BittyBabyGrower

BittyBabyGrower MSN, RN

NICU, PICU, educator

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All Content by BittyBabyGrower

  1. Week #3

    BittyBabyGrower replied to slu_rn's topic in NICU, Neonatal

    That is the type of assignment we give our people at that stage. They are stable and not too much going on. We have weekly guidelines we follow. She is still with her preceptor and this person...

  2. Travel Position At Tripler

    BittyBabyGrower replied to NICURN513's topic in NICU, Neonatal

    I have a friend that was on assignment there in NICU...she said that they get really interesting cases from all the South Pacific Islands, but after a while you get kind of nuts on the island. You...

  3. Discharge teaching

    BittyBabyGrower replied to Mithrah's topic in NICU, Neonatal

    We have a big check off list. It goes from the admission diagnosis, pain management, visitation right on thru to the last things to be taught. We have a program we use, Micromedex for most of our...

  4. Short gut babies

    BittyBabyGrower replied to LaNICUnurse's topic in NICU, Neonatal

    I hear you Gompers....we have several short gutters right now. The problem is that they usually need a gut and liver (I believe Pittsburg only does them together??) and the donors are far and...

  5. Parent turning down the FiO2 on ventilator

    BittyBabyGrower replied to wjf00's topic in NICU, Neonatal

    We had a dad that did that and after repeatedly telling him not to he continued and we had him banned from the unit until the kid was off the vent. I don't agree with what the dad is doing....for all...

  6. Pregnant and terrified NICU nurse here...

    BittyBabyGrower replied to Gompers's topic in NICU, Neonatal

    First congrats!!!! How exciting! Lots of hugs to you! Now, I have a good friend and co-worker that had a baby in our unit for over 6 months. She was a 26 weeker and had multiple heart and lung...

  7. New Dual Lumen PICCs

    BittyBabyGrower replied to SteveNNP's topic in NICU, Neonatal

    We have used them also...we love them, but the sometimes our infusion pumps don't due to the small lumens. Our NNP's love them, they haven't had any issues placing

  8. Abandoning babies at Hospitals LEGAL?!?!

    BittyBabyGrower replied to Antikigirl's topic in General Nursing

    Yes..keep it legal!!!! We are a safe haven place also...but we still get our share of garbage can kids They can also leave them at

  9. water or ns

    BittyBabyGrower replied to antona's topic in NICU, Neonatal

    We use air in NG/OG's and sterile water on ND's and GT's. If you are working in a cardiac unit, then the sodium in the NS may be a concern, esp if they are on multiple PO meds and bolus feeds. When...

  10. Broviac placed... in the leg?

    BittyBabyGrower replied to wee one rn's topic in NICU, Neonatal

    She didn't want a scar....ya know, sometimes you have to get your priorities straight. I'd be afraid it would dislodge if she gets really active and starts kicking and winds her toes up in it. Is...

  11. How is lab collection treated in your unit?

    BittyBabyGrower replied to LaNICUnurse's topic in NICU, Neonatal

    We do all our own labs. Most of our labs are 0.5mls (CBC/diff, BMP, BNP, med levels, X/type), some are 1 ml such as complete hepatic panel with basic met. panel, coags. Our ABG's are either done...

  12. Broviac placed... in the leg?

    BittyBabyGrower replied to wee one rn's topic in NICU, Neonatal

    I was going to say the same thing...are you sure it isn't a PICC line...we place those there many times. A broviac would be way too tight of a fit to get up that leg vessel. We use fems every so...

  13. ? for Labor/Delivery or Peds nurses

    BittyBabyGrower replied to loridoo's topic in General Nursing

    Some kids' nailbeds just do look like that. As long as the cap refill and pulses are fine, we don't worry about

  14. Refusing prenatal ultrasound

    BittyBabyGrower replied to 2curlygirls's topic in NICU, Neonatal

    Many people don't do it because if there is a problem, lethal or not, it wouldn't change what they would do with the pregnancy. Many people refuse quad screens for the same

  15. Mandatory Holidays????

    BittyBabyGrower replied to gwlillith's topic in General Nursing

    We have to work at least one summer holiday (we don't count Easter, that isn't a paid holiday) and one to two winter (we count the eves in as holiday days). We get a whole whopping $2 more an hour to...

  16. Oh boy I am freaking out (HepB vax)

    BittyBabyGrower replied to marilynmom's topic in General Nursing

    You can refuse the series where I work, but you also have to sign a waiver stating that if you contract Hep B on the job, you knew the risks and they aren't responsible for your

  17. Breastfeed or else

    BittyBabyGrower replied to babynurselsa's topic in General Nursing

    It is a personal choice, and it isn't mine to make for someone else. With the micropreemies, we do encourage the moms to at least pump the colostrum, but if they don't want to, we don't push....

  18. "YOU'RE my Nurse?!?!?"

    BittyBabyGrower replied to KayceeLeeRN's topic in General Nursing

    I know how it is! I am still thought to be really young even in my 40's! You will love your youthful look in 20 years, but right now I know how much of a pain the tush it is! When I got out of...

  19. Cath UA on a preemie

    BittyBabyGrower replied to htrn's topic in NICU, Neonatal

    We trialed those kits and like them...but $$$. I hate when budget constraints keep us from getting good

  20. gavage feeds and paci's

    BittyBabyGrower replied to elizabells's topic in NICU, Neonatal

    Yes, you were right...they should be doing it. And with parents that don't want a pacifer..we tell them why we are doing it, esp with a kid that is going to not nipple for a long time. Your feeding...

  21. "restraint" policies

    BittyBabyGrower replied to elizabells's topic in NICU, Neonatal

    With the armboards...our hospital doesn't say that is a restraint...we asked in our JCH meeting last year. We don't even have to do the module on restraint because it doesn't apply to us. As for...

  22. Sugesstions on how to anchor UVC/UAC lines

    BittyBabyGrower replied to VEVINA's topic in NICU, Neonatal

    Oh, I hate when people opsite ofver the belly button...ewwww! We anchor above it. Wow...I'd be nervous without sutures in those lines....we always suture ours and in 20years I have never seen one...

  23. Sugesstions on how to anchor UVC/UAC lines

    BittyBabyGrower replied to VEVINA's topic in NICU, Neonatal

    I know what you mean..when you have those tiny ones in 70% humidity, nothing sticks! We have had some success with steri strips. We will try to at least anchor them on one side....chevron around the...

  24. Cussing Co-Workers

    BittyBabyGrower replied to Furoffire's topic in General Nursing

    If you worked where I work, you'd be having just about everyone fired or written up. We have a few at work that are the same as you and they just say....You kiss your kid/husband, etc with that mouth...

  25. hydrocodone and pregnancy

    BittyBabyGrower replied to geekgolightly's topic in Ob/Gyn

    She needs to talk to her doc. Personally, I wouldn't take methadone when I was pregnant....those kids withdraw hard and it isn't