BittyBabyGrower

BittyBabyGrower MSN, RN

NICU, PICU, educator

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All Content by BittyBabyGrower

  1. Can students be helpful, or are they just in the way?

    BittyBabyGrower replied to Megsd's topic in General Nursing

    Sounds like the day just started pretty badly! When I start a shift like that, and I have students with me, I tell them right out point blank...I need about an hour to figure all this out, then we'll...

  2. Are RRT's NRP certified?

    BittyBabyGrower replied to DST2RN's topic in NICU, Neonatal

    Most of our RT's had the training at the hospital, so I think it depends on the program. Our's don't get paid differently, they rotate in and out of peds and

  3. infectious outbreaks in the nicu....

    BittyBabyGrower replied to 4thebabes's topic in NICU, Neonatal

    We've just had a few kids with a wierd strain of serratia, which is a waterbug....we know are changing our vent water reserviors every 3 days and ambu bags also. They cultured one of the vents and it...

  4. 4th degree Laceration..ouch!

    BittyBabyGrower replied to nurse79's topic in Ob/Gyn

    I experienced on first hand...one of my kids was stuck by her cord and was deceling to beat the band...I had 2 epis so they could try to get to the cord and then basically she was yanked out.....I had...

  5. Help, please! Need fast responses on Infection Control

    BittyBabyGrower replied to Mags4711's topic in NICU, Neonatal

    1) Do you have your parents scrub up and gown before coming in and visting their baby/babies? - 3 min chlorhexidine scrub, no cover gown unless parent is dirty. 2) Can you wear your wedding rings? Can...

  6. Can someone offer an ante nurse some insight?

    BittyBabyGrower replied to KellNY's topic in NICU, Neonatal

    Where I work only the fellows go and speak to the moms...this is an offical consult that has documentation. They also get permits signed for various things at that time if the parents want everything...

  7. Are RRT's NRP certified?

    BittyBabyGrower replied to DST2RN's topic in NICU, Neonatal

    Ours are certified in both

  8. Neonatal Methadone withdrawal

    BittyBabyGrower replied to htrn's topic in NICU, Neonatal

    Dawn is right. Moms that are on methadone aren't supposed to BF....esp if they are on high levels. We start them on morphine and wean according to scores, you can't just give it randomly. In a...

  9. How do they handle low census where you work?

    BittyBabyGrower replied to SCRN1's topic in General Nursing

    When we have low census: 1. OT and ET for the day is canceled. 2. If needed we float to nurseries, the PRN is first to float. 3. If no floats or we still have extras after floating then we go by...

  10. million dollar babies

    BittyBabyGrower replied to RNin2007's topic in NICU, Neonatal

    I know the hospital I work at will turn you in to a collection agency....they have turned us in for co-pays that we refuse to pay because we paid them already! It is out of hand. My friend, who had...

  11. Tips for Clinical Observation in NICU

    BittyBabyGrower replied to kimsnothome's topic in NICU, Neonatal

    Is this just strictly observation or are you hands on? We get both, the obs ones usually have things they have to observe and need to know. What gets us is when they have certain things that they...

  12. Tell me about NRP certification

    BittyBabyGrower replied to Clarise's topic in Ob/Gyn

    In reality, taking the NRP course before you start work is putting the cart before the horse. There are things that you have to have hands on to understand and do during the practicum/mock codes....

  13. Question about car seat policy

    BittyBabyGrower replied to *Bethany*'s topic in Ob/Gyn

    We have the parents bring in the corificeat and we have THEM put the baby in and adjust the straps. We tell them the law, but we cannot hold up a discharge if the parents do not bring in a...

  14. Leaving written report at shift change?

    BittyBabyGrower replied to uptoRNin04's topic in General Nursing

    We will write a report if someone is going to be late and then report to the charge nurse and go over what is on the sheet and if anyone needs something in the

  15. Question, med admin times?

    BittyBabyGrower replied to WickedRedRN's topic in General Nursing

    It depends on your hospital policy. Where I work, if it isn't given within 30minutes for an IV med or within 1 hours for an oral, that is a med error and has to be documented as such and retimed...

  16. auscultating on HFOV

    BittyBabyGrower replied to pooperscooperrn0624's topic in NICU, Neonatal

    We rarely, if ever stop it to listen. We just put an * and unable to assess due to high frequency/oscillatory ventilation. This is includes heart sounds, bowel sounds (which you really need about...

  17. Cup Feeding Strikes Again!

    BittyBabyGrower replied to TiffyRN's topic in NICU, Neonatal

    We use colostrum for priming feeds. We make sure the mom puts the first few days in a separate container so we know which to use first. It helps to get flora growing and mec moving. If we have a...

  18. Cup Feeding Strikes Again!

    BittyBabyGrower replied to TiffyRN's topic in NICU, Neonatal

    navynurse...I'm sorry you had such a bad time, and yes, we have done syringe feedings, but I wouldn't just assume that none of us have or know other ways to feed kids. If your baby wasn't feeding...

  19. Gastric residuals- refeed vs. chuck and RATIONALES?

    BittyBabyGrower replied to NICU_Nurse's topic in NICU, Neonatal

    I think there was a thread on this a while ago....ours is the attendings preference. Some feed through everything if the kid is otherwise asymptomatic, some will say anything over 50% pitch and start...

  20. Post mortem photos and ethical issues.

    BittyBabyGrower replied to kcangel's topic in NICU, Neonatal

    We do the pictures, but we have a bereavement counselor or hospice nurse that calls and talks to the family and brings up the fact that we have pictures if they would like them, we never just send...

  21. NICU sucrose policy

    BittyBabyGrower replied to RNinNB's topic in NICU, Neonatal

    We dont' have policy per se, but it is addressed in our pain management

  22. A few questions, pneumothorax and UAC's.

    BittyBabyGrower replied to Obnurseamber06's topic in NICU, Neonatal

    Yes, a baby can have a small pneumothorax and be asymptomatic, but most will have some tachypnea and lower sats. Invasive lines: UACs are put in if you need to monitor BP's, we don't routinely put...

  23. Newborn Pain Assessment

    BittyBabyGrower replied to darynash's topic in Ob/Gyn

    All kids get a pain score at least once a shift, more frequently if procedures are being

  24. Cup Feeding Strikes Again!

    BittyBabyGrower replied to TiffyRN's topic in NICU, Neonatal

    We do not cup feed in our nursery or in the NICU....it's either bottle or gavage. Fingerfeeding...you really arent' supposed to squirt it in, the theory behind that is that the baby should suck hard...

  25. Ho, ho, ho...

    BittyBabyGrower replied to prmenrs's topic in NICU, Neonatal

    We have girlscouts that made blankets and cards and donated them, a family donated lots of bouncers and DVD players! We made plaster footprints as ornaments for the families and had cute books and...