bmsrn

bmsrn

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All Content by bmsrn

  1. Dilaudid & Zofran?

    bmsrn replied to nursing_newbie's topic in Patient Medications

    I give it together frequently in the PACU. Are you thinking of Phenergan with

  2. Patient age limit?

    bmsrn replied to VintageSwagger's topic in NICU, Neonatal

    Level 3. 70 beds. We had someone celebrate their 1st birthday in our unit. Our docs will NOT transfer them out. When we are full we are continually transferring babies to

  3. Level III to Level IV

    bmsrn replied to krenee's topic in NICU, Neonatal

    I work in a level III NICU. The only thing we don't do is ECMO. I'm guessing that the only thing that makes somewhere a level 4. I don't think your transition is going to be hard, since you have...

  4. Bar Code Medication Administration NICU Style

    bmsrn replied to Mags4711's topic in NICU, Neonatal

    Our policy is that you HAVE to scan the patient. Every bedside has a computer and scanner. We have to scan the baby, then the med. Our ID bands are these little labels that look laminated. We...

  5. Has anyone ever 'taped' a gravity feed?

    bmsrn replied to tinkerbell419's topic in NICU, Neonatal

    We will tape our feedings like others have mentioned if it's under 10ml. We use 4fr, 6fr, and 8fr feeding tubes. We don't use the 8fr that much. I don't think it's unsafe like mentioned above. It...

  6. Isolette Practices

    bmsrn replied to nickirn31's topic in NICU, Neonatal

    I only pop the top when necessary. It depends on what I'm doing and the babies size. If they are a micro-preemie I'd only open for an intubation or re-taping the ETT. I see a lot of newer nurses...

  7. Should I take pre-reqs at CSN or UNLV?

    bmsrn replied to majorjames's topic in Nevada Nursing

    Get your bachelors

  8. Heparin Locks/Flushes

    bmsrn replied to salaw's topic in NICU, Neonatal

    We also never help lock a line. Any kind of central line will have KVO fluids running, it's usually D5w with 1:1 hep, going at 0.3 or 0.5 ml/hr. Our PIVs are saline

  9. New hire and pregnant... need advice Please.

    bmsrn replied to Encast's topic in NICU, Neonatal

    First congrats on your pregnancy. Where I work its very hard to hide it. You may tell one person but what if you don't work the same schedule as them?Besides, the minute I see another nurse always...

  10. Neonatal reference books

    bmsrn replied to amanda.j's topic in NICU, Neonatal

    I have both of the main ones. They each have their pros and cons. The big difference for me is that one is outline format and the other is like a textbook with

  11. Anybody want to help me plan my career??

    bmsrn replied to kerussll's topic in NICU, Neonatal

    How about a family nurse practitioner. That way you can do adults or children. You can work in a pediatricians office or even a Walgreens 1 minute clinic- that would have nice hours. I agree with...

  12. Primary nurses

    bmsrn posted a topic in NICU, Neonatal

    How does your unit handle assigning nurses their primary? Will a nurse have their primary every day they work- regardless if the nurse who worked yesterday( and had that baby) is back today- but the...

  13. Primary nurses

    bmsrn replied to bmsrn's topic in NICU, Neonatal

    That's how I always thought it was too, and that's how our unit has always been. Since people have complained about having their assignment being switched(especially when they work 3 in a row) when I...

  14. Care Times

    bmsrn replied to sab7169's topic in NICU, Neonatal

    Surgeons and docs assess our babies when they can. I won't really say it's at their convenience. Our docs are extremely busy. They are gentle with our kids. After they assess, I just re-wrap them...

  15. New to level III

    bmsrn replied to Anursify's topic in NICU, Neonatal

    It's going to be stressful, especially since this a lot of this is new to you. Honestly, I don't see how someone can expect you to just stroll on in and NOT be stressed. You just need to take it day...

  16. Vaccinations in the NICU

    bmsrn replied to Humbled_Nurse's topic in NICU, Neonatal

    I have personally seen quite a few babies have setbacks after those 2 month immunizations, and it's usually the previous micros. It's to the point now to where we separate those 3 vaccines by 24...

  17. Abdominal Girths

    bmsrn replied to LuvaBSNRN's topic in NICU, Neonatal

    We still do. I have a relative whose a NICU nurse and her hospital does not- something about evidence based practice. Everyone measures differently though, so I usually compare my measurements. Our...

  18. RAM Cannula

    bmsrn replied to juliachloe's topic in NICU, Neonatal

    We used Vapotherm in our unit until they had their recall. We switched to Fisher Pykel and we've been using that since then. I believe they are pretty much the same

  19. RAM Cannula

    bmsrn replied to juliachloe's topic in NICU, Neonatal

    Our unit does not use Vapotherm. That was before my time I guess, but now we just use Fisher Pykels. We also use Sipap- a

  20. RAM Cannula

    bmsrn replied to juliachloe's topic in NICU, Neonatal

    I have never heard of this. Is this just a plain NC? And it can be used for NCPAP? So no more velcro head pieces and masks? I went on their website and it looks like the cannulas we use, but we do...

  21. NICU IV push meds and flushes

    bmsrn replied to PEDSOBRN's topic in NICU, Neonatal

    We also have a dedicated med line, and our TPN tubing is portless- so there is no such thing as giving it to the closes port. Things like Amp and caffeine I'll push through my medline, then run my...

  22. No bandaids

    bmsrn replied to sherirn127's topic in NICU, Neonatal

    We limit the use of adhesives. How do you secure a PIV or dress a PICC with no adhesives? For heelsticks, we have what we call OB sponges. They are cotton squares that stretch and stick to...

  23. Help! NICU RN

    bmsrn replied to MissIvy's topic in NICU, Neonatal

    As for spending time with your family, it's no different no matter what kind of nurse you are. I find it's actually easier to spend time with my family. I am also a wife and mother. I find that...

  24. OG tube during feedings/cleft lip & palate kiddos

    bmsrn replied to obprof's topic in NICU, Neonatal

    We do not remove OG/NG tubes during PO feeds on my unit. I have heard of other hospitals doing it though. I guess some doctors feel that the tube can cause reflux or aspiration. Most of our kids...

  25. Bracelets in the NICU

    bmsrn replied to kandrien's topic in NICU, Neonatal

    Our unit does not use the ones from L & D at all. We can literally cut it off once the baby comes to the NICU. There is a universal ID band for our hospital. Ours get printed on a "baby" size...