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ELBW Supine+Midline for ____ days
One week midline.
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I know the pros, but what are the cons of NICU nursing
Wrapping a baby in a shroud.
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HOB elevation
The AAP does not recommend elevating the HOB for infants. Not even those with reflux.
- Nurses Week 2016 Freebies
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Utter failure with my first baby that should have been coded
Don't beat yourself up. Absolutely those more experienced nurses should have stepped in to help. It sounds like your entire unit would benefit from mock codes.
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Low NICU census
Our census has been moderate to high. Our acuity has been high. So many micros on vents. In a few weeks we'll be full of feeder/growers!
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Policy regarding Kangaroo care/Breastfeeding and MRSA
Same here. And this is why it is now community acquired and I doubt it's from the hospital, anymore.
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What is the Highest Bilirubin you've ever seen?
Yeah, I'm with PRMENRS.I've never seen a formula only order for hyperbili, regardless. You are either NPO or whatever the mother's choice is.
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Antiobiotic delivery via iv pump in NICU
Even Vanco and Ampho?? I hope not! I've been in NICU for 10 years and have always used syringes to administer IV meds. Any facility that doesn't needs to update, IMO.
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I didn't get the NICU job...what do I do now?
You sound over qualified for staff. Are they afraid you may up and leave if something administrative crosses your path? Try for something else in WH and let the NM know you are still interested in NICU if another position opens up.
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Research for NICU Tourniquet
Another rubber band user. The problem with something like a velcro band is that it can only be used for that one baby(infection control) and then you run into cost.
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Securing ET Tube
I would say with the Neobar, the tape does not need to be replaced that often because it is far from the baby's mouth and won't get secretions on it. If placed properly and secured well, the tube should not need to be moved but once after initial placement. That should only take but a minute. My two cents about the Neobar, I think there is too much play with the bigger babies. As if their chubby cheeks cause the bar to move too much.
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Sad story for all nurses
Seattle Children's sounds like a Hell of a place to work. Between the crucificxon for the the med error and the aggrivation for being a lesbian, they must have nurses beating down their doors to work there!
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Drug babies and families
I hear you. There have been so many times we told the SW and MDs about our concerns about parents and they blow us off or say they can't do anything and it goes bad. Like the mom in rehab that disappears with her baby as soon as the baby is discharged or the one that shows up with the baby at the hospital several malnourished and dehydrated because mom was too high to feed them. So frustrating!!
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Safe Sleep inthe NICU
If they are in a crib and feeding/growing, they are swaddled and on their backs. Haven't had a problem with it so far.