BittyBabyGrower

BittyBabyGrower MSN, RN

NICU, PICU, educator

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All Content by BittyBabyGrower

  1. Are nurses treated badly?

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

    Sometimes we have cultural problems with some of the docs from the Middle East who don't like to have a female question them. They eventually get over it after we get on them about it. We have a few...

  2. Anyone have any experience with allergy testing?

    BittyBabyGrower replied to mandana's topic in General Nursing

    One of my DD's had a reaction to strawberries also...her tongue swelled up! Talk about scared! I had visions having to trach my kid! They didnt' do any formal testing on her, the allergist told me...

  3. dopamine and the neonate

    BittyBabyGrower replied to mmary2763's topic in NICU, Neonatal

    And we just started using double lumen piccs! They are da bomb! Makes life sooo much

  4. Brady baby

    BittyBabyGrower replied to shearernurse's topic in NICU, Neonatal

    Gotta agree, but the nursery nurses where I work would have been with the OP. HR: fine BP: fine, PDA most likely open Pulseox: fine, anything over 89% in our unit is fine and this kid had cool...

  5. Irrigating NICU gavage tubes

    BittyBabyGrower replied to aecbegno's topic in NICU, Neonatal

    We don't either. Same as gompers. If it is a big chronic kid that gets tons of sticky meds or has thickener, we will flush the feeding tubes with 1-2 mls sterile water and count this as

  6. dopamine and the neonate

    BittyBabyGrower replied to mmary2763's topic in NICU, Neonatal

    You can run Dopa with TPN. We will put Dopa with the TPN if we have a double lumen line so that we can use the other line for pushes, etc. If we have a single lumen we will start an IIP for meds,...

  7. Cmv+

    BittyBabyGrower replied to ClassOf2004's topic in Ob/Gyn

    Where I work, it is a personal choice, we have had someone's primary come up positive and they choose to stay with the kid. Universal precautions are fine, esp since it is mainly shed in the urine....

  8. humidification during oxygen therapy

    BittyBabyGrower replied to Pipsqueak's topic in General Nursing

    We take our NC's down to 1/8L and we always, always use humidity on all our NCs. You should always use humidity with any NC so that the mucus membranes don't dry out. If there is a problem with...

  9. Failed Abortions

    BittyBabyGrower replied to Kalico's topic in NICU, Neonatal

    Many years back, when they did abortions up to 24 weeks, we would get the occasional one that was born alive and the mom had a change of heart. Sad. I have no idea what they do with them, and I...

  10. leaving with iv lock in

    BittyBabyGrower replied to ellencrn's topic in General Nursing

    I agree, how are they getting out? When someone goes in with d/c instructions how hard would it be to take it out? And why ask...liability wise I would think letting someone leave with one is asking...

  11. mistake in clinical and instructor freak out.

    BittyBabyGrower replied to LilPeanut's topic in General Nursing

    First Attendings don't walk on water. Second, where was your instructer and did you page her, even overhead page her. I don't get this new way of having students on the floor without supervision....

  12. Help!! 18 mo old with FTT and High Alk Phos

    BittyBabyGrower replied to birthnurse's topic in PICU, Pediatric

    A high alk phos can be a precurser rickets, esp if the kid is a FTT and isn't eating well. We start the kids on Calciferol. Kids that are one phenobarb and dilantin are also prone to having an...

  13. Don't Rough My Newborn Up!!!!!!!

    BittyBabyGrower replied to capribry's topic in Ob/Gyn

    We get that all the time....parents will kind of freak out when we turn the preemies from front to back while still on the vent, or how we burp them (okay, you do have to pat them a bit more then with...

  14. Three minute scrub?

    BittyBabyGrower replied to Mimi2RN's topic in NICU, Neonatal

    We don't do the 3 minute scrub anymore. Parents are required to wash their hands with medistat scrub when they enter the unit and if the leave and re-enter. They can use Purell if they touch...

  15. Working with the babies

    BittyBabyGrower replied to RN2NP's topic in NICU, Neonatal

    Hi! We have had several nurses transfer from SICU, MICU and BICU without a problem. You have your critical thinking skills in order and that is a big plus! You might get a bit of a shorter...

  16. How can this be legal?

    BittyBabyGrower replied to sweetcheekers's topic in General Nursing

    I would mention this to the bailiff. They may not want someone who has been up all night. Also, jury duty is usually until 5pm, so you can't work evenings (at least the jury I was on was until...

  17. Umbilical Artery Catheter Question

    BittyBabyGrower replied to Tiki_Torch's topic in NICU, Neonatal

    Usually the max for us is 7-10 days. But if a kid is really, really sick or very tiny, we will leave them in for as long as we can. Usually sepsis isn't a problem, but we are concerned over clots,...

  18. Think I've Done All I Can for This Person?

    BittyBabyGrower replied to Marie_LPN, RN's topic in General Nursing

    We always get at least one like that a year in NICU. They love the babies, hey great, but you have to be able to do everything else too, like think in a critical line. I always feel bad for those...

  19. Flu season still here?

    BittyBabyGrower replied to sharann's topic in General Nursing

    It is hot and heavy here....our peds floors are full of flu and RSV, our adult floors are full of flu people. Seems that the vaccine wasn't the right one this year...go

  20. Co-workers shoes/feet

    BittyBabyGrower replied to Marie_LPN, RN's topic in Scrubs, Uniforms, Gear

    I guess we are lucky where I work...we would just say to the person...Man, are those your shoes! Or throw some odor eaters on them

  21. RN vs. BSN

    BittyBabyGrower replied to amya215's topic in NICU, Neonatal

    Nope doesn't matter, you are an RN as long as you pass the

  22. infants apical pulse

    BittyBabyGrower replied to onduty23's topic in Ob/Gyn

    We do 6 seconds on our itsy bitsy ones that tol. nothing and then add a zero. In NBN we do one minute...it is easier to do the 15 sec in NICU because you can pick up things on the monitor. For resp,...

  23. Intraventricular Hemorrhage Management Protocols

    BittyBabyGrower replied to SteveNNP's topic in NICU, Neonatal

    Off the top of my head....we elevate the head of the bed, don't warm them up too quickly on admission (the vasodilation can lead to a bleed), keep their temp no higher than 36.5-36.8C, no direct heat...

  24. Humidity in Isolettes

    BittyBabyGrower replied to kitty29's topic in NICU, Neonatal

    Hi :) We use humidity on our kids under a kilo. We start out at 50-70%, depending on the size, the smaller the baby, the higher we go on the humidity. We usually leave them in the humidity for a...

  25. Quiet time in nicu

    BittyBabyGrower replied to danissa's topic in NICU, Neonatal

    We don't. We try to educate the parents on "alone time" for the babes...either by leaving them in the isolette, or kangaroo care without the visitors milling about. Sometimes I wish we did have an...