LilPeanut MSN, RN, NP

NICU/Neonatal transport

NNP

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All Content by LilPeanut

  1. LilPeanut

    omphalocele baby

    In ours, gastros are often assisted repro babies....so older moms with excellent prenatal
  2. LilPeanut

    Overstimulation and A's & B's

    There's a fair amount of research that says it helps them physiologically, not just neurologically....so, how do we balance
  3. LilPeanut

    Overstimulation and A's & B's

    So far as the studies I've read - for true kangaroo care, there haven't been any limits found after which it was shown to be too stressing. That overall, the more they are kangarooed, the better, and...
  4. LilPeanut

    Overstimulation and A's & B's

    It seems to me though that much lip service is given to the benefits of kangaroo care, but it isn't actually done as often as some researchers suggest it can be (ie even with vlbw infants still on a...
  5. LilPeanut

    Deadly Epidural

    Just as much of a problem though - abx were ordered and not given. The nursing staff was not being responsive to Julie's situation. We're supposed to be pt. advocates and no one was advocating for...
  6. LilPeanut

    Anyone went through nursing with preterm labor?

    What gestation did you deliver your other two? That heavily plays into things....as is how far you have currently dilated. Are you having fFNs done? serial cervical length
  7. LilPeanut

    Well Baby Nursery Question

    At the hospital where I just did clinical for post partum, it was assessment every 8 hours (after baby was 3 hours old and out of triage) but then th ebaby needs to eat and have diaper changes and...
  8. LilPeanut

    omphalocele baby

    In our unit, consolability is definitely taken into account. If you have a fussy baby, you get a PCA. Several times I've been a PCA and my job for the entire shift is to keep the fussy baby happy,...
  9. LilPeanut

    Securing OGTs

    We do tegaderm on the cheek, and sometimes the mustache method
  10. LilPeanut

    new grad wanting nicu

    My NICU hires new grads too. And there's a good hunk of our nursing staff who was clerical/PCA prior to getting their license. My hospital loves to see people move up in the org. When I had my...
  11. LilPeanut

    Curious about the NICU

    Levels refer to the level of care they can provide. Higher the number, higher the level of care. And as I've been going on about ad nauseum today, is to be prepared emotionally for the fact that...
  12. LilPeanut

    Just got accepted to nursing school...

    clerking or PCAing is an option, depending on the unit. Of course, with the week I've been having, my biggest recommendation is before you go into NICU is to be prepared that it is not a happy...
  13. LilPeanut

    "Little Man" - Showtime documentary

    I can't wait until it comes out on dvd. I don't have showtime, but I would love to see it. I see it just on parenting boards even, people who want to induce labor too early or have a pollyanna...
  14. LilPeanut

    Do you say NICK_U or N-i-c-u?

    Nick-U most of the time. When I answer the phones on the unit though, I answer n i c u, because too often we get calls that were supposed to go to the PICU. N and P as letters sound much more...
  15. LilPeanut

    Taking a child off life support

    We see futile care frequently in the NICUs, sadly. We have a baby right now whose apgars were 0/0/0. We have another one who is in septic shock and was in status epilepticus for 1-2 hours and is on...
  16. Has anyone run into this? My daughter has this "bump" on her arm that's been growing for the past 4-6m and they finally have an idea of what it is - they've narrowed it down between nocardia...
  17. LilPeanut

    Fetal Obstructive Uropathy

    Because she wants the opportunity to see if the baby will make it? She has the choice whether or not to do the procedures, but if she wants to, there is no reason why she shouldn't be given the...
  18. LilPeanut

    Patients reading their own charts-yay or nay?

    I think it is a right to access your own chart. I learned to read the charting when my son was in the NICU. I would come in in the morning, the nurses would give me an update overnight, then I...
  19. LilPeanut

    omphalocele baby

    I love the belly babies, and they seem to love me *L* I always seem to be able to get them to stop crying and go to sleep. It makes me very popular sometimes. Another thing my unit does is with...
  20. LilPeanut

    Gut Programs

    We have a good gut service. We do not do gut transplants though, we send those to PA I believe. We have a great motility team and of course we're always working towards not having those kids needing...
  21. LilPeanut

    nurse not giving her meds.. should she be fired?

    There was just an article on this in the AJN. Basically how it is comepletely unethical for people to give out placebos, especially for pain. If there is pain, there is pain. Even if the pain is...
  22. LilPeanut

    please help with this question

    I think the second one should focus more on the pathophys of why/what meningitis does if it becomes a serious, life-threatening condition. I could be misreading the question
  23. One thing that always struck me was that Jackie Kennedy's son, Patrick, was born at the same gestation as my son, but passed away two days after birth. Two days after my son was born, they were...
  24. LilPeanut

    What Level NICU are you at?

    The other issue is that with those categories, those of us who are going for our NNP are required to have lvl III experience for at least 2 years. That's a wide variety of lvl III experience...
  25. I'm not a nurse yet, but most people know I'm a nursing student and I can't think of a great reason why I would hide the profession I've worked hard to attain. For me though, the biggest thing is for...