katierobin23

katierobin23

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All Content by katierobin23

  1. 10 year old died after I performed CPR

    katierobin23 replied to MjHudd's topic in General Nursing

    Being a PICU nurse, I've learned the harsh truth which is that some kids will die no matter how hard we try to save them. I'm so sorry you're going through this, but know that you did everything you...

  2. NG tube question

    katierobin23 replied to RNinCali15's topic in NICU, Neonatal

    If a baby is having feeding issues and has an NG (even a term kid), I want to know what's in the stomach before I start, even if the baby is going to nipple. If he doesn't feed well, was it because he...

  3. I Should Be in Jail

    katierobin23 replied to allnurses's topic in General Nursing

    I'm starting in the PICU at a large children's hospital on Monday and these cases are what scare me the most. I can only hope I am able to handle myself as you

  4. Attention NICU Nurses! What advice do you have for a new Grad RN?

    katierobin23 replied to journey2success's topic in NICU, Neonatal

    ^^Everything that they said! The best advice I can give is to be a sponge! Take advantage of every learning opportunity and ask questions. I've found NICU nurses tend to be eager to help out newbies...

  5. Which Milk Warmer Do You Use?

    katierobin23 replied to mgturtle's topic in NICU, Neonatal

    We just started using the Medelas, but our policy is to only change the liners when soiled or torn. Has any research been done to justify changing more frequently? Very curious to see if we're in the...

  6. IV Insertion in School?

    katierobin23 replied to meganec17's topic in General Nursing

    We never even covered it. Very similar to what OP said, we were told that we would be trained on the job. I think it may have something to do with the location of the school...I went to nursing school...

  7. L&D or Mother/baby before getting into NICU?

    katierobin23 replied to thejetsetnurse's topic in NICU, Neonatal

    In my opinion, L&D will help you more. Mother/Baby is almost entirely healthy couplets, you'll need strong assessment skills to know when something is going wrong but for the most part your...

  8. Does Anyone Use NICU View?

    katierobin23 replied to rnkaytee's topic in NICU, Neonatal

    We have Angel Eye cameras, they're still new so I can't speak to long term use issues but so far it hasn't been a problem. We were worried about the increased call volume but honestly, I think we've...

  9. Sedation/Intubation

    katierobin23 replied to kjk47's topic in NICU, Neonatal

    Very similar to NicuGal, we give a dose of fentanyl before intubation if it's not an emergent situation. Most kids on conventional ventilators don't get pain control, we use non-pharmacologic methods...

  10. Weekly NICU MRSA swabs

    katierobin23 replied to countyERNICU's topic in NICU, Neonatal

    We swab nares of every baby on admission and every 2 weeks. Any baby that comes up positive is on contact precautions until discharge. Any baby whose mom was positive is also on contact until...

  11. Transfusion associated NEC

    katierobin23 replied to essT's topic in NICU, Neonatal

    We continue to feed if the feeds are 50ml/kg/day or less. Any more than that and they are NPO for 3 hours before and 8 hours after. We run blood over 3 hours, so the kid ends up on fluids (clears if...

  12. Rare birth: Baby born completely encased in amniotic sac

    katierobin23 replied to guest769224's topic in NICU, Neonatal

    That cracked me up too! I would have had a hard time not responding with, "you don't

  13. Car seat test

    katierobin23 posted a topic in NICU, Neonatal

    How much teaching are you allowed to do regarding car seats in your unit? For me, we put the baby in it however the parents bring it to us and aren't allowed to say anything to them except, "read the...

  14. Single vs. Double lumen

    katierobin23 replied to ScammRNC's topic in NICU, Neonatal

    Following! I'm really curious

  15. ECG leads for micropreemies

    katierobin23 replied to NICURN29's topic in NICU, Neonatal

    We have a policy that says we can choose not to use leads on micropreemies with significant skin integrity issues. Those babies almost always have a UAC which we use in conjunction with the pulse ox...

  16. How should items be stocked in delivery rooms?

    katierobin23 replied to pwilkins90's topic in NICU, Neonatal

    We have a small tackle box with syringes and 18g needles for drawing up meds, epi, narcan, bicarb, lot of saline, tape, and a kit for needle aspiration. Respiratory has their own box that's a little...

  17. NAS

    katierobin23 replied to Trisaratops's topic in NICU, Neonatal

    Tight swaddles, pacifiers and snuggles are what work best for me. My favorite thing when I have the time to do it is laying the baby on my chest (baby in a sleep sack and me with a blanket over my...

  18. Kiddos

    katierobin23 replied to klone's topic in NICU, Neonatal

    Yup, kiddo, kid, buddy, little man, big girl, big guy, dude,

  19. NICU Babies - Security Bracelets

    katierobin23 replied to syhuggins17's topic in NICU, Neonatal

    Our babies get a security tag when they go to a crib. Exceptions are if they have a running IV or are on oxygen

  20. 4 lb Car Seats

    katierobin23 replied to ScammRNC's topic in NICU, Neonatal

    We have zero restrictions for car seat weight ratings. Most nurses and doctors in my unit have no clue that such a thing even exists. If they pass their car seat test, they can go home in it. It's...

  21. Car seat test

    katierobin23 replied to katierobin23's topic in NICU, Neonatal

    Mostly the strap adjustment has to do with the challenge. And just that when they bring it in, it should be a great opportunity to talk about the rest of it but we

  22. Car seat test

    katierobin23 replied to katierobin23's topic in NICU, Neonatal

    Glad to see its not just my unit car seats are such a passion of mine and none of the parents care. We had a baby die in a crash after she had been in our unit because of car seat misuse and still...

  23. Dr. Order for elevated head of bed?

    katierobin23 replied to LisaNICUrn's topic in NICU, Neonatal

    Ditto to what nicugal said. Once a baby gets to an open crib, we are usually looking at discharge soon and if he/she is requiring an elevated HOB, the doctors need to be aware of that. If it was based...

  24. Random question.

    katierobin23 posted a topic in NICU, Neonatal

    Which way do your babies heads go when they're in incubators? In my unit, the head of the baby goes at the end with the display, but I see pictures of other units and the babies are at the other end....

  25. Random question.

    katierobin23 replied to katierobin23's topic in NICU, Neonatal

    Here's the website for the Tortle midliner if anyone is interested :)