

    We initially wrapped in sterile wet guaze with a plastic bag. We aren't siloing as much anymore, we have 2 surgeons who actually milk the defect back in the hole after evacuating the bowel of...

  24. AACN's Standards for Healthy Work Environments

    BittyBabyGrower replied to iyqyqr's topic in NICU, Neonatal

    Okay, you refreshed my memory, we had to meet those for our Magnet Status. It all looks great on paper, but it goes to the way side until it time to renew our status. Don't get me wrong, we had a...

  25. Is there a TF Formula Without Milk or Soy?

    BittyBabyGrower replied to SweetOldWorld's topic in General Nursing

    I think there is an adult one called Compleat....I am thinking I used it on the Comp Care Peds floor. Maybe try a cross topic over on the Developmental Disabilities board and the Peds