BittyBabyGrower

BittyBabyGrower MSN, RN

NICU, PICU, educator

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All Content by BittyBabyGrower

  1. Do you medicate for intubation?

    Depends on the kid...if he has a line and is fighting terribly then yes we sedate...if it is a total emergency, he just gets tubed and medicated after. If it is a bigger kid going for a procedure then...
  2. Do you medicate for intubation?

    oops double
  3. Elitist Attitude?

    I get aggravated at that comment also after a while. I don't think we really think we are above floor nurses, but we are very picky and black and white about things. I know we do get aggravated...
  4. Interesting Flight stories

    I just have to share this one....we were going on a neonatal transport out to a smaller facility. We get there and we are just hovering and hovering...I turn my eorificet on to the pilots and here...
  5. ostomy care in the neonate

    Why won't this person come over there? If she is consulted then she should be coming. We have teaching sheets from our stoma nurse that include skin care, which entails changing the bag every 2-3 days...
  6. nasal suctioning

    The only thing I can think of is that people must be jamming them up there. We use a little saline before we use ours and haven't had a
  7. swab stopcock before IV push?

    Oh my hair is curling with the thought of anyone entering a central line without cleansing that port!!!! Except in a code or emergency!!!! Besides good handwashing, that is one of the main culprits...
  8. Human Donor Milk

    We had one kid on donated MBM but then stopped because their insurance refused to pay for it. Nice, huh? The research says that MBM does decrease Nec, but in the pasteruziation, some of the...
  9. Questionable practice???

    They round the whole unit in the AM and then do a touch up with the off going fellow to the on coming fellow. We have 2 attendings on each month and they take turns covering eves and nights. Only...
  10. New to NICU - hired part time?

    We also orient full time, 4 tens per week. Part time positions are doled out according to seniority
  11. Gastroschisis/fussiness suggestions?

    Oh man, right now we have two of those little darlings! They were in the same room and we had to separate them as we all truly thought we were going insane!!! All the above suggestions! We have...
  12. Thinking about a change.

    We get complaints from parents all the time when they are transferred to the comp care floor. We do tell them in advance that it isn't like the ICU and that the nurse taking care of their child will...
  13. Car seat challenge

    We do all kids under 37 weeks for one hour. If they parents live several hours away we will do 2-3 hour ones and tell the parents that they have to stop for a break in that same time interval. I...
  14. Thinking about a change.

    I have precepted several girls from med surg and while you have learned time management, ours is very different. I have found that many of them want to go back and back-chart where as we do it right...
  15. Medical mgmt of PDA

    We've had moderate success with ibupofen. It seems that once the dosing is done if the kid gets stressed for what ever reason the PDA opens back up again...no theory on that, but that is what we have...
  16. Rifampin clotting PICC lines

    We have used rifampin and we haven't had a problem with our centrals or PICCS. Is the pharmacy diluting as far down as they can to decrease the viscocity? I don't know our dilution off the top of my...
  17. Careful with those Crocs

    I hate those crocs...my DD had hers on, had a croc stop and fell and broke her elbow! The ortho said they see at least 2-3 kids a WEEK with injuries from crocs! They have banned them at my hospital...
  18. Suggestions for a nursing student...

    First, the getting med surg experience is a falsehood....it doesn't matter a bit if you are going into NICU. Our hospital likes you to have a year of experience somewhere other than the ER to start....
  19. Did you hear this about Medicaid?

    They will not be paying for nosocomial infection treatments.....man, won't that just be a shot in the ole budget. We were in a meeting for our practice group and this came up from one of the...
  20. NICU opportunities in Hawaii?

    Several of my friends have worked in Hawaii and the only NICU is there. They get kids from all the islands and other Pacific
  21. Did you hear this about Medicaid?

    We are now swabbing all new admissions for MRSA....if we can prove it is coming over with the kids, then they have to reimburse. We have had several kids come back positive from birth. We have...
  22. New rules about going online to listen to You Tube!

    youtube is one of the sites that gets us the big red no no screen. Ebay, facebbook, myspace and any other auction site are a few more. We can use the internet, but we don't do it when there are...
  23. low census?

    You all can come get some of ours! We have been high for about 5 months now and no end in sight! We are growing some fabulous chronics, have a lot of surgicals and lots of little sick ones, so take...
  24. Moving to Cleveland

    I doubt Huron will be a Level one....they don't have all the components for it. As for CCF....the ones we got didn't say anything about people being nasty, they didn't like the way they were treated...
  25. Moving to Cleveland

    If you like trauma, MetroHealth is the way to go. I have to second the opinion on nurses leaving the clinic....we get them by the boatload and they seldomly go