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...
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...
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...
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...
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...
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...
KRVRN replied to IttyBittyBabyRN's topic in NICU, Neonatal
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
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...
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....
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...
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...
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...