BittyBabyGrower

BittyBabyGrower MSN, RN

NICU, PICU, educator

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All Content by BittyBabyGrower

  1. Surfactant question

    We keep them midline for the
  2. "Nitric Headache?"

    I added the CDC link we use in my original
  3. infection control

    We change them every 2 weeks as per manufacturer's
  4. "Nitric Headache?"

    Yes! Make sure that the bags are turned off. There are times we all swear we can "taste" it when we have kids on really high doses and we check the bags and they are leaking! I, and many others, have...
  5. Hydrops

    Well, I have to say, if they don't know what is up with a kid, yeah we are pretty careful about getting gloves on. My point is that any kid that comes in could have something and you don't know it....
  6. Needed Change in the NICU

    It sounds like the CNS is pawning it off...that is part of her job to make sure that policy and procedures are in place. She should also be the one you guys go to so that she can advocate. Without...
  7. strep b

    It has been my experience that if they are born with GBS meningitis and they are seizing soon after, they usually have some
  8. Needed Change in the NICU

    Do you have a CNS or nurse educator? I'd start
  9. Hydrops

    I've never heard of that either. If you think about it, any kid we have could walk in with something and we wouldn't know it. That is why you use universal precautions. If we have a confirmed...
  10. Do your parents have to wear cover gowns when visiting?

    no they
  11. Help needed:Policy for CVL dressing Changes

    You can use it as long as you wipe off the excess. There is also a product called Dynahex that is 2%
  12. Help needed:Policy for CVL dressing Changes

    We use chlorprep and saline wipes. We adapted our policy from what the CDC recommends. For lines with gauze under the dressing it is 3 day change, for clear occlusive dressing only it is 7 days....
  13. Valium and ECMO

    eric is right...it is the benzyl alcohol in it (it acts as a preservative), that is containdicated in neonates under 6 months old. We use ativan or versed for
  14. Heelsticks vs. Venepuncture

    We also use heelsticks, don't want to be using up veins we need for IV's. If a kid needs a ton of labs, we usually do an art
  15. Floating policy?

    We only float to
  16. Caffeine vs. Theophylline

    We use caffeine more than Theo. But with some of the kids, Theo works better, esp the BPD kids as they don't really need caffeine for a/b's
  17. To Filter or Not to Filter

    We don't filter IL...they are plugged into the line below the
  18. End of shift report

    Our kardexes are set up by systems...there is a column for each such as Resp. CV FEN Neuro ID Other. Pretty much each day something is put down under which ever system it belongs, such as under...
  19. Peritoneal Dialysis in Infants

    That sounds about like what we do...we have consulted with our dialysis team and that is pretty much the same set up we have. We don't do it very often, but when we do it about sends us over the top....
  20. shift question

    Okay...I find this to be a totally untrue statement. Where I work, and I am sure we aren't the only place, you get what is open, the same pay, etc...it doesn't matter if you are man or woman. If you...
  21. Is X-Ray Exposure ok?

    We wore the badges for a year and they barely registered anything. The amount of radiation used on neonates is low, but it can have an accumulative effect. As long as you are 6 feet away, you are...
  22. shift question

    Each place is different. Where I work, there is a list for days. Some girls will take a 3a-3p position to get on days, if you can call that shift days LOL. Some places are 50% rotation, you do 2...
  23. How do you warm your bottle - feeding?

    It's either room temp or with MBM we warm in a cup of water. You shouldn't be nuking MBM...it kills the protein and the antibodies, and you can over heat anything liquid in the microwave...it doesn't...
  24. MRSA/gowns and gloves

    Yes we all may have MRSA on us, but we aren't
  25. Breastfeeding moms who work on busy units

    At our hospital we have rooms for staff to use and pumps. They can talk to one of our lactation girls and they will get them the pump kits for the Medelas. In our unit we always make sure we help...