Mags4711 replied to at your cervix's topic in Ob/Gyn
I am not at all behind the nipple confusion theory, either. I do, however, recognize that it can be somewhat more difficult for an infant who is used to bottle feeding, to breast feed. Flow of milk,...
22 3/4 hrs. Was scheduled for a 12 hr, came in two hours early (6pm) for a meeting and was mandated to stay from 0800-1200 then they could not find a replacement form me, oh yes, and it was the "fall...
Mags4711 replied to longforseaair's topic in General Nursing
Suzanne4, I just re-read your post. Really really good point about being alert and oriented but still having a low BP. Certainly is something to keep in
Mags4711 replied to longforseaair's topic in General Nursing
suzanne4, she did mention the patient does have pedal pulses, so he is likely not as hypotensive as the old rule of thumb would say he should be. bbq, have you tried putting a cuff on the ankle or...
Just a reply from ECMO's birthplace. UM, We have RRT's and RN's on the ECMO staff. We regularly transport ON ECMO. Last year we did one from California to Michigan. The ECMO department also...
Mags4711 replied to Tina CTICU RN's topic in MICU, SICU
"So basically you are assessing that the surgical site is dry and intact as well as making sure there is no retroperitoneal bleeding? Do you have a lot of titrating of drips?" No, SICU is not as neat...
Bryant, not to be mean, but less than a year and you want to precept and orient new staff? I do not think a year is enough experience to precept new nurses. There are a lot of things you still don't...
Sounds like a BKAT [basic Knowledge Assessment Test (or Tool-don't remember which)]. Not too bad, couple of tricky questions, but in general, pretty basic. Good Luck in your interview!
Mags4711 replied to nurse_lilyjaderose's topic in Burn
We still use it. It is a dilute solution. Dressings are changed daily-kerlix wraps and then the pt is moistened q 2 hrs with the Silver Nitrate solution. It stains like the
I am from the states, but I HAD to add my two cents This is one of my biggest challenges as a NICU nurse. Seeing all these babies needlessly mutilated. And when I ask my co-workers how they feel...
Yes, the Lord certainly does. Worst I've ever seen? Way way way too many to even write about. And how do you judge worst? Worst to whom? The patient who is suffering? The family? Us as caregivers? Is...
i need help. i work in a 40 bed level iii nicu in a huge teaching hospital. our nicu is made up of four rooms, a 10 bed, two 9 beds, and a 12 bed room. currently our policy is that the first two...
Mags4711 replied to Tiki_Torch's topic in NICU, Neonatal
When we still had radiant warmers, we set ours at 37 for all babies. We now have all omnibeds and admit to a max heated bed, then place the probe on the pt, put the bed on baby mode set at 37 and...
i am absolutely shocked about all the double bunking reported here, especially in the larger level iii's. is jcaho aware of your practice? you would lose your accrediation if they were. we are...
We cohort the MRSA babies and gown and glove for them. There is no limitation placed on the nurse, she/he can care for other babies and admit, do triage, whatever. We do weekly MRSA swabs on Mondays...
Mags4711 replied to Tiki_Torch's topic in NICU, Neonatal
Years ago when I first worked with neonates we gravity fed formula and put all breastmilk on syringe pumps secondary to the high fat content remaining on the walls of the gravity set. Now that I have...
What a tough question. NICUhopeful87 you are a rare case, indeed. But a great success story to hear! I am going to guess that you are female? Makes a huge difference. Boys are generally wimpier....
Very, very rarely do we use transducers with UVC's. Always with UAC's. the readon behind not using them with UV's ia that they are inaccurate and do only show trending as previously stated in the...
I am not in California, however our unit recently completed a study and wrote a paper on the risks and benefits of co-bedding multiples. We have done twins and triplets. The caveats are that they...