BittyBabyGrower replied to Band_Aid_Girl's topic in NICU, Neonatal
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
BittyBabyGrower replied to 2curlygirls's topic in NICU, Neonatal
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...
BittyBabyGrower replied to 2curlygirls's topic in NICU, Neonatal
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...
BittyBabyGrower replied to nurseyr1's topic in Ob/Gyn
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...
BittyBabyGrower replied to NurseLatteDNP's topic in General Nursing
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...
BittyBabyGrower replied to Lady_in_red's topic in General Nursing
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...
BittyBabyGrower replied to jamonit's topic in PICU, Pediatric
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...
BittyBabyGrower replied to Gompers's topic in NICU, Neonatal
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...
BittyBabyGrower replied to ncbeachgrl's topic in NICU, Neonatal
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...
BittyBabyGrower replied to ebannaw's topic in General Nursing
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...
BittyBabyGrower replied to RN_Amanda's topic in NICU, Neonatal
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...
BittyBabyGrower replied to shortstuff31117's topic in Ob/Gyn
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...
BittyBabyGrower replied to missapoo's topic in NICU, Neonatal
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,...
BittyBabyGrower replied to LNDRN19's topic in NICU, Neonatal
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...
BittyBabyGrower replied to LNDRN19's topic in NICU, Neonatal
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...
BittyBabyGrower replied to missapoo's topic in NICU, Neonatal
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...
BittyBabyGrower replied to crb613's topic in General Nursing
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...
BittyBabyGrower replied to ripcurl1's topic in General Nursing
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...
BittyBabyGrower replied to dawngloves's topic in NICU, Neonatal
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...
BittyBabyGrower replied to HisHands's topic in General Nursing
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...
BittyBabyGrower replied to Scoobiedoo's topic in General Nursing
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...