BittyBabyGrower

BittyBabyGrower MSN, RN

NICU, PICU, educator

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All Content by BittyBabyGrower

  1. VIA Blood Gas Analyzer

    BittyBabyGrower replied to NICU Mama's topic in NICU, Neonatal

    We use VIA and we have seen a trend in some of the kids having microthrombi, but no one has quite put two and two together yet. I think that it is because it doesn't clear the line completely. It is...

  2. Bedside/Face-to-Face Shift Report

    BittyBabyGrower replied to Northwest_RN_4's topic in General Nursing

    In our hospital, all visitors have to go off the unit for 30 minutes when we give report, even the ICU's unless the patient is very, very critical. On the adult floors, they do report just outside...

  3. Why use Buretrols?

    BittyBabyGrower replied to Rxlover's topic in NICU, Neonatal

    Is this a problem where you work? Like I said, we quit using them 15 years ago and we have not had any problems. If people in your unit are screwing up and they feel they need to use buretrols then...

  4. HIPPA Question

    BittyBabyGrower replied to -Emma-'s topic in General Nursing

    We have to have a name of someone from another hospital or department that will be calling for info. HIPPA is a pain in the rump

  5. Preceptors-What's the real deal?

    BittyBabyGrower replied to zahryia's topic in General Nursing

    We don't have to have a BSN, we have to apply for the positions and be interviewed by education and training. We have to have at least 3 years experience and soon having our RNC (at least in our...

  6. NICU certification

    BittyBabyGrower replied to NiteRocker's topic in NICU, Neonatal

    Each test is different each time....one was a lot of genetics (the group before me) and then mine was almost all renal and fluid and electrolytes. Great job

  7. Why use Buretrols?

    BittyBabyGrower replied to Rxlover's topic in NICU, Neonatal

    We haven't had buretrols in about 15 years. We double check all IV solution rates with another RN, so we have had no

  8. Magnet status?

    BittyBabyGrower replied to colleennurse's topic in General Nursing

    Harely isn't that the truth :rofl I'm at a magnet and truthfuly, only a few good things came out of it, such as no mandation and more HB days and book reinbursement, but it didn't do squat for our...

  9. Co-worker hitting up the Dr.s for meds during shift?

    BittyBabyGrower replied to babiesX2's topic in General Nursing

    Most of our docs won't write scripts for us anymore. They were told they couldn't. Once in a while we hit them up for a refill until we can get to the docs office for stuff like allergy meds, but...

  10. NICU to PICU

    BittyBabyGrower replied to NiteRocker's topic in NICU, Neonatal

    I moonlight in PICU when they are short. I had a quick orientation and then took PALS. They usually gave me smaller kids as I was a NICU nurse, but I learned alot about some of the traumas and such....

  11. Vitamin K???

    BittyBabyGrower replied to Krista77's topic in NICU, Neonatal

    Our code team does it before the baby gets to us, that way it isn't missed. Has anyone gone to IV vit K for the ELBW kids? We have had 2 kids with necrosis in the thigh due to the Vit K, both these...

  12. Co-bedding

    BittyBabyGrower replied to nurse_snoopy's topic in NICU, Neonatal

    We cobed as soon as they can :) It is kind of fun to sit and watch because sometimes, when they are sleeping head to head their heartrates and resps will match :) We have never had a problem with...

  13. Red Headed = increased bleeding risk?

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

    Redhead here too...yeah, I bled a bit more after delivery, I bruise easy and I bleed easily. I was worked up for clotting issues and they were fine, and the heme doc told me that redheads do bleed...

  14. Paid Maternity Leave? FMLA?

    BittyBabyGrower replied to rn_happy's topic in Ob/Gyn

    If you qualify, FMLA allows you 12 weeks of leave to care for a newborn/family member per rolling year. It is paid if you use your sick and vacation time, otherwise it is not

  15. dishonest residents.. what can be done?

    BittyBabyGrower replied to jo272wv's topic in General Nursing

    We page 3 times, then we overhead them (the operators keep a log of who they page). If still no answer we then find out who the chief is and page them and so on up the ladder. We also have to inform...

  16. To get organized..with all this new info!

    BittyBabyGrower replied to lccougar02's topic in NICU, Neonatal

    We give our orienters a packet with the most common P/P's in it. If your unit doesn't do this, copy them and put them in a three ring binder to keep with you. We also have what we call our Black...

  17. pregnant NICU nurses question?

    BittyBabyGrower replied to rn_happy's topic in NICU, Neonatal

    Our attendings and the head of respiratory feel that there is a risk that the nitric could bind with the fetuses hgb. Most nitrics are closed systems, but sometimes there is a leak or the bag gets...

  18. pregnant NICU nurses question?

    BittyBabyGrower replied to rn_happy's topic in NICU, Neonatal

    Have to agree....NICU is probably one of the safer nursing areas to be PG in :) On our unit pregnant nurses aren't assigned CMV, MRSA or other TORCH kids along with the nitric kids. As for...

  19. Bedside/Face-to-Face Shift Report

    BittyBabyGrower replied to Northwest_RN_4's topic in General Nursing

    We do it where I work on all the floors. It is very nice because you can say, okay, this is soandso, this is what the IV looked like, this is what the wound looked like, these are the fluids...

  20. Subspecialty level NICU?

    BittyBabyGrower replied to ParrotHeadRN's topic in NICU, Neonatal

    NICU is numbered backwards from the trauma centers with III/IV being the highest intensity. I have never heard of a subspecialty unit though. Each hospital is different in what they want degree...

  21. Does your Nicu allow holding with UAC

    BittyBabyGrower replied to shadow2k6's topic in NICU, Neonatal

    Radial art lines...as long as the baby is stable and has stable BP's yes and not on vasopressors...yes. Umbilical lines...no, unless the baby is dying. I know that sounds awful, but we had two...

  22. NICU certification

    BittyBabyGrower replied to NiteRocker's topic in NICU, Neonatal

    A lot of places DON'T pay for the test, even if you pass. We just started this where I work as we are now a Magnet hospital. Doesn't get me anymore money, just my name on a plaque on the wall. I've...

  23. 25 weeker w/ Epidermolysis bullosa...

    BittyBabyGrower replied to Sweeper933's topic in NICU, Neonatal

    I've taken care of 2 of these kids in my 20 some years We used strict sterile technique for everything on these kids. We found that they grew fungus on their skin very easily also, most likely...

  24. RN hospital health benefits

    BittyBabyGrower replied to lee1's topic in General Nursing

    Wow....we are $90/month for family, a $25 copay for office visits, $50 for ER visits, we get very, very discounted meds at our hospital pharmacy with our plan (usually $20-50 per script, depends on...

  25. Who does the patient assignments on your unit?

    BittyBabyGrower replied to SkateBetty's topic in General Nursing

    I agree with everyone else...this is trouble waiting to happen. The secretary is NOT a medical/nursing person and it is obvious that she isn't by saying she is giving MRSA and non-MRSA's together....