elizabells BSN, RN

NICU

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All Content by elizabells

  1. elizabells

    Funny/happy NICU moments needed

    I hate how they don't get logic! I find myself patiently explaining stuff to my kiddos, like, every shift, but they NEVER
  2. elizabells

    chronic cpap

    For. Ev. Er. Or until their insurance tells us to quit screwing around and send them to LTC, in which case we try to get them to NC. Trachs only for airway issues or long term (like, MONTHS)...
  3. elizabells

    What are the smallest diapers available?

    The smallest ones do; the larger size do not. And yes, the rise is very low, I guess to accommodate umbi
  4. elizabells

    What are the smallest diapers available?

    We use cuddlebuns as well. We refer to the flat, white, mini-chux as
  5. elizabells

    Weaning from CPAP

    We start to trial off when they've been kicking it on 21% for a while without issues. The MDs sometimes ask us to, sometimes we just give the kid a shot if we know them well and trust them. Or if a...
  6. elizabells

    Funny Names

    Aw, my great-grandfather's name was Major. It was an Ellis Island Americanization of (something like)
  7. elizabells

    Bubble CPAP?

    My understanding is that their heads do go back to normal. I can spot the CPAPers on alumni day by their poor noses, but their heads look pretty okay. We haven't had an ECMO in MONTHS! I miss it
  8. elizabells

    Bubble CPAP?

    I work in the unit where bubble CPAP was invented, lo these many years ago. We use Hudson prongs with either the provided hat or stockinette. You just have to pay attention to the bubbling, and check...
  9. elizabells

    Stethoscope size?

    I'd wait and see what your unit's protocol is. Ours has a Littmann for every baby, kept at bedside, no sharing unless it's an absolute emergency. Our cardiologists do use their own, and they rotate...
  10. elizabells

    Absolute No-No's

    And never disconnect GT tubing to give a med to a screaming baby. Pregestimil mixed with amoxicillin doesn't wash out of
  11. elizabells

    Does your unit use Vapotherm?

    Steve, you forgot to tell them how it's MAGIC. If you're on 21% FiO2, it doesn't count as BPD, even if you're on it at six months old! Magic, I tell
  12. elizabells

    Baby Jesus as a NICU admission

    I anticipate a fight over whether an asymptomatic infant born to a GBS unknown mom should get abx right away or wait for the cultures to come
  13. elizabells

    Things Patients Have Taught Me NOT To Do

    OW.
  14. elizabells

    Funny Names

    They eventually got WalMart to make it, apparently. I'd submit it to Cake Wrecks if I had a picture of
  15. elizabells

    Funny Names

    We have another Le-Dash-Ah sighting! My coworker's husband is a teacher, and he has a student by that name in high school, so apparently this one's been around a while. Not... so funny, but I just saw...
  16. elizabells

    Platelet Transfusion

    Everything comes filtered to us from blood bank, but last week I gave platelets from a bag sent back with the kid from the OR. The anesthesia resident brought me a filter to draw it up
  17. elizabells

    NICU preceptorship (last quarter of nursing program)

    I did my preceptorship in the NICU, and I sent the NCLEX home crying for its
  18. elizabells

    Things people say coming out of anaesthetic

    When I had a biopsy for what turned out to be a costochondroma, I woke up x2 during the procedure, the second time restrained, because apparently I got a little punch-y the first time. Nothing like...
  19. elizabells

    never scrubbed but want to be an RNFA

    Becoming an NP is another route to RNFA. The woman who basically runs our CT surgery service (one of the top in the country) is an FNP who never scrubbed a case as an RN in her life. She's a crazy...
  20. elizabells

    How about your favorite Old Wives Tales related to health?

    There's a taqueria in San Francisco that has this burrito. If you come in at full term and eat it, and don't go into labor within 24 hours, you get your money
  21. elizabells

    Obnoxious co-workers...

    Outright, vocal anti-Semitism in the break room is my current favorite part of my
  22. elizabells

    Strange things found on (or in) a pt.

    Not to be totally vile, but a 5yo shouldn't be able to get anything IN there. Hymen, and all that. Playing doctor is one thing, but something else was going on
  23. elizabells

    Talking to your neonate patients

    Absolutely I do. NICU babies have been shown to be developmentally delayed specifically r/t the lack of stimulation a newborn is supposed to get, independent of other factors. I've also had parents...
  24. elizabells

    Strange things found on (or in) a pt.

    Yeah, I know kids get up to stuff, but that's a bit... not
  25. elizabells

    Little Confused

    None. Graduate school, take NCLEX, get job. It's not always that easy, but those are the actual