BittyBabyGrower

BittyBabyGrower MSN, RN

NICU, PICU, educator

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All Content by BittyBabyGrower

  1. Noise in the NICU... title help

    BittyBabyGrower replied to NeoNurseTX's topic in NICU, Neonatal

    Quiet...it does a baby good! We have a handwashing thing going on that says " Stop, in the name of love! Our lives depend on your clean hands" It has upped our

  2. Aquaphor burning skin??

    BittyBabyGrower replied to BeckyNICURN's topic in NICU, Neonatal

    We go round and round about the aquafor thing. If it is name brand Aquafor,then it is safe for under the lights, but some of our neos think that it increased the risk of fungus when paired with high...

  3. Are you paid for orienting someone?

    BittyBabyGrower replied to starbin's topic in General Nursing

    We have to be interviewed and accepted into a position where I work. Not everyone is cut out to be a preceptor. We get a dollar an hour more. I think it is part of the magnet thing. We have one...

  4. Feedings while on Indocin???

    BittyBabyGrower replied to nursechick182's topic in NICU, Neonatal

    We have had a few kids perf with Indocin therapy, but we are now using ibuprofin, so we will cont priming

  5. wearing gloves when feeding neonates

    BittyBabyGrower replied to chuddy's topic in NICU, Neonatal

    Depends on the kid as to whether or not I wear gloves for handling and feeding, if they have had some bug, glove

  6. Back to Sleep

    BittyBabyGrower replied to TiffyRN's topic in NICU, Neonatal

    When they are nippling all feeds and in a bassinet we will swaddle them, but the blanket ends under the armpit, not up around the neck. We put them all on their backs to sleep then, esp for their...

  7. Med Error Question

    BittyBabyGrower replied to cnolan's topic in Patient Medications

    Wow..that is over the top. All that is going to do is make people NOT report their

  8. Sibling visitors in the NICU

    BittyBabyGrower replied to CRDBear's topic in NICU, Neonatal

    I hate when parents bring in a sibling and then ignore them. Ugh. We have set a 30 minute rule into effect because of this. Most kids can't stand it more than that, but there are the exceptions :)...

  9. Central Line Flush Protocols

    BittyBabyGrower replied to sandromeda's topic in NICU, Neonatal

    Steve....how do all your meds come in 3 ml syringes, does your pharmacy dilute them more? We are trying to get our pharmacy to do something

  10. Central Line Flush Protocols

    BittyBabyGrower replied to sandromeda's topic in NICU, Neonatal

    If you refer to the manufacters booklets that come with the PICC's and CVL's, it has it written right there. We use 10ml syringes for flush. The only problem we have is that so many of our meds are...

  11. Neonatal Careers

    BittyBabyGrower replied to futurennp's topic in NICU, Neonatal

    You would have to call and ask the hospitals. Not all hospitals offer follow up with preemie clinics, they just have them go to the regular peds. We are one of the only in our area that follows kids...

  12. Cobedding twins and multiples in NNUs

    BittyBabyGrower replied to wensday's topic in NICU, Neonatal

    Actually, the Academy of Peds put out a statement in the last 6months that they no longer are advocating co-bedding in the hospital. We no longer allow this practice...most parents will mimic what...

  13. open visitation in the icu?

    BittyBabyGrower replied to misscece's topic in General Nursing

    I'm in a NICU also and we have open visitation, but the visitors have to be with a parent, 3 at the bedside at one time (one being the parent). We have visitation hours from 11a-3p 4p-7p 730p-10p....

  14. TPN with insulin

    BittyBabyGrower replied to gtmoore's topic in General Nursing

    We don't have TPN double checked, only our IL. When hanging insulin it has to have 2 RN's signatures on the

  15. Cleveland Clinic

    BittyBabyGrower replied to tatarn2b2007's topic in Ohio Nursing

    I believe UH has straight eves and night shifts. My friend works over at Metro and they do on some of the floors. There ICU's are rotating though. Day shifts aren't easy to walk into, you have to...

  16. Neonatal Careers

    BittyBabyGrower replied to futurennp's topic in NICU, Neonatal

    Our NICU has a preemie followup clinic that follows our grads for 3 years after they go home. We also go to the county health department to run the preemie clinic there. Our NNP's that work there...

  17. need to vent...and advice

    BittyBabyGrower replied to crissrn27's topic in NICU, Neonatal

    I think, first, you guys need to sit down with your legal people. If you don't have a policy/procedure for transporting infants, that nurse could be held liable for anything that could have happened...

  18. How Do You Welcome Families?

    BittyBabyGrower replied to twinkletoes53's topic in NICU, Neonatal

    We have a folder we give them upon admission that goes over a lot about our unit. We are in the process of changing our visitation right now. We let parents hold stable intubated kids...no UA/UV's....

  19. Screw it, I'm taking the GRE......

    BittyBabyGrower replied to SteveNNP's topic in NICU, Neonatal

    Very cool Steve!!!!

  20. oral vs. nasal intubation

    BittyBabyGrower replied to preemieRNkate's topic in NICU, Neonatal

    I hate nasal intubation, but we do use it on some of the bigger kids that extubate all the time due to oral

  21. "Too unstable for transport"..........WHAT?!?!?

    BittyBabyGrower replied to TazziRN's topic in General Nursing

    Honestly, you have to give the Lifeflight people a bit of slack, they know what they can and can't do in that chopper and as one that has flown, let me tell you, if you can wait out something like the...

  22. Incident Report Documentation

    BittyBabyGrower replied to khagerman's topic in General Nursing

    No, never mention it! That is a big red flag to a lawyer that may look at the chart! The incident report is to cover your butt...we had a page of nurses notes disappear/get lost with a really bad...

  23. Overwhelmed!

    BittyBabyGrower replied to travel920's topic in NICU, Neonatal

    Actually, you need to say something to the manager and education and training person, and your clinical nurse specialist. That is so wrong how they are orienting you. In our unit we never take an...

  24. Anyone else slow?

    BittyBabyGrower replied to Humbled_Nurse's topic in NICU, Neonatal

    We have a big census and a bigger acuity! I don't know what it is in the past month or so, but all our vents are terrible kids! We are having a run on gut problems too! We were almost at max...

  25. In line suction on the ET

    BittyBabyGrower replied to sofiam's topic in NICU, Neonatal

    This is a standard of care for us....all kids get inline. We have reduced our VAP by about 60% in the last year by using