BittyBabyGrower

BittyBabyGrower MSN, RN

NICU, PICU, educator

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All Content by BittyBabyGrower

  1. Being second guessed by long time nurse

    And sometimes...it just pays to suck it up and grin and bear it. If that is what she needs to do to organize herself, then so be it. You are going to run into lots of people like that and there is...
  2. Working through the holidays?

    We put down our 3 choices in order of importance and then the scheduler fills it in...she puts out how many are working and then asks for volunteers to help fill the gaps, she also deals for the day...
  3. Any Neonatoal NP (NNP) at your units?

    Our NP's have to be NNP's to work in the unit..PNP's can only work in the nursery. We used to have enough NNP's to cover day and night too, but they have drifted off as our NNP's aren't really...
  4. Being second guessed by long time nurse

    When we had cna's in our unit we would all find ourselves doing just what this other nurse is doing. If her work wasn't done, then we couldn't leave until it was and we had signed it off. You both...
  5. Sleepless on the night shift

    My family has learned...don't wake a sleeping mommy unless you are bleeding all over my clean floor or a piece of you is laying out in the yard or a rabid dog ran off with it. LOL! My DH is pretty...
  6. Who's #1 your patient or you?

    There aren't any loopholes that I know of. My DH is a manager and so I have been well versed in rights and wrongs LOL. Years ago, our day shift would come in 15 minutes early so that they could have...
  7. breastfeeding question?

    You are going to have to be pretty on time with pumping...going back after 4 days...wow...I know that I couldn't have done that...tired, bleeding and boobs like something out of the Jungle...
  8. Who's #1 your patient or you?

    For the poster that says that she doesn't get lunch...if you are there for over 4 hours, labor law states that you get 30 minutes of unpaid break. For each 4 hours you get a 15 minute paid break....
  9. What do you have in your first aid kit?

    I carry the first aid kit for softball! I have bandaids of many shapes and sizes, Neosporin, some anesthetic wipes, H2O2 wipes, alcohol wipes, tweezers, little scissors, 4x4 and 2x2's, tape, an ace...
  10. Pay Scale?

    Same as any new grad at the hospital you apply at
  11. Mixing drips, question pls...?

    Our pharmacy does all of ours now. We have a satellite right on our floor for days and eves which is very nice. When we mix gtts we use the rules of 6's...we have floor stock to mix if we need the...
  12. refeeding patients with illeostomies

    We have done this and ewwww We use a number 8 feeding cath...soft vygon and just insert it in there and infuse. We infused it over usually the same amount of time as a feeding...because it was...
  13. Waiting for cord to stop pulsating before clamped & cut

    Jolie...you took the words right out of my mouth....polycythemia is not a joy to contend with! It is a common misconception that having more RBC's is better. Like you said..hold them level if you...
  14. Pain Mgmt. in the NICU

    We wean ours always..we have had kids go into withdrawl and actually seize! We wean by 10% per day as tolerated...we use the Neonatal Abstinence Scores to determine this. We have also changed some...
  15. Is your unit a collection of rooms or one big one?

    Our unit is set up with 9 pods...one is a two bed isolation are, the others have 5 regular spots and 1 overflow. We have mixed acuity, which works out best for assignments, IMHO. We have one room...
  16. Question about tense used in documentation?

    I usually write, patient stated to this RN. I wouldn't say staff, because, if it needed to go to court, then they need to identify what was said to who. Most of the time I don't refer to
  17. How often do you use transducers with UVCs?

    We always suture them...I was surprised to see that Gomper's place just started! I hear you on the high humidity...nothing sticks! We don't use Dopa as much as we used
  18. Rh question

    They will closely monitor your baby....it is at risk for Hydrops. You may undergo several umbilical blood samplings and the baby may need transfusions as when the antibodies are present, they attack...
  19. Waiting for cord to stop pulsating before clamped & cut

    I guess I never really thought about it. To the last poster...were you ABO setup or Rh setup? That can cause anemia and jaundice together. Being polycythemic isn't good either...the baby could...
  20. How often are the Dads prosecuted?

    In all my years, I have only seen one case go to
  21. How often do you use transducers with UVCs?

    Some places will use them as a quasi-CVP. It isn't a true CVP, but it can give you a trend on fluid overload or
  22. Patients Rights vs. overly demanding patients

    Should have handed the SW the BP cuff and told her go to town sister. ? You have to get your regular work done before you do any extras, that is the bottom
  23. What would you have done?

    That would be an incident report in my book...the 5 R's weren't checked. What if that were some other type of drug and one happened to be double concentrated (as some of our drips are)..that is one...
  24. Is this legal?

    I checked our HR manual...they don't have to change any duties unless it is worker's comp. What type of unit do you work on? We are pretty accomodating to our preggos...we try to give them a bit...
  25. My niece is a few days past 25 weeks and in the hospital....

    Oh, do I agree..less than 23, sometimes even less than 24 weeks...what a huge mess. I have a friend at work that started leaking fluid at 25 weeks, and she just stayed on bedrest until she was 36...