BittyBabyGrower

BittyBabyGrower MSN, RN

NICU, PICU, educator

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All Content by BittyBabyGrower

  1. IV Push Med Dilution

    BittyBabyGrower replied to cindib's topic in NICU, Neonatal

    Our pharmacy has compiled a big binder with all we need to know about our meds. There are very few we dilute ourselves now, as our pharmacy does it all for

  2. Holiday Scheduling

    BittyBabyGrower replied to TNMommy's topic in General Nursing

    It depends on where you work. Some places to an A-B schedule, some go by seniority, some go by 1st, 2nd and 3rd choice. We do the latter where we work, usually everyone gets at least their 1st...

  3. oh ye uninformed... this is why er nurses "don't care"

    BittyBabyGrower replied to Uptoherern's topic in Emergency

    I work there and there are clinics but it is easier to catch an ambulance ride in and think you are going to be seen quicker. They send people out to chairs all the time. And guess who is paying for...

  4. Is this inappropriate?

    BittyBabyGrower replied to 2shihtzus's topic in General Nursing

    Where I work, we do show favoritism towards coworkers by giving them good rooms, etc. But we don't look into the charts. As a unit manager, she could argue that she needs to know what is going on...

  5. MDs should obtain & have patients sign consent

    BittyBabyGrower replied to riley50's topic in General Nursing

    That is a huge no no. You all that are getting consent need to go to your risk management and address this. Only the doc or service doing the procedure is to get permits! In some institutions...

  6. Circumcision

    BittyBabyGrower replied to RN mom of 2's topic in NICU, Neonatal

    I wouldn't say that you will never ever have to help, but if your co-workers are busy, you are going to have to step up. In our unit, we just strap Junior in, and the OB's do the rest. We make sure...

  7. Visitation during RSV season

    BittyBabyGrower replied to ScammRNC's topic in NICU, Neonatal

    We don't change, but we are thinking of it. We do refuse people visitation if they have a cold (not parents, they

  8. Peripheral arterial line access - is there a needle free device?

    BittyBabyGrower replied to cliffguard's topic in NICU, Neonatal

    We stopped doing the gtt method...we have totally closed systems now. We rarely have a problem drawing back PAL's...we go very

  9. Do you put tubbing and connections from central lines outside the incubator?

    BittyBabyGrower replied to sofiam's topic in NICU, Neonatal

    We use central line bundles from ihi.org . We change all tubings q72 except for lipids, which is 24 and some drips that are 48. All of our lines have stopcocks on them that we put our meds thru. We...

  10. Bili-check machines

    BittyBabyGrower replied to grlgid's topic in NICU, Neonatal

    At a conference I went to, IIRC, they aren't recommended for preemies, only full

  11. Should you be able to refuse an isolation assignment when pregnant?

    BittyBabyGrower replied to SteveNNP's topic in NICU, Neonatal

    If it is something contraindicated in pregnancy, yes, they should be able to refuse. If is something like MRSA, then no, they shouldn't be refusing. Luckily, we don't have this problem on our

  12. Liablity question..

    BittyBabyGrower replied to Preemienurse23's topic in NICU, Neonatal

    If the charge nurse knew that this nurse was leaving, then she is responsible for her assignment. If we have to leave early, we report off to the charge nurse and leave a written report. If the...

  13. NICU nurses should take PALS...IMO

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

    I've taken PALs for transport and it really isn't pertinent to NICU. We had to take it as we transport cardiac kids for other hospitals. I would hope that your group said something about the poor...

  14. malpractice in NICU

    BittyBabyGrower replied to JulieRN07's topic in NICU, Neonatal

    That is not true. You should carry your own insurance, it will pay for a lawyer should you need it, and if you deviate one little bit from hospital policy or procedure then the hospital isn't going...

  15. Clear TPN?

    BittyBabyGrower replied to EricJRN's topic in NICU, Neonatal

    Our starter TPN, which we give to kids under 1500gms on day 0-1 of life has no MVI. It is for the proteins. I've never heard of not mixing the MVI in the bag when it is

  16. Need some ideas RE: external NICU appearance

    BittyBabyGrower replied to twinkletoes53's topic in NICU, Neonatal

    We have collages of babies that have been in the unit. We contacted parents and they sent us a letter about their baby and how he/she is doing now and pictures from birth to current. Our PR/art...

  17. Neonatal seizure outcomes

    BittyBabyGrower replied to 33-weeker's topic in NICU, Neonatal

    We get referrals from level IIs for seizures. The outcome is dependent on what caused the seizure, we have had some kids that seize once and then never again, others have some sort of etiology. Many...

  18. Phototherapy

    BittyBabyGrower replied to dmsdms's topic in NICU, Neonatal

    There is a lot of literature out there advocating white blankets and aluminum foil for those kids with super high bilis. One is from ANCC. We have done this with kids that are rH factors, those are...

  19. Neonatal Death - what does your unit do?

    BittyBabyGrower replied to MegNeoNurse's topic in NICU, Neonatal

    We have the families of the other babies leave. If their baby is able to, we will let them take it to the breastfeeding room. We then put screens up around the grieving family and close the doors to...

  20. Getting sick when your a NICU nurse?

    BittyBabyGrower replied to cherokeesummer's topic in NICU, Neonatal

    If I am really dragging butt or have a fever I call off, otherwise I wear a mask. We have an unforgiving point system where I

  21. Preemie survival rates

    BittyBabyGrower replied to Ozboy's topic in NICU, Neonatal

    Your stats are going to differ from state to state, country to country, even hospital to hospital. There really is no difference in 6/7 weeks and 23 weeks, sure each day is important, but one day...

  22. When Is Enough Enough?

    BittyBabyGrower replied to RainDreamer's topic in NICU, Neonatal

    That is the million dollar question. We have several on our unit that I wish would just go to baby heaven. I know as a parent I would have a hard time, but sometimes I think that our docs just need...

  23. Communication with Parents

    BittyBabyGrower replied to Loralai's topic in NICU, Neonatal

    We expect parents to call for updates. If we don't hear from them in several days, then we refer to social work. We are a very busy level III and honestly, we don't have the time to call about every...

  24. New Dual Lumen PICCs

    BittyBabyGrower replied to SteveNNP's topic in NICU, Neonatal

    Gompers, we use a cap from Vygon, it is a pressure cap (I can never remember if it is positive or negative LOL) on our double lumen piccs and uvcs....it prevents blood back up into the line, even when...

  25. infection control

    BittyBabyGrower replied to RN4BABES's topic in NICU, Neonatal

    We have Dragers. All isolette manufacturers have recommended change