BittyBabyGrower

BittyBabyGrower MSN, RN

NICU, PICU, educator

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All Content by BittyBabyGrower

  1. MRSA/gowns and gloves

    When we have an outbreak, we wear gowns and gloves for all contact. When we had a REALLY big breakout, even the clean kids were subjected to the same treatment. Clean and dirty are never mixed. All...
  2. Too many attempts at a spinal tap?

    I work in a NICU in a large teaching hospital. In our unit, if a resident ever stuck a kid more than 2x for an LP and didn't call the fellow or attending, their ass would be chewed off. And we...
  3. Help--transpyloric feeding in NICU

    We do duodenal or jejunal feeds on kids that have had problems...our tubes are put down under fluoroscopy with a weighted tube. We tape them to the face and then farther up the head or down the back...
  4. Patent Foramen Ovale

    Maybe he was a residual TTN or just slow to get going....we get those big kids that need 02 for a bit...we always joke that they are too fat to breathe LOL. Was his hct
  5. Slightly OT: Lasik

    Have to agree..best$3200 I ever paid! I had my done at cleveland clinic and I still have 20/15 vision 18 months later! I can live with using reading glasses at some point....just being able to see...
  6. Huron School of Nursing?

    Only a year wait at LCCC?? Last I heard it was a 2-3 year wait for clinicals, I know that some people misunderstood and it was eligible in one year. Better make
  7. Patent Foramen Ovale

    usually pfo is asymptomatic unless coupled with a pda. many people walking around right now have pfo's and don't know it until they throw a clot. sounds like the kid had something else, esp if they...
  8. Camp Nickname for GS Nurse (silly)

    Ours at the last camp were Cricket and Shorty LOL How about Flo
  9. Use of Chloraprep

    We too use chloraprep for just about everything....we wipe off with sterile water preps after the procedure on the little ones. Sign up for Medscape and search on there for articles...that is where...
  10. How do YOU feel about scalp IVs?

    On big kids, the first place I go! And for a kid on prostaglandins without central access...it is a must! We tell parents right up front that we use scalp veins frequently. Why stick a kid 10 times...
  11. Have you had a baby at your hospital??

    I had my DD where I work and I didn't have a problem with it. I knew if my doc couldn't make it, then the midwife would deliver me, and I knew the staff on L/D, NICU and postpartum. I was pampered a...
  12. Would you consider a home birth?

    Also in those underdeveloped countries, I am sure that they don't have accurate birth records, so their rates are probably higher than ours, but without the records, it looks
  13. RN in one year wants to work at CCF.... Many questions!

    That is the average starting pay for the Cleveland area. Housing costs depend on the area you are looking
  14. May I ask my STUPID questions here?

    We have run D5 thru art lines (perp and UA) if the kid has sodiums thru the roof. Perp AL...we don't run anything thru except hep solution. A UAC we will use for meds, etc. No vasopressors. I can...
  15. pain management in NICU

    Chloral is on the wayward side now. It takes too long to take effect most of the time. We were using for procedures and we weren't getting good effect from it. It has anunpredictable onset, long...
  16. Cup Feeding Strikes Again!

    Your baby was probably in NICU because of the fluids...our normal nursery refuses to take kids with an IV and frequent
  17. What do you think?

    Nope. We always give 12 weeks to new people without NICU experience. 6-8 weeks for the ones with experience. I'd ask if this is what they give everyone, and tell them that you aren't comfortable...
  18. Verbal orders vs Telephone orders

    No verbal orders unless it is in an emergency, we rarely have TO as we have residents around all the
  19. Question about your rooms..

    On L/D, do you have a separate room to take those really bad kids so that the parents aren't subjected to what is going on over at the warmer? We are redesigning our L/D in the next year and are...
  20. Question about your rooms..

    Thanks :) They want to put a few rooms in with an attached alcove....we have had some horrible things lately (lots of 23 weekers dying) and with the family screaming, we can't hear each other and we...
  21. pain management in NICU

    We use Morphine or Fentanyl drips on our vented kids with an order for PRN ativan or versed for breakthru agitation. We don't like to bolus with Fentanyl because of the risk of chest rigidity if...
  22. CCRN vs RNC

    RNC is better recognized for neonatal population. You have to earn 45 per year for the RNC. About 1/2 of our unit is
  23. Primary Centered Nursing

    We are the same as Gompers, and no one ditches their primaries after the acute phase is over. They will take a break from their kid every now and again, but no one drops them. We get the people who...
  24. Pressors and Arterial Lines

    We like to have an arterial line, but sometimes we can't get one on the kid, so we use cuff pressures. Sometimes you have to make due with what you
  25. Question about your rooms..

    ......