BittyBabyGrower

BittyBabyGrower MSN, RN

NICU, PICU, educator

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All Content by BittyBabyGrower

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

    In our unit, no one but the parents get info, unless the mom is a minor. HIPPA also comes into play here. We tell the parents up front...no one but the parents get info, period. Before we had this...
  2. Weird Float position?

    I know....I remember that first float after being off orientation...back then there was no 6 mo grace period! Now we have the grace period, but it is still scary! At least when you are stable in a...
  3. Weird Float position?

    It is so not a good idea for a new grad to take a float position...is this place really understaffed? As a float RN, you may not get a full orientation to each unit, which is trouble with a capital...
  4. concious sedation

    Our hospital policy for all peds con.sedation is for them to have an IV. Canoe...you may need to do IV's just for the comfort level of your staff...do you have any peds in house on off
  5. Forced to Orientate to ER

    At least they are orienting you! Also, our hospital requires all ICU's and ER to have ACLS...do your ICU's have to have ACLS, if so that is one less worry. Also where I work, you know you will float...
  6. Child Care Costs/recommendations

    My DD went to a combo preschool daycare from the time she was 4 until she was 7.....it ran me about $35 per day and she went 3 times a
  7. Gent

    Nope..new guidelines. We use postconceptual age and weight and we only dose qd, q36h or q48h. We also check the levels at the second dose to make sure we are therapeutic. It is believed that the...
  8. transfer of active labor patient?

    Our transport teams won't transfer someone that is 4cm or greater in active labor...they have to deliver
  9. formula preparation question

    In the past year we have been telling parents to boil water, our dietician feels that it is better safe than sorry later down the road. You might be on a boil alert and not know it in the middle of...
  10. Gent

    We dilute the Gent to 5mg/ml, and we push it. Our Amp is diluted to 30mg/ml. This is hospital wide for all of peds. if we need, we can have pharmacy make the meds more concentrated if fluids are a...
  11. MRSA in the NICU.....question for you

    Methicillin Resistant Staph
  12. Legal implications of providing care post D/C

    Even with a course like that, if you had a professional relationship with these kids, the parents would blame you for anything that happened. Maybe it is different in Canada, but here, heck they'd...
  13. formula preparation question

    On the rare occasion when we do have to mix formula, yes you do use sterile water, never from the tap. Also, parents should be boiling water before mixing formula and they should try to refrain from...
  14. NP/CNS--Is critical care experience necessary?

    Doesn't it depend on the type of AP you want to be? I wouldn't want someone coming into NICU that has never worked in one before, so I would think it would be the same anywhere
  15. New Job and Pregnancy

    Congrats on finishing school! I have a question...what happens if someone hurts themselves lifting that weight? That seems odd to me! Do other places do this? I work out and it isn't easy lifting...
  16. Floats

    fergus...you need to document all this because, unfortunately, if you are accepting the responsibility of being resource person to all these people it is going to be your butt on the chopping block....
  17. Legal implications of providing care post D/C

    I'd have to decline...if something happened to that baby while it was in your care, those parents could come back and say you should have know better, etc. The good samaritian law wouldn't back you...
  18. neonates and foley catheters

    We usually don't use the balloon, we use the ones Fergus has, but with the bigger kids we will sometimes inflate the balloon with a cc or
  19. Floats

    We use floats and sometimes there are problems, but for the most part, we give them the easiest kids we can find. The PICUs will take intubated kids ans sicker kids. We don't give them admits,...
  20. azithromycin i.v.

    We don't use it in our NICU...maybe try the peds board or PICU board. We tend to stick to the same standbys...Vanc, Gent, Cef,
  21. 20 wk fetus, prom

    She should have been transported out. We have had many moms rupture way before due day, even as early as 16-17 weeks and the kids come out
  22. paper work for fetal demise/neoatal death in delivery room

    In our unit, and I believe the same for LD, the nurse caring for the baby calls mortality services, calls the LifeBanc (all deaths have to be logged even if they aren't eligible), fills out a Resolve...
  23. Required to wear girly scrubs

    Yes, it is silly. And I don't think you would get the job, now do you? As for professionalism, the if we need a "uniform" than we should go back to crisp whites, down to our shoes since that is what...
  24. Capillary ABG Samples

    We really never had a problem all the time, but warming the heel first helps a lot. Also, do you use a "flea" in your tube? It is a little piece of metal that goes into the tube before you fill
  25. Required to wear girly scrubs

    Now, filing an complaint is just plain silly. Most places are going to whites or all one color, you make the best of it if you really want the job. Our guys will even where pink panther shirts and...