Sweden

Sweden

NICU, Med/Surg

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  1. NURSING IN SWEDEN

    Hi I´m a swedish nurse and would be glad to help, but I do need a little more information. Anna
  2. Holding with UAC/UVC lines

    Our policy regarding UAC/UVC is that we (the nurses) have to ask the doctor the first time. If they have been up once usually all restrictions are gone. Right now one of the staff is holding one of the babies with UAV and UVC trying to keep the baby ...
  3. Alarm limits and ROP

    Our limits are 80-95 for all babies with oxygen. We are very cautious to increase (or decrease) oxygen. We have a low incidence of ROP. I can have a baby with sats of 20 and still not increase oxygen. If he/she is on CPAP and not breathing what´s the...
  4. micro preemie trophic feeds

    We usually start their first feedings within 2 hours of birth (regardless of gestation age) and advance as tolerated. Most are on full feeds within a week ( We have a low incidence of NEC in Sweden so it seems to work.... The 22 weeker (520 g) I´m ta...
  5. suctioning the intubated pt...1 nurse/RT, or 2?

    Hi I´m sorry if this is a dumb question, but why are you bagging when you are suctioning. When do you do it (before / after)? I´m a nicu nurse here in sweden and we never use bagging in conection to suctioning, but maybe it´s different with older chi...
  6. banked milk anyone?

    We use bank milk for all premature children and for lots of surgical kids. We even give it rectally to stimulate the intestine for thoose with "short gut"! They usually stay on donor milk until mum can keep up with the supply/demand. About 90% of ou...
  7. Hi Suzanne Can someone use the H1B visa if they do have work experience (I have worked NICU for almost 8 years), relevant license and VS? Does the job have to differ from other staff nurse positions? My transcript papers from my nursing school (3 yea...
  8. Food In The Nicu

    KMC = Kangaroo Mother Care
  9. Food In The Nicu

    I seriously doubt that, what about all rest the of the patients in the hospital. I´m just guessing, but I think they get food served to them......... We allow the parents to eat in the ICU area as long as they don't do it during KMC (not that many do...
  10. Happy Birthday Suzanne

    :redbeathe Happy birthday! I hope you will have a wonderful day! Anna
  11. Questions about managing NICU babies

    1) For premies, when do you start feeding them? Day 2 or 3? I know that if you feed them starting day 1, they can get NEC. In the meantime, do you start TPN? Or is TPN only if the baby is going many days without eating? What kind of IVF do you like t...
  12. O2 is 81, what shoud you do?

    Neonates are an entirely different patient group and the same rules don´t apply.... Some of my patients make regular desats down to 10 (sats) and we watch and just stand back and wait for them to recover again. Doing somehing, anything, even just op...
  13. oldest babies in the NICU?

    We recently had a 18 month toddler (born after 24 weeks, still ventilator dependant) but I do think we hold the record for the oldest "child" because we had a boy here for 20 years. He was home during the day,went to regular school but since he had a...
  14. UAC fluid/antiseptic

    It´an amino acid mixture (with all 18 essential and non-essenseal amoni acids required for protein synteses), where the propotions tries to mimic the content of breastmilk (includes taurin as well). It´s a way of giving the baby more protein and to ...
  15. UAC fluid/antiseptic

    We use a mix with Vaminolac and water in all our arteriall lines, umbilical or peripherial. Heparin is never used in my unit. Umbilical lines are cleaned wih NS for a baby under 30 weeks, for all others it´s chlorhexadine. Anna
  16. Well baby nursery at night

    I don´t think there is a hospital in Sweden that has a nursery, it´s all couplet care. All hospitals allow someone (usually dad and siblings) to stay and help mother and child. Dad gets 10 days paid leave from work to be there for his new familymemb...
  17. The parents usually do the daily wash, not the weekly (where everything is taken apart and scrubbed). Most of them see this as something useful to do, we don´t force anyone to do it.... The baby with mold was a extremely sick and tiny 23 weeker, so ...
  18. No rings of any kind (germs do not know the difference between a wedding band and another ring). This applies to both staff, parents and visitors. Isolette covers are changed daily along with everything else around the baby. Isolettes are changed we...
  19. research on kangaroo care

    Yes, she´s in the Lancet, Acta Paediatrica, Br Med J and Pediatrics. She´s one of the most respected when it comes to KMC research. Anna
  20. Funny/happy NICU moments needed

    I love seeing parents realise that they have actually become parents, that the baby in their arms are inded their child! Traditional care of premature/sick babies usually delay the process a bit, it must be harder if you don´t get to hold your baby....
  21. research on kangaroo care

    Hi Try searching for articles by Nathalie Charpak, she´s written several good articles. Anna
  22. Best christmaspresent is a giftcertificate for around 20 dollars (could be used at a variety of different department stores). This year my hospital is celebrating 300 years and we were told we would be getting a present that was a combined christmas...
  23. I read a thread in the MICU/SICU forum about giving ice to intubated patients and started to wonder how other units handle this. My unit encourages and allow us to give small amounts of food with each feeding (preferable with the pacifier). Glucose a...
  24. Californian midwives - need advice!!

    To get your ATT, be able to sit for NCLEX and then recive your RN licence in CA all hours must be covered on a official school transcript. Hospital courses / work experience will not be accepted by the BON. Suzanne, one of the moderators in the inte...
  25. Is there a conference in your "neck of the woods"?

    1st European Conference on the Kangaroo Mother Care method 6-7 October 2008 Uppsala, Sweden Main topic: Why KMC in a high tech setting? Target group for the conferenceare persons involved in maternal and child health care, perinatal, neonatal, and pe...