BittyBabyGrower

BittyBabyGrower MSN, RN

NICU, PICU, educator

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All Content by BittyBabyGrower

  1. Does this orientation sound kosher to you?

    BittyBabyGrower replied to BittyBabyGrower's topic in Ob/Gyn

    That's what I thought....I thought it sounded odd. I hope she take my advice and checks it out pretty well...I'd hate for anything to

  2. Quick ?: What is lowest viable birth weight?

    BittyBabyGrower replied to mitchsmom's topic in Ob/Gyn

    It depends.....the lowest I have seen was 360 gms....very severe IUGR. I've seen many different ages that were IUGR, so to put an actual number onto it would be hard. Usually, under 500 isn't...

  3. Heavy Lifting in the NICU

    BittyBabyGrower replied to BabyRN2Be's topic in NICU, Neonatal

    First off, I think that stinks what they did. We don't have much heavy duty, pushing warmers and isolettes can be hard sometimes. Do you have a weight restriction? On occasion, NICU's will have...

  4. HOw often do you send twins home together?

    BittyBabyGrower replied to dawngloves's topic in NICU, Neonatal

    I'd say 20% sounds right.....I know parents get upset and it is hard to come visit the other one, but unfortunately that is how the ball bounces. Our parents are required to room in..they have to...

  5. Intraveneous Tubing changing. how often

    BittyBabyGrower replied to Donna1955's topic in NICU, Neonatal

    We change our HAL qd and regular IVF q72hrs, AL/UAC q72hrs, gtts...it

  6. neonatal gastric aspirate

    BittyBabyGrower replied to danissa's topic in NICU, Neonatal

    No, we don't do that....we will occasionally send stool for a pH if the kid is dumping. Why do you guys test it with

  7. ngt/ogt or none?

    BittyBabyGrower replied to kaibigan's topic in NICU, Neonatal

    We have had bad gut kids that get reglan IV, but regular old kids that are NPO don't get it. If the baby is just NPO for a procedure or a big aspirate, then we keep the PO meds, but only if it is...

  8. broviac, who change the dressing?

    BittyBabyGrower replied to kaibigan's topic in NICU, Neonatal

    Right now, every 3 days, but I believe the lastest research shows every 7 days is fine. Nurses change those dressings. PICC, only a hand full of us do

  9. ccrn or rnc

    BittyBabyGrower replied to tinygeezers's topic in NICU, Neonatal

    I believe RNC is more common....we don't have any CCRN certs in our

  10. Pay Scale for Flight Nurses?

    BittyBabyGrower replied to student4ever's topic in Flight, Surface Transport

    Our flight nurses are on the same scale as other RNs. I've transported for neonatal on our LF and I wasn't paid anymore or any extra

  11. conjuctivitis

    BittyBabyGrower replied to Sylv's topic in Emergency

    With the 7mo old, it could also be blocked tear ducts, not

  12. Gavage feedings

    BittyBabyGrower replied to Karen Whiteted's topic in NICU, Neonatal

    If you have two spots, then one is most like for output from an NG/OG to gravity or suction, hence the term gastric output/aspirate. For residual, it is what is left after a feed. We have the same...

  13. corpaks

    BittyBabyGrower replied to kaibigan's topic in NICU, Neonatal

    Do you mean the corpaks that are weighted and placed lower than a regular feeding tube? We use those, but they are placed under fluro and then secured. We don't check placement on those. Those stay...

  14. repogle

    BittyBabyGrower replied to kaibigan's topic in NICU, Neonatal

    One of our peds surgs like the repogyles...they are softer than a Salem. We only irrigate if there is an order, which most of the time there is..we do have the occas. kid that they don't want any...

  15. Sun exposure during pregnancy

    BittyBabyGrower replied to ReinventingMyselfAgain's topic in Ob/Gyn

    The only risk I know of is heat related, if she gets dehydrated she could go into preemie labor. When I was pregnant I floated in our pool for hours...it was the only relief I had from a scorcher of...

  16. heelstick or venous???

    BittyBabyGrower replied to kaibigan's topic in NICU, Neonatal

    I have a friend that is in Saudi....I give you all credit for working

  17. NICU visitation policy-Are more visitors really better?

    BittyBabyGrower replied to sparkyRN's topic in NICU, Neonatal

    Our secretaries have a list up front..we are a locked unit...and they check the list, call back to make sure it is okay for visitors. When the families get complicated, we get social work involved to...

  18. admission process

    BittyBabyGrower replied to kaibigan's topic in NICU, Neonatal

    Every admission is the same, regardless of size, age. We get the kid, check the bands, sign off the transfer note, weight the kid, put on RW and place on monitor, BP cuff, pulseox, start an IV unless...

  19. Other Side of Coin---Less than Humble New Grads

    BittyBabyGrower replied to Mystery5's topic in General Nursing

    Oh, I just had someone like that...we put our "kids" on a two week on their own in the middle of orientation where they just have feeder kids and easy assignments...it helps with organization without...

  20. Pediatric care

    BittyBabyGrower replied to klj836's topic in General Nursing

    Feeding tubes shouldn't be rough, if they are you need to send them back to the manufacturer. We have silastic feeding tubes. If you are talking peds, usually a 6 fr feeding tube will work, that is...

  21. temp regulation

    BittyBabyGrower replied to kaibigan's topic in NICU, Neonatal

    I have to say we are very good with NTE in our unit. No kids on ISC get dressed. We start out in their NTE, sometimes we will leave the probe on, but to air control, to make sure we aren't baking or...

  22. heelstick or venous???

    BittyBabyGrower replied to kaibigan's topic in NICU, Neonatal

    We rarely do venous sticks...we do either heelstick or if we need a big amounto blood we do an art stick. We get new peds residents all the time that want to do venous sticks and we tell them...fine...

  23. pulse probe placement

    BittyBabyGrower replied to kaibigan's topic in NICU, Neonatal

    Pre ductal...right wrist, post ductal L side. We usually alternate ours Q12 hours to prevent sores/burns from the light. Most of the time they are on the feet. Sometimes it just goes were it picks...

  24. blood pressure on four extremities

    BittyBabyGrower replied to kaibigan's topic in NICU, Neonatal

    We don't do 4 limb BP unless we think there is a cardiac problem. Did they say why they do

  25. Pediatric care

    BittyBabyGrower replied to klj836's topic in General Nursing

    Why not hear about a 3.5fr UAC line? Do they make a 3.5fr feeding tube? For the little ones, we use the UAC if we really need a urine..we don't leave these in as they aren't approved for this use....