BittyBabyGrower

BittyBabyGrower MSN, RN

NICU, PICU, educator

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All Content by BittyBabyGrower

  1. Tape on VLBW infants

    BittyBabyGrower replied to cajrio's topic in NICU, Neonatal

    We love them too, but we only get them as a "treat" because they are expensive. Huh, I am sick of that excuse for everything...then make it a charge

  2. Securing/Dressing Umbilical Lines

    BittyBabyGrower replied to SteveNNP's topic in NICU, Neonatal

    We use both methods...depends on the kid. I don't think that there is anymore sepsis from the umbilicus being exposed...if you cover it up it gets all yucky and gross and I am sure it will breed some...

  3. NICU flight nursing

    BittyBabyGrower replied to sunnysideup09's topic in NICU, Neonatal

    We fly with a NICU nurse, resp therapist, fellow and flight nurse. We go and stabilize, put in lines if needed, start IVF, usually just D10 for the flight, if bloods haven't been drawn we will send...

  4. ok to use names in charting?

    BittyBabyGrower replied to liswbbrn's topic in General Nursing

    Our legal department has advised us to document proper names, better yet, if someone does something for you then they document it themselves. Their point being, if so and so puts in an IV and it is...

  5. Should nurse practioners be allowed to write prescriptions?

    BittyBabyGrower replied to stephcollier's topic in General Nursing

    Our NP's can...they have a list from the state of things they can write for, some things they cannot, like

  6. Rita's coming-my hospital won't close!!

    BittyBabyGrower replied to RN34TX's topic in General Nursing

    How many upper management are there...all the supervisors, etc? I bet not....I say get the Hell outta Dodge! Grannynurse....If there isn't even EMS, etc...I guess you don't have to worry about them...

  7. Non-viable baby, born alive -parent won't hold him, what do you do?

    BittyBabyGrower replied to enfermeraSG's topic in Ob/Gyn

    Our L/D nurses will keep the baby over there and hold it. We don't bring them to the NICU at all if they are deemed not viable. I've seen some kids live that long, but it is an occassional gasp, HR...

  8. 12N Sleeping During Break

    BittyBabyGrower replied to MEDRQST's topic in Patient Safety Issues

    If she is on her lunch and she wants to sleep, pick her nose, talk on the phone, eat, smoke, who cares, it is her time. Where I work many people will take a quick 30 minute nap in the breakroom....we...

  9. weight gain after the pill

    BittyBabyGrower replied to JessLpn14's topic in Ob/Gyn

    I hear you....I lost weight on the pill, but when went off it I gained weight. I think I lost because my hormones were in check, now being in perimenopause, it isn't pretty

  10. I have a question or two?

    BittyBabyGrower replied to FarmerGirl's topic in NICU, Neonatal

    Most NICU's take new grads...where I work we find it easier to orient a new grad than someone that has worked somewhere else. :wink2: Look into the nursing programs around you, pick which one...

  11. My baby got lipid burns

    BittyBabyGrower replied to wensday's topic in NICU, Neonatal

    We inject NS SQ around the infiltrate....helps dilute out the infusion solution. We also use Regitine on our vasopressor infiltrates. I wouldn't put down your NM for the memos...we have to write...

  12. Dress code

    BittyBabyGrower replied to NeuroNP's topic in NICU, Neonatal

    We wear uniforms from home, the residents/docs wear scrubs or clothes from home. Parents don't gown anymore. We can wear our wedding band and a watch and one bracelet. No fake nails...they have...

  13. Pearls for Transporting High Risk OB

    BittyBabyGrower replied to Rio's topic in Ob/Gyn

    I can say in the almost 20 years I have been where I am, we have never had a high risk mom deliver enroute that was being transferred from another facility. If mom is going to deliver, she stays put,...

  14. X-ray and CMV exposure in NICU during pregnancy?

    BittyBabyGrower replied to CapeMaui's topic in NICU, Neonatal

    Just make sure you tell the tech that there is a preggie in the room...ours are very good though. And don't worry about nights being bad for getting PG...when I was pregnant, me and my friends all...

  15. Received an "F" for a "B"!

    BittyBabyGrower replied to Anjann's topic in General Nursing

    Sorry, I have to agree....most schools around here are 100% or fail. Even most of the hospitals in this area require a 100% passage on yearly med tests...if you fail you get 2 more times to pass, if...

  16. Pneumogram guidlines.

    BittyBabyGrower replied to dawngloves's topic in NICU, Neonatal

    We have a tech that does all that now...thank goodness! We only do the probe if there aren't responding to the reflux meds. When we have a probe in we just feed as normal. When the baby is on the...

  17. What things are permissable to infuse per UAC's?

    BittyBabyGrower replied to Amandamarie's topic in NICU, Neonatal

    With a written order we can infuse just about everything but vasopressors thru our UAC...sometimes that is the only access we

  18. Protocols for nitric oxide (NO) inhalation

    BittyBabyGrower replied to RoadRunner's topic in MICU, SICU

    We don't isolate the patients, but we don't allow pregnant women to take them either, or be in the room. Sometimes the bag can accidently get left on after we have to bag someone and then it is free...

  19. What do patients say that irks you?

    BittyBabyGrower replied to NurseforPreggers's topic in Ob/Gyn

    I can NOT tell you how many times I have heard this one from dads of little preemies..some like 22 weeks... "When you gonna have him circumcised" Yeah, tomorrow dude....when I get Tom Thumb in here...

  20. Vicodin or Surgery??

    BittyBabyGrower replied to breezy5's topic in General Nursing

    Is she going to a little suburban hospital? Sounds like she needs to go to a bigger place....like a teaching hospital, preferably one with a level 3 NICU....at least there they could do the surgery...

  21. Microbore tubing for transfusions??

    BittyBabyGrower replied to northwoods's topic in NICU, Neonatal

    We use the 1ml microtubing and have never had a problem. We used to use the anethesia set, but the blood bank said there was too much blood wasted. Years ago we pushed blood thru a 26 guage and the...

  22. Peds med/surg first?

    BittyBabyGrower replied to SarasotaRN2b's topic in NICU, Neonatal

    Lisa...I am glad that you found your year on the floor helpful, but as a person that has oriented both new and just off the floor, I'll take a new nurse anytime. Organization has nothing to do with...

  23. Premature Infant Pain Profile

    BittyBabyGrower replied to donnuchi's topic in NICU, Neonatal

    Corrected age. We score a minimum of once a shift if nothing is going on, more frequently with meds, procedures,

  24. Surfactant use in premature infants

    BittyBabyGrower replied to Laura21's topic in NICU, Neonatal

    We were seeing an increase with pulmonary hemmorage with the 3 doses, so we try to limit it to only two. We also forgo the first x-ray now too...the first dose can actually be given in DR as a rescue...

  25. Vicodin or Surgery??

    BittyBabyGrower replied to breezy5's topic in General Nursing

    Taking Vicodin for the rest of the pregnancy...not a good idea! I do know that Vicodin can increase intracranial pressure and isn't used in head traumas, so I wonder if it would have the same effect...