BittyBabyGrower

BittyBabyGrower MSN, RN

NICU, PICU, educator

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All Content by BittyBabyGrower

  1. Trach for double/triple chins?

    BittyBabyGrower replied to CardiacDork's topic in General Nursing

    Not quite the same but we get some super chubby babies and we order the Bivona Flex for them. It is longer and flexible so you have room for tubing and such. Must have posted the same time as above...

  2. You know the shift is gonna be a hot mess when ...

    BittyBabyGrower replied to CardiacDork's topic in General Nursing

    When the nurse you are following just starts laughing before report and ends the manic laughter with Oh

  3. Cleveland Clinic Tuition Reimbursement

    BittyBabyGrower replied to CR27's topic in General Nursing

    They can garnish your last paycheck, take any PTO you are owed and turn you into a collection agency. CCF doesn't screw around when it comes to their

  4. Education ideas needed please :)

    BittyBabyGrower replied to babynurseedu's topic in NICU, Neonatal

    Chest tube set up and care, external shunts (ventriculostomy), golden hour

  5. New grad, do not feel challenged at all. Help?

    BittyBabyGrower replied to RNinCali15's topic in First Year After Licensure

    Here is my take just from her post, and as a former charge nurse and manager in a high acuity NICU: You seem to be over confident, that may give your charge nurse a reason to not give you sicker kids....

  6. Still get anxiety with peds IVs

    BittyBabyGrower replied to NickiLaughs's topic in General Nursing

    On babies, even chubsters, the saphenous ia usually pretty juicy. Put a tourniquet about midway on the calf and it should pop. Once you get the landmarks for it, it is a great blind stick spot....

  7. Journaling

    BittyBabyGrower replied to CaICURN's topic in General Nursing

    Yes, if you let it be known that you keep personal journals about work, they can be subpoenaed if there is a suit filed and you are called to give a deposition. "Oh, I don't really recall but I...

  8. Why Is It So Difficult To Get Into A Neonatal NP Program?

    BittyBabyGrower replied to SunshineeStudent's topic in NICU, Neonatal

    So, what is your response to my

  9. Why Is It So Difficult To Get Into A Neonatal NP Program?

    BittyBabyGrower replied to SunshineeStudent's topic in NICU, Neonatal

    Really? You are such a troll. Lol Are you even a nurse because you just cut yourself down also. The only program I know of is in PA and only accepts 2 per year, and you have to have PA experience....

  10. Why Is It So Difficult To Get Into A Neonatal NP Program?

    BittyBabyGrower replied to SunshineeStudent's topic in NICU, Neonatal

    So then you should be able to see why they would want you to have experience before

  11. Can Neonatal Nurse Practioners Work In An Independent Clinic?

    BittyBabyGrower replied to SunshineeStudent's topic in Nurse Practitioners, NP

    A neonate is classified as 30 days and under. An NNP trains to work in a NICU, so not much market to see an NNP versus a peds person. Why not just be a peds practitioner if you don't want to work...

  12. Weird Kangaroo Care Question

    BittyBabyGrower replied to la_chica_suerte85's topic in NICU, Neonatal

    Never heard of it and it is way off base. Is this a nurse? Skin to skin is NOT part of our

  13. Is Mother/Baby a good way to get into NICU?

    BittyBabyGrower replied to heathermartin94's topic in NICU, Neonatal

    This may be true in the adult world but not really in NICU. Neonate are very different than adults. Nursery will give you a leg up in assessments, seeing the normal and picking up abnormal in...

  14. Why Is It So Difficult To Get Into A Neonatal NP Program?

    BittyBabyGrower replied to SunshineeStudent's topic in NICU, Neonatal

    To become a neonatologist you have to do a 3 year fellowship, same for any speciality. It is on the same line. Do you think someone could walk in and be a neonatologist without ever working with this...

  15. Daily Weights?

    BittyBabyGrower replied to whelanja's topic in NICU, Neonatal

    Our attendings and nutritionists don't feel they are necessary. You know there is insensible loss and we give increased daily fluids to compensate for this and follow labs every 12 hours. And you...

  16. Daily Weights?

    BittyBabyGrower replied to whelanja's topic in NICU, Neonatal

    We only do daily weights on gainers/growers, kids on diuretics, heart kids. Any kid under a kilo gets weighed every 3rd day unless otherwise ordered. Some kids don't get weighed until stable such as...

  17. How often are your line changes?

    BittyBabyGrower replied to rnkaytee's topic in NICU, Neonatal

    We asked about the lipids also. As long as you flush the connector, it is fine, they won't be sitting stagnant for long. We use a trifurcated filter so we just flush that Y when it is

  18. Blood transfusions

    BittyBabyGrower replied to missykb1's topic in General Nursing

    Probably not. How many did you have

  19. How often are your line changes?

    BittyBabyGrower replied to rnkaytee's topic in NICU, Neonatal

    96 hours for IVF, TPN, med lines, art lines and a couple of drips. 24 hours for lipids, and a handful of drips. Curocaps on all

  20. Has pain scale contributed to opiate problem?

    BittyBabyGrower replied to Emergent's topic in General Nursing

    I am so glad I work with

  21. Long Term Care Facilities

    BittyBabyGrower replied to offandaway's topic in Pediatric

    That is awful, but we get back some kids to our PICU from places like this. They are basically a nursing home, not a rehab facility. It makes me sad to know that after we fix them up they have to go...

  22. Do Nurse Practitioners Assist In "Pulling the Plug"?

    BittyBabyGrower replied to SunshineeStudent's topic in General Nursing

    In our hospital only attendings can place the order, but NNPs do assist and can pronounce with the fellow. Sometimes there are are worse things than

  23. Bed Bugs. HELP!

    BittyBabyGrower replied to Zyprexa_Ho's topic in General Nursing

    If we have patients parents/family with bedbugs they have to be cleared before they can visit. If the mom is on the floor all belongings are double bagged, she has to shower and family can not bring...

  24. Is charting coming before patient care these days?

    BittyBabyGrower replied to annonymouse's topic in General Nursing

    We chart at the bedside. And if I have to have my back to a family I just tell them, I'm listening, I just have to enter this stuff. I have over 30 years experience and I have to say I love

  25. Should I not go into radiology if I don't like A&P?

    BittyBabyGrower replied to rybs's topic in General Nursing

    You have to be pretty strong in A/P for radiology, if you found this class hard, the radiology classes go even more in depth. Especially needed if you want to move into specialty