heymama1plus1
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We have measured and tested our particular brand of IV tubing, triflow, t-connector, microclaves, etc (everything from where the syringe touches the tubing to where it hits the baby's bloodstream) and found that our "priming volume" is 0.7ml. So here's our procedure: 1. If we have a med that is less than 0.7ml, we fill the syringe up to that volume. 2. Clamp off the other ports of the biflow/ triflow (for example, if you have TPN-IL-Rx, the TPN and IL are clamped and just the Rx is open so when you prime it doesn't sneak up the other ports). 3. You push in the 0.7ml of med. The med is now sitting in the tubing but has not touched the baby. 4. You attach your flush syringe and set it at the rate you need. If the med needs to go in over an hour, you program in 0.7ml over 1 hour. 5. Unclamp the other ports and press start on your pump. By the time your pump rings off, all the med has gone into the baby at a consistent rate and your tubing is now cleared with flush. If the med volume is greater that 0.7ml (let's say 2.5 ml that needs to go in over 30 minutes): 1. Clamp the other ports and push in 0.7ml of med, leaving 1.8ml left in the syringe still attached. 2. Unclamp and program your pump: 2.5ml needs to go in over 30 minutes, so that's 5ml/ hr. 3. The pump will read empty when your first 1.8ml of med has gone in (running at 5ml/ hr that's about 22 minutes). 4. Put a flush on: 0.7ml of flush solution at the same rate (5ml/hr; volume limit of 0.7ml) so that everything has gone in at the same consistent rate (the flush will take about 8 minutes). Sorry if that's all confusing; easier to explain in person! My biggest pet peeve is when people don't run the flush at the same rate as the med. With the above scenario that would mean 28% of the med would be running at a different rate, which depending on what it is could be bad news. HTH! Christina
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Yesterday's vote came through.... 84% voted for an open ended strike. Wish us luck that the hospitals will come to the table finally and talk before we walk!!!!
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I am a MN nurse who is in one of the striking hospitals... it IS a ULP strike. They (the union) have a huge list of violations. Send us good vibes that the hospital caves before we get to the strike!
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Gravity for small bolus volumes, medfusions for volumes We also have the enteral feeding set with the orange end that won't fit into a med line (to avoid errors). We use separate pumps labeled for meds and feeds; we don't use the same pump for cleanliness reasons and to avoid errors. HTH!
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Their pulse ox is put back on for the car seat trial (if it's off).
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It was just a regular video camera... nothing professional. I think someone edited it with iMovie. We get mixed reviews from people; a lot have no interest in watching. We of course do all the regular hands on teaching too but we wanted something for people who liked video. Plus they can keep it and watch it again at home if needed. Christina
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We made one on our unit. That way it mirrored our teaching sheets and used the materials we had on hand (our bottle/ nipple types, our baths, etc).
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Curious... what does your silo look like? Does it have the "springloaded" metal ring that pops under the skin then the mesh-type bag that rises above? Have you ever had one come out accidently? I've never seen one come out, and unfortunately the last 5-8 years we've had A LOT of gastros.
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For example, completely stable, on room air, a small defect with The way we do our silos- they are held up by some twill tape looped over the top of the warmer. If you keep the same tension, why not let parents hold? One particular surgeon was adamant about not letting parents hold... Seems silly to keep giving pain meds to make a crabby baby happy when he would be just as happy in mom's arms. Christina