BittyBabyGrower

BittyBabyGrower MSN, RN

NICU, PICU, educator

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All Content by BittyBabyGrower

  1. fentanyl

    BittyBabyGrower replied to mawjood's topic in NICU, Neonatal

    Need more info. Also, if you are truly giving that much Fent. your kiddo is at high risk for chest

  2. Cleveland Area Nurses?

    BittyBabyGrower replied to ClevelandStudentNurs's topic in General Nursing

    The reason I suggested going thru your school is because if you go during a rotation, you can also get a little hands on with VS and feeding and holding stable kids in the NICU. I know that Case...

  3. Cleveland Area Nurses?

    BittyBabyGrower replied to ClevelandStudentNurs's topic in General Nursing

    You should talk to your student advisor or instuctors...they usually set up students shadowing us at work and it is part of their curriculum. For example, students in either peds or OB rotations will...

  4. Newborn nurses please help!

    BittyBabyGrower replied to sweetcheekers's topic in NICU, Neonatal

    We don't use TB needles anymore...they aren't long enough on the fat kiddos. We use the 27gauge 5/8ths. Hep B doesn't have to be given at birth...we wait until d/c to do it unless the kid is a...

  5. Preceptors looking for someone to interview.

    BittyBabyGrower replied to travel920's topic in NICU, Neonatal

    1. What do you like about being a preceptor? I like teaching and I like to pass on the latest updates in the literature. 2. What do they do that you like? They as in me or the student? I like an...

  6. nursing diagnoses!

    BittyBabyGrower replied to MIA-RN1's topic in Ob/Gyn

    We have gotten away from nursing diagnosis. Why can't you just write Hyperbili as your problem? We PIP note (problem, impression, plan). Our problems would be 1. Hyperbili 2. Parent teaching 3....

  7. #%@&$ Flu Shot!

    BittyBabyGrower replied to JaneyW's topic in Ob/Gyn

    It is not required in our NICU, but we do have to sign a waiver. I cannot have anything with Thimersol in it, I have a pretty bad reaction to it, even my TB test has to be preservative free. Our...

  8. Blood glucoses

    BittyBabyGrower replied to Mimi2RN's topic in NICU, Neonatal

    We do glucose upon admission, at one hour of life and then two hours. For kids on IV or TPN, we only check them when we initiate TPN or when we have a glucose percentage change. We do them with our...

  9. New grad in the nicu

    BittyBabyGrower replied to jas1274's topic in NICU, Neonatal

    You have to come up with a system that works for you. The previous poster is right, make lists. We have our new people write out every hour on a piece of paper for each patient and fill in what...

  10. Nothing Left....

    BittyBabyGrower replied to slu_rn's topic in NICU, Neonatal

    Us old hens know that you all need more experience and taking a primary locks you into the same assignment everyday and therefore you will miss out on many opportunities....cackle cackle. To the...

  11. Medication error causes 2 deaths in Indiana NICU

    BittyBabyGrower replied to MegNeoNurse's topic in NICU, Neonatal

    It sounds like they don't have individual doses. I thought that this was something that JCH was mandating...no vials on the floors. I know that we have NO floor stock except for narcotics and...

  12. Making most of preceptorship

    BittyBabyGrower replied to BlueEyedRN's topic in General Nursing

    I find that I go thru stuff really quickly also when I orient....it is just habit and don't even realize I am doing it! Years of experience tell me to just do this or that and I can eyeball something...

  13. Curious to hear NICU nurses perspective--23-wkr, NEC m

    BittyBabyGrower replied to wannabeL&D's topic in NICU, Neonatal

    Rest in peace little girl. I wonder what kind of media circus this will

  14. Medication error causes 2 deaths in Indiana NICU

    BittyBabyGrower replied to MegNeoNurse's topic in NICU, Neonatal

    We keep no meds in vials on our unit at all. All of our meds are made by the pharmacy on our floor. Several years ago we had a huge incident where the TPN tech forgot to reset the machine to NICU...

  15. Curious to hear NICU nurses perspective--23-wkr, NEC m

    BittyBabyGrower replied to wannabeL&D's topic in NICU, Neonatal

    jan, anymore it almost anything goes. If it looks like they can intubate it, they will. We occasionally get the 22wk kid that is almost 500g and it is awful. Docs are too afraid of getting sued....

  16. Curious to hear NICU nurses perspective--23-wkr, NEC m

    BittyBabyGrower replied to wannabeL&D's topic in NICU, Neonatal

    gompers, you're probably right about the IV fluids...we just leave them on TPN. I agree, prmnrs....it is hard not to be cynical....I hate situations like this. I was very bothered by how they are...

  17. Video cameras banned in L&D

    BittyBabyGrower replied to rph3664's topic in Ob/Gyn

    Vamedic, I see you work or have worked in a PICU....my question to you is this....would you let a parent videotape you recusitating their child in the PICU? It is my right to be in photos or...

  18. Curious to hear NICU nurses perspective--23-wkr, NEC m

    BittyBabyGrower replied to wannabeL&D's topic in NICU, Neonatal

    Oh man, that kid has it bad....I looked up the Ann Arbor News article and they mom said that they are feeding her "sugar and salt"....that tells me that this poor kid's liver is shot also from the...

  19. Curious to hear NICU nurses perspective--23-wkr, NEC m

    BittyBabyGrower replied to wannabeL&D's topic in NICU, Neonatal

    I read most of the blog....these parents have a lot of anger and this kid has had a rough road. For a major medical center to call an ethics committee, this kid must be bad. Also, I find it very...

  20. Video cameras banned in L&D

    BittyBabyGrower replied to rph3664's topic in Ob/Gyn

    No videotaping anywhere in our hospital period. L/D was years ago, now it is in the NICU also after a dad left a video recorder running on purpose and we found it. Legal confiscated the

  21. NICU nurse scrubs question...

    BittyBabyGrower replied to KTLou06's topic in NICU, Neonatal

    No cover gowns or lab coats here. We did away with those a lot of years ago. We wear our own

  22. Bedside Cards

    BittyBabyGrower replied to BabyNurse513's topic in NICU, Neonatal

    Gotcha...we have a program on our computers at work where we just punch in baby's weight and all the emergency meds and drips come up. We have our ET size and depth of suction on our flowsheets. We...

  23. Bedside Cards

    BittyBabyGrower replied to BabyNurse513's topic in NICU, Neonatal

    Do mean Kardex? Ours is very simple...on the top it has name, gest age, admission diagnosis, time/date of birth and admission, band number, security band number, parent's names. Then below that is a...

  24. Removing UAC's/UVC's

    BittyBabyGrower replied to Humbled_Nurse's topic in NICU, Neonatal

    We leave the fluids running until right before they pull it....less chance of a clot forming on the end and breaking

  25. Would this discourage you?

    BittyBabyGrower replied to jennifers's topic in Pre-Nursing Students

    I would re-take those classes. From a preceptor view...people who test out or are able to skip those classes are the hardest to precept. The accelerated programs are great in that they get you out...