BittyBabyGrower

BittyBabyGrower MSN, RN

NICU, PICU, educator

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All Content by BittyBabyGrower

  1. How to treat umbilical cord?

    Nothing on them here
  2. Retrograde IV

    We did that years ago...it is when you inject in a higher port and let the fluids carry the meds. We don't do that now as many meds have to be given within a certain time
  3. 21 weeker going home!!!

    OMG....you're right! I forgot about the 2 week rule! There is really NO way a 21 weeker can survive! It makes much more sense that the kid is 23-24 weeks! Neonatologists love publicity....so why...
  4. 21 weeker going home!!!

    Gotta agree with you Steve. And most likely this kiddo will have multiple long term problems. We follow up kids for 3 years and the few 22 weekers we have had that were "normal" at discharge aren't...
  5. Mom on Antidepressants during pregnancy

    I know that with Zoloft, once you hit 100mg/day, it starts causing problems with the baby and can cause resp. depression at birth. No one should be on Paxil as this has the greatest withdrawl and can...
  6. NICU after Med Surg?

    You can do it, but it is a whole new world in NICU. Hop over to the NICU board...there are many threads about this. Actually, we find that sometimes people from med-surg have a bit of a hard time...
  7. Effectiveness of alcohol??

    Actually, we really limit the amount of betadine we use as with the preemies we don't really know how much they absorb. You are supposed to leave the betadine on when you stick and it was found that...
  8. precepting days--then shipped off to nights?

    We often precept on days because it is busier and there are more things to do and see, then we send them to their designated shift. Working nights for new people is good because it is quieter...
  9. The sun, it burns!!!

    We are a family of redheads...we use either the neutrogena or the coppertone sport
  10. Effectiveness of alcohol??

    cloroprep for IV and art sticks
  11. Poll: Does your unit use Bactroban for MRSA colonization?

    Since we had a big breakout since our last MRSA post we have really tightened up. Everyone does a 3 minute scrub....they still allow us to wear our wedding rings since we are all gloving. We have...
  12. Cath toes

    We make little "thongs" out of guaze on the smaller kids and use masks, without the metal, as bikinis for the older ones...we don't diaper them so that the belly button doesn't get covered up, but I...
  13. Resume

    We don't look at the GPAs on the resumes when we consider candidates. We really want to know if you passed your boards and then we will hire you based on your interview with a panel of nurses from...
  14. Night shifts hard with family

    I wouldn't be so fast to blame the manager....in my unit everything goes thru human resources and the managers really don't have a choice. And if I were waiting for a PT position or a day position...
  15. Can't mix drugs??

    We had to go to almost all commercially prepared bags at our hospital....the docs just had to get used to it and it is very rare that they are allowed to order something out of that stock. I'd ask if...
  16. looking for kardex to use in NICU

    We don't have a detailed report sheet...we do bedside report so we aren't having to write everything out. Our charge nurse has a report sheet that is general such as vent/02 settings,...
  17. Don't give oxygen?

    I don't think it is apples and oranges....like I said, the resident, and a new one at that, was making a presumptive diagnosis without confirming it. I think we have all seen kids that continue to...
  18. Don't give oxygen?

    Yep, there are some disorders that don't need the oxygen, but you don't know WHAT is wrong with that kid, so prudently, give the O2 until you get the kid where it can be handled efficently. If...
  19. looking for kardex to use in NICU

    Ours is very simple. It is landscape form and the top has baby's name, parent's names, date/time of birth, band number, person with the fourth band, admitting diagnosis, weight, dry weight, and where...
  20. Always work same schedule...Then changes no warning!

    Same here....never count on anything...as soon as you do it changes. If you really needed those days off you should have made sure you put it in writing for the scheduler. Hope you can get it...
  21. TPN thru a peripheral line?

    We run TPN thru peripherals all the time.....nothing higher than 12.5 though. There are many meds that are compatible with TPN....sometimes we have no choice in the NICU. Sure, I'd love to have a...
  22. As PRMENRS always says....

    No kidding....we just sent one out for ecmo....he is one sick puppy! Came back from NBN with GFR and went down the tubes pretty dang fast! He was horrid even on the nitric! He is on ecmo...
  23. No More Heelsticks?

    I'm not getting it either and I can't find any info on it. What were the ABG results...were they venous or
  24. What do I tell her?

    Sorry, that was totally irresponsible and foolish. Is this girl going to walk out everytime she comes up against something that ticks her off instead of opening her mouth as she should have? My...
  25. SIMV vs. PSV

    In pressure support, the patient triggers the ventilator and a pressure-limited breath is delivered: the patient determines the rate, the duration of inspiration and the tidal volume. We can determine...