BittyBabyGrower

BittyBabyGrower MSN, RN

NICU, PICU, educator

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All Content by BittyBabyGrower

  1. Vent question please help!

    BittyBabyGrower replied to KaliRyan's topic in NICU, Neonatal

    Great explaination! I haven't used a jet in many, many years. Do you still use the special OET? I remember the nightmare we had extubating and then having to reintubate with that other

  2. Turning off lipids in infected babies

    BittyBabyGrower replied to fergus51's topic in NICU, Neonatal

    Yes we do...it has something to do with leukocytes. I'll have to see if I can find the

  3. Using HFV in isolettes

    BittyBabyGrower replied to Tina22's topic in NICU, Neonatal

    We put our tiny ones in isolettes all the time with HFV. The majority of the noise, esp with the 3100's is outside. Our other vents are actually pretty quiet. If you want to know decimals, try...

  4. EKG Lead Placement

    BittyBabyGrower replied to NICUnewbie's topic in NICU, Neonatal

    Same here, we don't use the 3 lead for diagnosis, unless it is SVT. We get the occas. PAC or PVC or block, but we hook up a 12 lead for that. I love when they get the hiccups and at first glance...

  5. Synagis and RSV season

    BittyBabyGrower replied to Tiki_Torch's topic in NICU, Neonatal

    We always give it at least 72 hours before

  6. Nurses BLOOPERS!

    BittyBabyGrower replied to RNview's topic in General Nursing

    Once, I was realllllly tired, and had to pick up this kid at an outlying hospital and I documented....Ant. fontanel soft and flat with good bowel sounds :lol Dang....

  7. Nurses wearing white

    BittyBabyGrower replied to rnmaven's topic in General Nursing

    As more hospitals move to a "professional" feel and trying to acheive magnet, this is going to happen. We had a huge war over it and we lost. The only ones that wear scrubs are OR and SICU now. If...

  8. When "do no harm" meets parental denial

    BittyBabyGrower replied to BlueYYsRN's topic in NICU, Neonatal

    In the last year, I have seen more and more of these types of scenarios and I just feel that it isn't going to get better. I know that our SW would have been like...oh, they are under so much stress,...

  9. Baby IV's!!

    BittyBabyGrower replied to neonursey's topic in NICU, Neonatal

    We have never used transilluminators! Saphenous veins are great too and front scalp veins. You just have to practice, at least one

  10. 3yr eval due 4 a 7yr RN. What % raise 2 expect?

    BittyBabyGrower replied to Shell5's topic in General Nursing

    Depends on where you work. We cap out at a certain time. Sometimes we don't get a raise because of the financial part of the hospital. Everywhere is

  11. HELLLLOOOOO --- HELP with HIPAA

    BittyBabyGrower replied to Chris MacTyler's topic in General Nursing

    It is a PITA. I understand all the hoopla about it, but it has gotten so carried away. It seems like we are constantly having parents leave the unit,come back in, leave again. And the...

  12. Best staffed specialty?????

    BittyBabyGrower replied to ReinventingMyselfAgain's topic in General Nursing

    Our ratio is anywhere from 1:1 to 1:4, depending on the acuity. We don't have many problems with staffing usually and it is very rare that we have more than 3 kids, no more than 2 vents/trachs. Our...

  13. Neosporin and EMLA for 2nd degree burn?

    BittyBabyGrower replied to shanneff's topic in Emergency

    When I had 2nd degree burns to my hand, thanks to a corningware bowl melting my fingers to it, they applied bacitracin and wrapped it with telfa. The told me to change the dressing BID and leave the...

  14. EKG Lead Placement

    BittyBabyGrower replied to NICUnewbie's topic in NICU, Neonatal

    I love the limb leads! We will even cut the tail off and us the sticky part as regular chest leads on the itty bitt. A lot of the time, we put them on the arms and cut the one for the belly. Much...

  15. Anyone else hate "winter nursing"

    BittyBabyGrower replied to IloveSnoopy's topic in General Nursing

    Ugh...I hate winter because we are slow and have to go to peds with all the icky viruses! We NICU people don't have the antibodies to stand it LOL And we have been dropping like flies from some...

  16. motorcycle accidents

    BittyBabyGrower replied to Oregon Runner's topic in General Nursing

    We have a Harley and ride. It is a personal choice, IMHO. You'll hear a million bad stories, so it is really up to

  17. EKG Lead Placement

    BittyBabyGrower replied to NICUnewbie's topic in NICU, Neonatal

    We don't use Benzoin with our leads because of what premnrs said, but we will us skin prep towels. We also use these with our ostomy bags

  18. NeoPICC recall

    BittyBabyGrower replied to dawngloves's topic in NICU, Neonatal

    I agree..the ends are hard to work with! We have been taping our connections. Also, we can't use our Alaris pumps..the pressure doesn't go high enough and they constantly alarm...we had to change...

  19. EKG Lead Placement

    BittyBabyGrower replied to NICUnewbie's topic in NICU, Neonatal

    Now that is scary! I never thought of that with

  20. 7-day Brady-watch and discharge criteria

    BittyBabyGrower replied to mermom's topic in NICU, Neonatal

    I know in our unit they are more leery of the older preemies (33wks and greater) that cont to have brady's etc. We expect it of the smaller ones, it just seems to be a given, but with the bigger,...

  21. Info on Rules of 6....per JCH

    BittyBabyGrower posted a topic in NICU, Neonatal

    we are a pediatric hospital and need to have multiple concentrations of certain drugs because our patients come in different sizes. how can we comply with this goal? when multiple concentrations of a...

  22. Including ALL fluids in total allowance?

    BittyBabyGrower replied to wensday's topic in NICU, Neonatal

    With many of our meds we don't flush as they are compatible with most IV fluids, but we limit them to 0.3ml before and after. We also have a VIA system that we use on the very small or sicker...

  23. EKG Lead Placement

    BittyBabyGrower replied to NICUnewbie's topic in NICU, Neonatal

    We do move them to all those places also to keep skin intact, but as long as you have the basic diagram it will work

  24. EKG Lead Placement

    BittyBabyGrower replied to NICUnewbie's topic in NICU, Neonatal

    We have always used white on the right chest, black on the left chest and red on the belly. When we use limb leads we do the same except the red goes on the leg. It doesn't pick up the most accurate...

  25. Abbreviations

    BittyBabyGrower replied to stephera's topic in General Nursing

    We have residents that come from other hospitals and each hospital also has its own approved abbreviations. So, I'd go by the list that is in your hospital's manual. :) For example, our QID can...