BittyBabyGrower

BittyBabyGrower MSN, RN

NICU, PICU, educator

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All Content by BittyBabyGrower

  1. wishful thinking

    BittyBabyGrower replied to narcissus's topic in NICU, Neonatal

    Squid, I must respectfully disagree. Where I work we have 12's and 8's, for example I work 32 hours per week. I can either work 2-12's 1-8 or 4-8's. We are not forced to work 12's. And our unit...

  2. Pressure limits on infusion pumps

    BittyBabyGrower replied to corks's topic in NICU, Neonatal

    Also, I think that it is a JCH requirement that we now have to label all lines and do a line reconcillation during report. I love that the pumps can be

  3. Liver Transplant

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

    We've had a few kids evaluated, but it was usually in conjunction with a gut transplant. Their livers are usually shot from being on HAL for so

  4. PICC line dressing changes in the NICU

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

    Please remember though, biopatches aren't approved for use in small neonates. We are looking into whether we can use them on bigger kids, over a certain

  5. Peds clinical

    BittyBabyGrower replied to Nrsstudent09's topic in Pediatric

    That isn't out of line for what students can do where I work. Most hospitals are very strict on peds guidelines for students....not that it is better, but if you are going to make a med error, better...

  6. PICC line dressing changes in the NICU

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

    We change the first dressing 24 hours after insertion, preferably with the person who put it in and should know what it looked like! We then change them prn for wetness/soiled/becoming loose or if...

  7. charting"incident report filled" in nurse's notes

    BittyBabyGrower replied to NICURN04's topic in General Nursing

    You shouldn't chart about an incident report like the others have said. It is a document that is evaluated by risk management to see if follow up needs to be done and also to be used in the event of...

  8. Morphine Administration of very small doses

    BittyBabyGrower replied to dance45's topic in NICU, Neonatal

    Our pharmacy dilutes our narcotics for us. Our morphine is diluted 9ml to 1ml morphine for a final concentration of 1mg/ml. We draw up what we need, for instance the 0.05ml in a TB syringe. We use...

  9. peripheral line insertion

    BittyBabyGrower replied to corks's topic in NICU, Neonatal

    Chlorohex...we wipe it off with saline

  10. Vacation Time Qs?

    BittyBabyGrower replied to NewmanFamily6's topic in General Nursing

    Where I work, we have a separate vacation accruement from our sick time. New hires get 3 weeks off, but can't take vacation for 6 months from their hire date, but it is accruing. We have over 100...

  11. Pregnancy and Nursing

    BittyBabyGrower replied to Mommyof2RN's topic in General Nursing

    Personally, as a preceptor, I need to know if you are pregnant. There are certain meds, illnesses, etc that may need to be avoided and I would need to work around that. I'd say something once you...

  12. UAC fluid/antiseptic

    BittyBabyGrower replied to dbscandy's topic in NICU, Neonatal

    Actually, if the people placing the lines wipe down the area with sali-wipes or sterile water after insertion, you won't get the burns. We have been using chloroprep for about 2 years now on all...

  13. neonatal hygeine and skin care guidelines

    BittyBabyGrower replied to corks's topic in NICU, Neonatal

    NANN has great skincare guidelines, that is what we used when we wrote up our

  14. Blood Sampling

    BittyBabyGrower replied to lvnurs9's topic in NICU, Neonatal

    Ouch is right....I'd not want to be sticking deep on any kid! We do art sticks when we need more than 1.5ml blood, in out and done. Didn't we have a thread about this a while back and no one could...

  15. Which types of patients should I not take care of while pregnant?

    BittyBabyGrower replied to RN 4 U's topic in General Nursing

    That is an interesting take on GBS...but you do know that some kids are latent and come up with it at a later date, as meningitis or such don't you? In all the years I've been doing this, I can tell...

  16. bilirubin lab draw site on newborns

    BittyBabyGrower replied to llc333's topic in Pediatric

    A venipuncture will be more accurate for a hct, but a bili can and should be a heelstick. I agree with you, that seems pretty barbaric! There are several great articles out on bilirubin levels in 35...

  17. Which types of patients should I not take care of while pregnant?

    BittyBabyGrower replied to RN 4 U's topic in General Nursing

    We limit our nurses who are pregnant from kids with CMV and chickenpox, most things of that nature. For the poster that said GBS baby....I'm curious as to why? There are no pregnancy precautions...

  18. Staying late - effect on pay

    BittyBabyGrower replied to rockermom's topic in General Nursing

    We are the same as one other person...we can't swipe in before 7 minutes til the hour. We get report from 7-730 (or whatever shift it is), and 99% of the time everyone is out on time. If we stay...

  19. Infusion Pump Design

    BittyBabyGrower replied to rbs950's topic in Patient Safety Issues

    The buttons should be separate for safety purposes. And we have pumps that have green lights that kind of scroll as it runs, so at a glance we can know that the pump is

  20. stat xrays

    BittyBabyGrower replied to calliesue's topic in General Nursing

    Where I work stat does mean an extra charge, no matter if it is in or outpatient. If the order reads stat, and the doc has a very good reason to order it stat, then the order should be as

  21. Great story about a preemie from over 20 years ago!

    BittyBabyGrower posted a topic in NICU, Neonatal

    http://www.newsnet5.com/station/15914735/detail.html My friend works at this hospital and sent me this link! What an inspiration and a miracle!

  22. Do you use Biosensors from Vital Care Products?

    BittyBabyGrower posted a topic in NICU, Neonatal

    We are starting to look at these type of systems to use on our lines. It is a closed blood draw set. It looks wonderful and we have played with them, but wondering if anyone else uses them, loves...

  23. Stupidest reason to go to ER

    BittyBabyGrower replied to DachRN's topic in Emergency

    I just have to put two cents in about migraines.....several years ago my mom was taken to the hospital by ambulance for a severe headache...because she had a history of migraines they decided this was...

  24. Do you swab for MRSA upon admission?

    BittyBabyGrower posted a topic in NICU, Neonatal

    We have started this in the past few months since Medicare is going to try to deny payment for nosocomial infections. We have found a small percentage of kids that come from DR with it! We had one...

  25. To cover or not to cover: lipids and phototherapy

    BittyBabyGrower replied to wee one rn's topic in NICU, Neonatal

    We dont' cover IL at all, TPN is in an opaque