dawngloves

dawngloves BSN, RN

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All Content by dawngloves

  1. when to stop humidity in the isolette

    We basically do the same as NNT. Not only because of the nasty aspect, but wouldn't their skin be keratinized after a couple of week on the
  2. FluMist and Shedding virus to pts.

    That is exactly what I wanted. I couldn't find it on the CDC or WHO sites.
  3. need vent tips - mainly for flipping / suctioning

    I would never turn a pts head or flip them without disconnection them from the vent. It makes it that much easier to extubate them. I always get help from someone if I am flipping a
  4. Transduce or not transduce?

    I agree. Your pt may have a stable BP, but I'd like to know if there was an issue with my line. ( clotting off, dislodgement, air in line) They'd be real sorry if a kid bled out or lost a foot because...
  5. Transilluminator for IV Starts/Lab Sticks

    I'd like it to attach to the baby somehow and still illuminate the vein I want to hit. Sometime I need to hands to stbalize the vein and insert the angiocath. Maybe something that instead of one...
  6. Early feeds...good idea or recipe for disaster???

    What were they fed? We are starting trophic feeds on stable micros. 1ml q 6, breast milk
  7. If they are retic-ing and the Hg is above 8, we don't transfuse either. But I have seen those to young to retic transfused at 10 because they are bradying often.Is it postional? Are they refluxing?...
  8. Circumcized on a vent?

    Our circs get done days before the kid goes home. Vented kids, unstable or no, do not get circ'd. They have enough
  9. Handheld device detects blindness in infants

    $$$$$
  10. Staffing in a level III NICU

    Our staffing is based on, "How many people can we call in on their day
  11. busy or slow

    BIZZZZ AYYYYY! Mostly late preterm 30 ish weekers. Acuity is still low. Haven't had a 24 weeker in months. 25 weekers are rare, too. We get the smattering of twins, again 30 ish weeks.Can't remember...
  12. full assessments vs. monitor vitals

    I'm confused here. When some of you say full assesment, do you mean BP, temp, auscultate lungs and belly? Every two,three hours? Seems excessive and most be disturbing for the pts. We do a head to toe...
  13. Measuring urine output

    I am surprised at any intensive care unit that does not measure I&Os. We weigh diapers but, if we need an hourly meaurement, we will place a
  14. new warmers

    The Neopuff is SO much easier than a bag. You can ventilate your baby with one hand. Great for when you have to move your
  15. Amicillin via UAC?

    I've only given blood and fluids during an emergent situation and I can count on one hand how often that
  16. Developmental positioning in Giraffe beds

    The gel type matresses I think are an option. We only have a couple.They still supply pressure relief, more so than the conventional matresses, regardless of the blanket
  17. the oldest baby in your level 3 nicu

    We don't have a peds unit. Sometimes our parents refused to have the baby transferred out when they get older. This was the case with a mom of a 24 weeker. That kid was with us for 11 months. Couldn't...
  18. Adult ICU to NICU

    I did! I did ICU/CCU before I went to NICU. Aside from getting used to the different VS parameters ( HR 140??! Oh, wait. That's OK.), vent settings( the TV is what??),and the different drug dosages...
  19. What are the best NICU books you've read?

    Psychonaut, do you mean the Manual of Neonatal
  20. On sick, agitiated babies we do. But have you seen the study that shows that babies in the NICU that have cycled light gain weight
  21. What are the best NICU books you've read?

    Like a clinical book? Everyone will tell you Merenstein and Gardner. If you want food for though in the NICU, read The Lazarus Case: Life-and-Death Issues in Neonatal Intensive Care by John D. Lantos...
  22. FOOTPRINTS

    Can I tag on this question? Do you do footprints as hospital
  23. Carseats for premies less than 5 pounds

    Yeah, but insurance won't pay for a carbed.They definately won't pay $80+ to have it shipped overnight. They will pay for a NICU stay until a neonate reaches a desirable
  24. Carseats for premies less than 5 pounds

    Ever try and get a carbed on short
  25. Carseats for premies less than 5 pounds

    You really send home 1400gm kids?! We never even send home IUGR 35 weekers at that