KRVRN

KRVRN BSN, RN

NICU

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All Content by KRVRN

  1. Question for those who did watch ER?

    No, Babynurse2B, it's not always that busy. Of course it CAN get like that, but there are also lots of times when you can just calmly give your pt care or talk with a family or even sometimes cuddle...
  2. Question for those who did watch ER?

    Oh, that show was just horrible! I have to say that they came closesr than I thought they would,
  3. activities of daily living problem

    You avoid a lot of the grosser ADL stuff related to nursing in the NICU. Butt wiping, yes, but little
  4. Dopamine/Dobutamine

    I've never seen 3:1 or 4:1, we usually do 2:1 on micros and 1:1 on everything else. We usually try to run dopamine through a central line but if it's not available we will run it through a PIV. I...
  5. Balboa Medical Center OB

    I've heard a few negative comments about Balboa's L/D department, but I haven't heard anything about the prenatal stuff. Sorry I can't be of more
  6. Subjective or Objective?

    I agree, subjective. If the mom said "my child usually eats this and that this often and now he only eats XYZ" then that would be objective. Now, saying her "child won't eat" is objective, but...
  7. Do LPNs/LVN's work in your NICU ?

    We have a few that work in our level 2 area, but I believe they have been grandfathered in... I think we only hire RN's
  8. ? Men on Depo Provera ? Help ?

    Is it used in the sex-change operation
  9. mistakes in the NICU

    Another incident... We used to have stock bottles of Insulin and heparin flush in the fridge. If we had a sick baby that was getting vecuronium we might have a bottle of that in there too. Guess...
  10. mistakes in the NICU

    We had a PICU-experienced nurse come to work at our NICU. She gave 15cc of NaCl (supplement) instead of 0.5cc of NaCl. This was when we drew up our own PO meds from the baby's personal stock bottle...
  11. Intramuscular Injection Sites?

    Dorsogluteal is the butt cheek and ventrogluteal is the hip area
  12. Is a pacifier a chargeable item in your facility?

    We sell them in the gift shop for $3-4. They are not chargeable in the NICU and the PP floors don't stock them. Very necessary in the NICU. Necessity is questionable in the PP area, it's a...
  13. hyperal use in the NICU

    We run HAL in UAC's if we don't have a
  14. "cpap Head"

    It's not getting elongated from the hat being too tight is it? I've seen that before if a baby is on CPAP for awhile. The baby can grow out of the hat and the head gets
  15. hyperal use in the NICU

    We usually start the day after. Pharmacy has rules as to what time HAL orders come in, I believe. Our HAL always has the lipids mixed
  16. Development of NEC- questions for you!

    Increased number of A's and B's... esp A's... is a generalized early sign of getting sick. Temp instability also. I caught it way early in another nurse's patient when I "saved" an apnea/desat for...
  17. Poster ideas for the NICU?

    Something to reinforce back to sleep, we prone the babies so much the parents might follow our habit. CPR. Handwashing in preventing colds, flu, RSV. These ideas are most relevent for after D/C....
  18. Risk for Infection and Anxiety are just about always applicable to any pt in the
  19. IV Starts

    I rarely try IV's on big babies without a transilluminator. How funny that we all do it
  20. IV Starts

    We try 2 sticks each until we've come to what we all agree is the best IV starter on the unit at the time (usually a veteran RN or NNP--never an MD) and then that person will try over and over until...
  21. Lazy Student Nurse Preceptors!

    And now my response to the topic. I remember being in school and having the instructors tell you that you have to find your own learning experiences, be assertive, ask to do things, tell what you DO...
  22. Lazy Student Nurse Preceptors!

    I'm perceiving more than one person engaging in playground
  23. Drawing Blood From PICC Lines

    With neonates we only draw from a PICC for a PICC blood culture. We waste 0.5cc and then draw 1cc for the culture. Half the time you can't get it to draw back. We flush with 0.5-1cc of NS if we are...
  24. San Diego Pay Rates.

    Yeah, I was referring to FT. Per diems are all
  25. San Diego Pay Rates.

    That about right Prmenrs?