neominder

Latest Activity

1. How common are negative outcomes in NICU?

   neominder replied to LauraLou's topic in NICU, Neonatal

   i have been a nicu nurse for five years, and the overwhelming majority of our patients go home and do well. we have even been suprised by a few we thought would be so badly brain damaged that they...

2. Cobedding Twins/Multiples

   neominder replied to donnuchi's topic in NICU, Neonatal

   we co-bed in our unit everything from twins to quints. the just have to be infection free, no iv's and in ra or canula. they can co-bed in isolettes or large peds cribs depending on the size of the...

3. PICC Dressing Changes

   neominder replied to donnuchi's topic in NICU, Neonatal

   we used to do only prn changes when the dressing became non-occlusive. now they are q monday and prn. this was as an attempt to lower infection rate. it hasn't helped thus far, and we are having more...

4. Primary Centered Nursing

   neominder replied to JenniferBSN's topic in NICU, Neonatal

   we have primary nursing in our unit. it is completely voluntary. i love it, and almost always have a primary pt. we also have associates who care for the baby if the primary isn't there. either a...

5. At what gestation would YOU want YOUR baby saved?

   neominder replied to StacyC417's topic in NICU, Neonatal

   In az if the infant is >24 weeks and makes any attempt to breathe we have to resusitate. which then leaves the parents the terrible decision of withdrawing support if the damage we have done is...

6. Lemon swabs for oral care? Opinions, please!`

   neominder replied to NICU_Nurse's topic in NICU, Neonatal

   we haven't had lemon swabs in our unit for much longer then i have been there. suctioning, sterile h2o and gauze are the norm. i like to dip a sterile cotton tipped swab in breastmilk for small vented...

7. Minimal handling policies

   neominder replied to kmaryniak's topic in NICU, Neonatal

   we now have an actual written policy in our unit for micro-premies, 28weeks and under. they are q6hr if at all possible, that includes coordinating respiratory and xrays. we have always done the same...

8. NICU Calling?

   neominder replied to JoniL&DRN's topic in NICU, Neonatal

   i absolutely agree. i went into nursing school knowing exactly what i wanted to do. i made it through because i knew i wouldn't have to take care of adults ever again!! i couldn't imagine doing...

9. Primary Care

   neominder replied to nurseiam's topic in NICU, Neonatal

   i believe whole heartedly in primary care in the nicu. the way our unit is set up we have 3 levels icn-intesive care level iii, ccn- level ii continuing care for feeding & growing babies nicu...

10. Early Extubation in micro-preemies

    neominder replied to Gompers's topic in NICU, Neonatal

    as with all things...it depends on the baby. i wish the docs would all see it that way. in my unit some tend to focus too much on numbers and not enough on clinical findings:angryfire. so a good blood...