BittyBabyGrower

BittyBabyGrower MSN, RN

NICU, PICU, educator

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All Content by BittyBabyGrower

  1. Your boss insists on employees taking flu vaccine

    BittyBabyGrower replied to seenitallERnurse's topic in General Nursing

    I haven't gotten one in 2 years...why...because I am allergic to thimersol and our hospital doesn't carry it! You want me to get it, then get what I need. And the nasal one is not an option for...

  2. NICU/Neonatal Nurses: Please Help Me.

    BittyBabyGrower replied to BabyNurse_PJN's topic in General Nursing

    That is a hard question. I've been a NICU nurse for over 20 years. Sometimes it is easy to let them go, sometimes it isn't. But, only you will know if you have the strength to do it. Sometime you...

  3. Scope of practice for transport nurses

    BittyBabyGrower replied to littlepeach's topic in NICU, Neonatal

    Yikes, 2.5 hours in an ambulance, yeah, we may have needled it just to be on the safe side....I hate having to pull off to do invasive things in the back of a rig! But where I work, that would have...

  4. Barbaric MD!

    BittyBabyGrower replied to MA Nurse's topic in NICU, Neonatal

    My DD had that done by a plastic surgeon and she was given cons. sedation! They did a Z-plasty on her, they just didn't snip it! Holy moly, if I were that parent I would be

  5. Anyone ever use IV Glycopyrrolate?

    BittyBabyGrower replied to SteveNNP's topic in NICU, Neonatal

    We have used it and still do, but only on the older, chronic kids. This med has benz. alcohol in it and shouldn't be used on kids less than 30 days (I think that is the cut off, don't quote me). It...

  6. PO vs IV formulations

    BittyBabyGrower replied to elizabells's topic in NICU, Neonatal

    There are drugs that are interchangable from IV to PO, but never the other way around! I'd have written an incident report because that could have been a sentinel event. If it is written for a...

  7. Scope of practice for transport nurses

    BittyBabyGrower replied to littlepeach's topic in NICU, Neonatal

    I think that it is hard to say what would be right or wrong here. Were they going by ground or by air? We will place a chest tube or decompress if we are going by air for a distance. As for the...

  8. Do you leave your med/flush tubing up?

    BittyBabyGrower posted a topic in NICU, Neonatal

    Do you disconnect your tubing after each med and flush, or do you leave your set up there for X amount of hours? Also, does anyone use the trifurcated connectors with the filter built onto one of the...

  9. post-discharge visiting

    BittyBabyGrower replied to bubbly's topic in NICU, Neonatal

    Our legal department advises against it. You still have a professional relationship with that kid, esp if they are on a monitor, etc and you could be held liable if something happens. Even if you...

  10. Weight checking

    BittyBabyGrower replied to johan john's topic in NICU, Neonatal

    For kids with a bedscale...QD. Those without are only twice a week until 34 weeks, unless there is a valid reason to get one such as CHF, etc. I'd like to know what your IVH numbers are too if you...

  11. I was slapped by a doctor!

    BittyBabyGrower replied to cluelessRN81's topic in General Nursing

    First I am so sorry this happened to you. The person who witnessed it should have called security right then and there. And why wasn't your preceptor with you or was someone covering for her? If...

  12. PICC line dressing changes in the NICU

    BittyBabyGrower replied to Nurse Ali's topic in Infusion, Intravenous

    We rarely have bruising at the site and if there is dried blood under the dressing, then it should be changed out as this is a source for

  13. Acuity and Ratio

    BittyBabyGrower replied to discobunni's topic in NICU, Neonatal

    Doesn't Acog put out standards? I know I've seen them somewhere, but darned if I can remember. Our acuity/assignments flucuate, depends of staffing also. The most kids we get are 4...

  14. Maybe a strange question...

    BittyBabyGrower replied to ThatPoshGirl's topic in NICU, Neonatal

    It won't exclude you from working, but each hospital has a different policy on it. Where I work, if it is open, you can't work until it is crusted, then you have to wear a mask until it is gone....

  15. MRSA protocol

    BittyBabyGrower replied to untamable07's topic in NICU, Neonatal

    Sorry, but it usually isn't the nurses....we do 3 audits per day and most of the offenders are the docs. They go bedspace to bedspace, don't hand sanitize after touching stuff at the bedsides, leave...

  16. Watch your deeplines, guys!

    BittyBabyGrower replied to elizabells's topic in NICU, Neonatal

    Hey....were they positive it was IL thru the CT? We had that once and thought the same thing...turned out the kid had a chylothorax! We freaked when they hooked up the CT and this white stuff came...

  17. [help/ vent!] Dissertation Theme help!

    BittyBabyGrower replied to Andie13RN's topic in NICU, Neonatal

    I'd go with number 3 since this is going to be a very hot topic in the next few months. You can go to IHI.org and research different bundles that hospitals have implemented to try to eradicate...

  18. MRSA protocol

    BittyBabyGrower replied to untamable07's topic in NICU, Neonatal

    Once positive and then negative...you stay on precautions until you leave. The same kids stay in the same room, no moving in and no moving out until they are dc'd. Where they get it from.....non...

  19. Watch your deeplines, guys!

    BittyBabyGrower replied to elizabells's topic in NICU, Neonatal

    We call those midline PICCs. We can't use them for anything but IV fluids and a handful of meds, no vasopressors, vanco, etc. And we only leave them in for 7 days. I really hate when you have a...

  20. Liver Transplant

    BittyBabyGrower replied to johan john's topic in NICU, Neonatal

    We have sent kids to CHOP and they will usually only do the two together since they have a better outcome, so it is pretty rare for that type of transplant since baby donors are pretty rare. There is...

  21. a case of NEC

    BittyBabyGrower replied to lvnurs9's topic in NICU, Neonatal

    I'm thinking a small perf that is festering? any free air along the diaphragm? We just had a full termer with nec...treated conservatively, never perfed, started feeds, not a great feeder, went to...

  22. Neonatal Brain Death

    BittyBabyGrower replied to BlueEyedRN's topic in NICU, Neonatal

    There are some missing links/info on this.....brain dead is brain dead, but with neonates there are many more issues at hand. It also depends on what the family wants. Was there massive trauma, were...

  23. Holding an intubated baby with a UAC

    BittyBabyGrower replied to elizabells's topic in NICU, Neonatal

    Most of our kiddos with UAC's are too sick to be held. We don't leave the lines in more than 5-7 days unless the kid is very sick/unstable. If the baby is dying or super critical with a poor...

  24. Do you have friends at work?

    BittyBabyGrower replied to HisTreasure's topic in General Nursing

    We have a very cohesive group and there are several "groups", mind you not cliques, but ones that migrate towards each other, ie younger moms, moms of teens (and yes dads!), etc. We do a lot of...

  25. Shout out to fellow NICU forum junkies

    BittyBabyGrower replied to SteveNNP's topic in NICU, Neonatal

    I love this forum because no one is snarky! It is a great place to come and bounce things off other people and see what other NICU's all over the world are doing! Thank