LilPeanut MSN, RN, NP

NICU/Neonatal transport

NNP

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All Content by LilPeanut

  1. LilPeanut

    Do you medicate for intubation?

    LilPeanut replied to elizabells's topic in NICU, Neonatal

    I think we use sux because it wears off faster than the
  2. LilPeanut

    Gastroschisis/fussiness suggestions?

    LilPeanut replied to EricJRN's topic in NICU, Neonatal

    We usually have at least 4 gastros on our floor (before they get moved to gut stepdown!) We're the gastro capital of the country. Utilize every member of the staff that is able to, to take turns....
  3. LilPeanut

    Do you medicate for intubation?

    LilPeanut replied to elizabells's topic in NICU, Neonatal

    Non-emergent tubes get meds...sux, fent, atropine. Emergent tubes, we just pray they get in there (sometimes
  4. LilPeanut

    I hate NEC

    LilPeanut replied to Sweeper933's topic in NICU, Neonatal

    If it's NEC totalis, on our unit, they aren't given a choice. The surgeons run the bowel, if it's all gone, they put it all back in, close the baby up and bring mom and dad in to say goodbye (we do...
  5. LilPeanut

    Do you put tubbing and connections from central lines outside the incubator?

    LilPeanut replied to sofiam's topic in NICU, Neonatal

    all lines, except standard formulations (that pharm hasn't added anything to) or meds (like morphine or versed) get changed q24. Preparing lines for change is a sterile procedure. Connecting all...
  6. LilPeanut

    Cycling

    LilPeanut replied to Preemienurse23's topic in NICU, Neonatal

    Once they start to get near term, yes, we try and cycle them and put on the 'daytime' lights in their
  7. LilPeanut

    Tips for speed without sacrificing accuracy?

    LilPeanut replied to cherokeesummer's topic in NICU, Neonatal

    The alarms thing comes with time. We have the same three tones as the poster above has, and you just learn which ones are which. We teach parents too, so they aren't concerned about every little...
  8. LilPeanut

    Strengths and weaknesses

    LilPeanut replied to elizabells's topic in NICU, Neonatal

    I work in a lvl IV (I guess, I hate it when they change it). We do everything, ECMO complex cardiac, nitric, HFOV, etc. We are good with gastroschisis. (Our area has the highest rates in the...
  9. LilPeanut

    Wearing Gloves in the NICU

    LilPeanut replied to minky84's topic in NICU, Neonatal

    We are required to for all patient contact at my hospital. It was a change a few years ago. We have greatly cut down on the number of MRSA kids we have
  10. LilPeanut

    Who runs your ECMO pumps?

    LilPeanut replied to elizabells's topic in NICU, Neonatal

    Our ECMO techs are either RTs or RNs who have done extra classes. I'm in cols,
  11. LilPeanut

    NICU nurses should take PALS...IMO

    LilPeanut replied to MA Nurse's topic in NICU, Neonatal

    Wow, my NRP was really different. I find it to be very useful and very easy to remember;100/60 breakdown. At the end we each had to run a
  12. LilPeanut

    Adult ICU to NICU

    LilPeanut replied to DaFreak71's topic in NICU, Neonatal

    I just wanted to chime in and agree - NICU needs NRP, not PALS
  13. LilPeanut

    Clear TPN?

    LilPeanut replied to EricJRN's topic in NICU, Neonatal

    as for why not D10 - at least here they want to get the kid on starter TPN asap because they want to get them protein quickly to help their little bodies deal with
  14. LilPeanut

    Youngest preemies

    LilPeanut replied to Ozboy's topic in NICU, Neonatal

    Also, there's a difference between "time in the womb" and gestational age of other babies. Typically, the counting for the pregnancy starts on the first day of your last period, which adds 2...
  15. LilPeanut

    When Is Enough Enough?

    LilPeanut replied to RainDreamer's topic in NICU, Neonatal

    We've had to deal with this in the past. Total brain death by all criteria, who ended up being kept on the vent for a month, with a Sometimes the docs do need to be firm, especially with some...
  16. LilPeanut

    Getting sick when your a NICU nurse?

    LilPeanut replied to cherokeesummer's topic in NICU, Neonatal

    Depends on how sick - like most others , if it's just a cold/sinus etc., mask all day. fever/pneumonia/strep etc - that's a call off. You just have to, though you should be as kind about it as...
  17. LilPeanut

    Neonatal Death - what does your unit do?

    LilPeanut replied to MegNeoNurse's topic in NICU, Neonatal

    I've never seen other families asked to leave on my unit. We're separated by curtains and in pods. If it's withdrawing support, we try to have an isolation room, parent room or conference room for...
  18. LilPeanut

    malpractice in NICU

    LilPeanut replied to JulieRN07's topic in NICU, Neonatal

    I've actually heard that if you have malpractice insurance as an individual nurse, you can be more likely to be named in a suit because you then also have 'guaranteed' money to go
  19. LilPeanut

    Clear TPN?

    LilPeanut replied to EricJRN's topic in NICU, Neonatal

    Our kids almost always have MVI, unless there's a specific reason. Starter TPN though does not have
  20. LilPeanut

    Anatomy Physiology Club....NOT A&P

    LilPeanut posted a topic in Pre-Nursing Students

    I think I figured out the difference between A&P and Anatomy and Physiology taken separately. I think A&P is taught systemically, while at least anatomy is taught regionally when they are...
  21. LilPeanut

    Communication with Parents

    LilPeanut replied to Loralai's topic in NICU, Neonatal

    I think a lot might depend on the level of the NICU and the typical pt. population. If you are in a smaller NICU where the acuity isn't incredibly high, I can see that happening a lot
  22. LilPeanut

    Communication with Parents

    LilPeanut replied to Loralai's topic in NICU, Neonatal

    Parents have to call, unless the child is crashing or needs consent for something. The only exception is if interpreters are needed for updates. It may seem harsh, but if the parents don't call in,...
  23. LilPeanut

    Nipple Confusion

    LilPeanut replied to B. Far's topic in NICU, Neonatal

    I totally agree, it can be overcome and is not a disease per se, but it can make it more difficult for mom and baby to successfully nurse eventually, to the point where it never gets established. I'm...
  24. LilPeanut

    Nipple Confusion

    LilPeanut replied to B. Far's topic in NICU, Neonatal

    Like I said - Nipple "confusion" is a misnomer. It's not really confusion, it's preference. We call it confusion when a child prefers something that is not natural or as healthy; they have to work...
  25. LilPeanut

    Funny Names

    LilPeanut replied to nurserynurse55's topic in NICU, Neonatal

    I want to "defend" a couple names on that last list Holden isn't unusual at all. It's not terribly common, but it's a famous name (Catcher in the Rye's main char is named Holden) And Kaleialoha...