EmilyPeruana

EmilyPeruana

NICU

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All Content by EmilyPeruana

  1. EBM for ORAL CARE in YOUR unit

    EmilyPeruana posted a topic in NICU, Neonatal

    Is YOUR unit using colostrum or breast milk for oral care since some VAP care packs have been discontinued or the companies manufacturing them have gone out of business? I've read some articles...

  2. A Review on Jets

    EmilyPeruana posted a topic in NICU, Neonatal

    Hey fellow NICU nurses, I've been primarying a trach baby for about 6 months who will be heading home soon. We are about to get a new bunch of new nurses so they will be orienting with her (with other...

  3. EBM for ORAL CARE in YOUR unit

    EmilyPeruana replied to EmilyPeruana's topic in NICU, Neonatal

    yes, i have the nann article that was posted in that thread. just looking for additional ones. and information on exact practices/procedures in other units as i develop a proposal for our

  4. NG tube placement in infants

    EmilyPeruana replied to kathy62's topic in NICU, Neonatal

    I'd use OG tubes on infants who are on the ventilator (easy to tape to an ET tube) or those on very high flow vapotherm or CPAP. With CPAP, you need a good seal with the mask or prongs, and an NG tube...

  5. A Review on Jets

    EmilyPeruana replied to EmilyPeruana's topic in NICU, Neonatal

    After about 30 min with my jet patient, it all came back to me...yesterday, i was given a patient on an oscillator, so i must have been doing things

  6. VAP Guard

    EmilyPeruana replied to shonda13's topic in NICU, Neonatal

    http://www.nann.org/pubs/enews/sept_09.html

  7. Rn jobs in nashville????

    EmilyPeruana replied to medinarn's topic in Tennessee Nursing

    i would think you could find something at vandy...especially if you start applying now to start sometime this summer...if not, then in the fall...there are lots of students at vandy who work at vandy...

  8. Pay range and nurse/pt ratios for Vanderbilt Med surg RNs

    EmilyPeruana replied to rn51003's topic in Tennessee Nursing

    my husband and i have a 2BR, 2BA, 1100 sq ft apt for almost $900 a month. not awful. nashville homes DO cost more. but if you live a little outside the city (murfreesboro, spring hill, smyrna, etc),...

  9. Pay range and nurse/pt ratios for Vanderbilt Med surg RNs

    EmilyPeruana replied to rn51003's topic in Tennessee Nursing

    i think vandy starts new grads at around $19-ish? maybe $20??? at most right now. benefits are good...insurance is good, especially if you see vandy docs, it's cheaper....Rx's are cheaper if you get...

  10. What's it like to live in Nashville?

    EmilyPeruana replied to Vida's topic in Tennessee Nursing

    the closer you are to vandy, the more expensive it is...but be careful, b/c you dont want to be in certain areas where prices are nice but crime isn't...there are some apartments in bellevue that are...

  11. Oxygenation guidelines

    EmilyPeruana replied to nurse2teach's topic in NICU, Neonatal

    we set our babies' o2 sats limits at 80-95% if they are on o2, especially if they are less than 32 weeks gestation. the target sats of 85-93%. this is to protect their eyes from rop. this is backed by...

  12. need vent tips - mainly for flipping / suctioning

    EmilyPeruana replied to asdjkl's topic in NICU, Neonatal

    wanna know the easiest trick to doing it - GET A FRIEND. i'm the one who always takes the hardest babies or gets assigned the most complicated chronic ones because i dont mind them and have...

  13. preventing CABSI

    EmilyPeruana replied to PrudenceNurse's topic in NICU, Neonatal

    we do NOT filter lipids. we do filter tpn. we clean all ports with CHG prior to administering meds or flushing. we clean the port with CHG 5-6x 360*, waiting for it to dry is annoying, but we've...

  14. VAP Guard

    EmilyPeruana replied to shonda13's topic in NICU, Neonatal

    we haven't been able to get biotin yet but our adult units and picu have it so we occasionally call them for it...but i just read an article about using EBM b/c of it's bacteria-killing abilities and...

  15. Low Census

    EmilyPeruana replied to NicuRN73's topic in NICU, Neonatal

    we've had some unusual back and forths with our census too...usually we are just low in the late summer (we have a capacity of 82...in the summer, we are in the low 50s sometimes)...but when h1n1 hit,...

  16. when to stop humidity in the isolette

    EmilyPeruana replied to denicu's topic in NICU, Neonatal

    with vlbw/elbw babies, we have automatic admission orders that state something like this: please start humidity at 70% (maybe?) for 3-4 weeks, then wean slowly off over 3-4 days. depending on that...

  17. NICU NURSES....labeling breast milk???

    EmilyPeruana replied to schoolnurseadmin's topic in NICU, Neonatal

    parents put their baby's label on it...label is the same label we use in the unit to send labs, etc. it has the patient's name, dob, medical record number, etc. prior to mixing/administering/warming,...

  18. Your NICU's protocol for cleansing IV ports

    EmilyPeruana replied to minky84's topic in NICU, Neonatal

    oh we have a whole algorithm.... but generally speaking, we use CHG b/f using a port...scrub 6x 360*...wait about 20sec for it to try...time sucks but it works b/c we've broken our own BSI records......

  19. What do you use for pain control for PICC insertions?

    EmilyPeruana replied to ICN_RN's topic in NICU, Neonatal

    we ALWAYS use fentanyl...sometimes versed too...on the larger kids, sometimes sucrose

  20. POC Testing in the NICU

    EmilyPeruana replied to brysmit's topic in NICU, Neonatal

    we do our own hemoccults. we enter results into charting. we can't do urine dips anymore for whatever reason. we have to send the urine to the lab. they put results into the computer system. we do our...

  21. Closed Med System to prevent central line infections

    EmilyPeruana replied to neonurse12's topic in NICU, Neonatal

    i dont know what our's is called...we call them 3-way or 4-way manifolds...but in terms of preventing blood stream infections, this is what we do: -we scrub the port 6 times, 360* with CHG, wait 20...

  22. infection-free NICU

    EmilyPeruana replied to Julie Basilio's topic in NICU, Neonatal

    you dont want my answer...we've been the overly nicu unit lately b/c our census has been low and the hospital has been bursting at the seams everywhere else...we have private room and are divided into...

  23. Dream NICU

    EmilyPeruana replied to NeuroNP's topic in NICU, Neonatal

    vanderbilt children's hospital nicu - level 3c - ecmo, deliveries, head cooling, bedside surgeries (sometimes), transports, mostly private rooms, NASHVILLE. children's hospital is fairly new...maybe...

  24. UVC, TPN, Antibiotics questions

    EmilyPeruana replied to Obnurseamber06's topic in NICU, Neonatal

    i work in a level 3c nicu. it's nice to have a picc line in as soon as possible obviously...but until then, it's nice to have a double lumen uvc if possible....if not, you can give most meds through...

  25. intubation threshold

    EmilyPeruana replied to lvnurs9's topic in NICU, Neonatal

    omg. i'd die if i saw a 24 weeker on cpap...i've never seen us use cpap greater than 6...and it's rare for us to use 6...we generally use 4-5...we may try to extubate around 28 weeks to cpap...depends...