LilPeanut MSN, RN, NP

NICU/Neonatal transport

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All Content by LilPeanut

  1. LilPeanut

    Nipple Confusion

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

    I am going to defer to a couple of drs. who have already written a well-thought out reply to the studies/recommendations. Buzzetti, R., & D'Amico, R. (2006). The pacifier debate. Pediatrics,...
  2. LilPeanut

    Great NICU's/transport teams

    LilPeanut replied to rosem1's topic in NICU, Neonatal

    Columbus Children's also does ECMO/surgery/you name it, we do it. Our transport team is also top notch. While technically they do occasionally transport other peds pts., predominantly, they only do...
  3. LilPeanut

    Nipple Confusion

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

    I will reiterate that I have already said that it is inappropriate for the LCs to call formula poison, and suggest that a child should starve to death before being given formula, but in general, in...
  4. LilPeanut

    New Dual Lumen PICCs

    LilPeanut replied to SteveNNP's topic in NICU, Neonatal

    I hate small gauge double lumens. You can't infuse quickly through them, which is a problem in an emergency. I can't count the number of kids I couldn't give nacl boluses to because their double...
  5. LilPeanut

    Nipple Confusion

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

    Nipple confusion is a misnomer - it's not really confusion about the nipple itself, it's difficulty in switching between the two methods of feeding. It absolutely does exist, my son was a prime...
  6. LilPeanut

    Funny Names

    LilPeanut replied to nurserynurse55's topic in NICU, Neonatal

    My favorite from a non-hospital setting was Mrquantez and Sirantonio (brothers) mister quantez and sir antonio *rolls eyes* When I was in the ER, I saw some great ones like: Imyuneek. (I'm unique)...
  7. LilPeanut

    Do you give breastmilk/formula/glucose to vented patients?

    LilPeanut replied to Sweden's topic in NICU, Neonatal

    Actually, I think the reg bm would be better than altering it by cutting it or adding to it. Part of the risk of nec is hyper or hypo osmolity. since BM is perfectly formulated, you don't have that...
  8. LilPeanut

    Funny Names

    LilPeanut replied to nurserynurse55's topic in NICU, Neonatal

    http://www.snopes.com/racial/language/names.asp This is just a little bit of pet peeve of mine - I've heard a lot of funny names, but some of the stories that get passed around aren't necessarily true...
  9. LilPeanut

    Questions about Pain

    LilPeanut replied to juliachloe's topic in NICU, Neonatal

    We also use NPASS, we just switched a few months ago and people are still getting used to it. Typically try and use sucrose for sticks, unless they are NPO (which is a lot of times) Morphine or...
  10. LilPeanut

    Need help making decisions...

    LilPeanut replied to NESS2bNURSE's topic in NICU, Neonatal

    I will interject that if you go the direct entry route, that you do not necessarily have to have a lack of bedside nursing experience. In my direct entry class, nearly all of us have gotten jobs as...
  11. LilPeanut

    Need help making decisions...

    LilPeanut replied to NESS2bNURSE's topic in NICU, Neonatal

    Go for the clerking, IMO. I was a clerk, then a PCA and now a nurse (eventually an NNP) Was so much easier to get hired as a nurse since I already worked on the unit. "So, you're getting your...
  12. LilPeanut

    Hydrops

    LilPeanut replied to juliachloe's topic in NICU, Neonatal

    We have a hydrops kid right now, she has Pulmonary lymphangiectasia and there's no clear cut cause to it. I've never heard that pg women shouldn't work with hydrops
  13. LilPeanut

    Nasotracheal Intubation

    LilPeanut replied to SteveNNP's topic in NICU, Neonatal

    We just recently had a harlequin, very interesting. While some things are preference and style, there are other things that do violate evidence based practice, or other things we know to be true....
  14. LilPeanut

    CMV Question

    LilPeanut replied to nurserynurse55's topic in NICU, Neonatal

    CMV is a virus in the herpes family. Most of us have been exposed when we were young. It causes mild cold-like symptoms. If mom gets a primary infection though while she's pregnant, it can cause...
  15. LilPeanut

    Withdrawal of care

    LilPeanut replied to cc_nurse's topic in NICU, Neonatal

    I've never encountered a withdrawal of care that raised ethical issues for me. I have encountered many situations though when care has been continued and I have doubted whether it was ethical to do...
  16. LilPeanut

    Help needed:Policy for CVL dressing Changes

    LilPeanut replied to missapoo's topic in NICU, Neonatal

    we aren't allowed to use chloraprep on anyone under 2 months of age (it's not approved for them) We do alcohol, then iodine, let it dry for 2 min, then remove excess with sterile gauze. I wish we...
  17. LilPeanut

    Nasotracheal Intubation

    LilPeanut replied to SteveNNP's topic in NICU, Neonatal

    What ENT problems does nasal intubation cause? I have never seen nasal intubation. Our orally intubated kids can use pacis still. I've see a few problems with neobars. We don't use them on our...
  18. LilPeanut

    Cool new products in the NICU

    LilPeanut replied to kitty29's topic in NICU, Neonatal

    Yeah, those are the BBGs we use. And the Z-Flo, I think that's what I'm talking about for positioning. It's a mattress itself and squishy and
  19. LilPeanut

    companies that manufacture neonatal products!

    LilPeanut replied to NICU_Nurse's topic in NICU, Neonatal

    Just to let you know, the links for Incutech, Viasys, and UtahMed are no longer
  20. LilPeanut

    Cool new products in the NICU

    LilPeanut replied to kitty29's topic in NICU, Neonatal

    Which 'boogie suckers' are you guys referring to? BBGs? (nicknamed baby booger grabbers at our NICU) Love them. I don't remember the name of it, but one of our education people was talking about...
  21. LilPeanut

    bereavement care

    LilPeanut replied to pooperscooperrn0624's topic in NICU, Neonatal

    Neither of those things are violations of HIPAA. First, as part of our standard consents, we do have parents sign a consent to have their baby's picture taken. But beyond that, you are not publishing...
  22. LilPeanut

    Evacuation plans/emergency plans

    LilPeanut posted a topic in General Nursing

    Just curious, in light of the NOLA nurses/doc who recently were cleared, what your hospital evac plans are, specifically for your unit. When I found out about ours (I work in a NICU) I was surprised...
  23. LilPeanut

    African American Nurses in NICU

    LilPeanut replied to Rosepink's topic in NICU, Neonatal

    We have several black nurses/LPNs/aides (one who just graduated and will soon be an RN!) And several of my nursing school instructors were black. I'm surprised there are areas that there aren't...
  24. LilPeanut

    Peritoneal Dialysis in Infants

    LilPeanut replied to AliRae's topic in NICU, Neonatal

    We actually have two kids on PD right now on our unit. We use the stopcock/buretrol etc. setup. The older one is waiting until he gets to 150ml indwelling so he can go to mechanical PD and go home....
  25. LilPeanut

    To Filter or Not to Filter

    LilPeanut replied to ScammRNC's topic in NICU, Neonatal

    We never filter