pedsnrs

I work on an infant unit in a large childrens hospital. We use the transilluminator all the time, a pen or flashlight if we're desperate. I like hand veins, feet are ok. Hate scalp veins, as do most of my colleagues( and parents.) We use 24 G insyte, I really like them.

we actually just had this come up.we did not regularly use them,but are currently working to get them supplied in all med tooms and make it our policy to use them.

do they really do an xray each time before a med or an intermittent bolus feed (for example) would be given?

i'm wondering what your hospital practices are on floating-,how often do you have to do it,and how you all feel about it? our infant unit is lower census in the summer, and we ended up floating ALOT last summer.I already went to the NICU last shift because of this, and actually prefer the NICU over the floors with the bigger kids, but still....i am a n acute care nurse. I really do not feel it is a safe practice.thoughts??

i was wondering about ng placement because i recently read a journal article that basically stated auscultation was not a reliable method of placement verification,ph or cxr are preferred.also have heard of a recent wrong(pulmonary)placement where a feed was infused,and the nurse used auscultation to check placement.any thoughts?

I'm new to the site-been a peds nurse on an infant unit for about 2 years-i'm looking for feedback on practices in other childrens hospitals.does anyone routinely give chloral hydrate for sedation of infants for procedures?what is your monitoring protocol for this? also, what is your procedure for verifying placement of feeding(ng)tubes? just curious,wanting to compare.i'd appreciate feedback,enjoy this site very much!!thanks!