dawngloves

dawngloves BSN, RN

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All Content by dawngloves

  1. Legal implications of providing care post D/C

    This is interesting. How about if you were watching, say a neighbor kid and there was an accident that perhapes turned tragic. (Let's say a near drowning). I wonder if you could be sued for...
  2. neonates and foley catheters

    We use 5 French OGs. We don't use them often. I can only think of two pts I had that were cathed and they were neuro
  3. CPAP and septal necrosis

    The manufacturer, whose name escapes me at the moment,now reccomends rotating between prongs and masks. It's a real PITA and I don't see how it'll make a difference. I wish we would use VT more often,...
  4. Is it Christmas? Major unit changes!!!!!

    Sounds more like JCAHO is coming, not Santa.
  5. NICU pt with brain bleed...assessment??

    I'm with you Tiffany. I've never assesed a neonates pupils. Never even heard it mentioned. Everything else, HC, H/H, fontanels is what we
  6. Capillary ABG Samples

    Ander, are ou by any chance usig the GEM system. We have huge clotting problems with
  7. HAF & Lipid mixing

    We run seperate so we can adjust the fluids to meet the baby's TFL according to their status, (NPO, d/c drips and meds) When weaning from fluids, the lipids are the first thing we shut
  8. Syringe Pump or Buretrol?

    Sorry to highjack again, but.... our unit could save some money by getting rid of ours. We used to use them if a baby needed something added to his flluids, like Ca or K. But our phamacy has gotten...
  9. Syringe Pump or Buretrol?

    I almost fell over when I read you have fluids going at over 25ml/hr. Then I read your name and it makes sense.
  10. Or hospital will induce anything >34 with ROM. 34-35 weeks will get beta. The risk of infection is much greater than the risk of prematurity at this
  11. Syringe Pump or Buretrol?

    Only kids with maintance fluids or TPN have Buretrols in my unit.IV meds are given via syringe
  12. Vapotherm

    We love it! But we only have one unit. Only have a problem with water shooting up the kiddos
  13. CPAP or DPAP - when and why?

    Is it like BiPAP? Never seen
  14. I agree. The culture gap is huge! The Japanese are are more quiet, repectful group. And you know we Americans are loud.
  15. Development care for our preemies

    I think your resistant docs and nurses should do a follow up on some of your 25,26, 27 weekers that go home. Those not postioned properly, neutral postioned with arms and legs flexed, have terrible...
  16. Did we do the right thing? 23 wker

    I think yours is a tough call because of not having a NICU there and no time to transport the mother to a high risk facility. Without the proper team and equipment, that kiddo would have had an...
  17. Clothing from home?

    If the baby has weaned to an OC, we like to dress them. :) I put the dirties in a seperate bag at the bedside, but I'm sure some get lost. The parents take them home and wash them. Had one mom bring...
  18. solution for the perineum??

    With my kiddos I had a peri bottle, witch hazel pads, and a sitz bath. Ahhhhh!!! Sitzzzz!!!!!!
  19. Pregnant patients in the ED

  20. holding a baby in after being fully dilated??

    injuredrn, you made me think of a story my granma told me. When she had my uncle some 60 years ago, the doctor was not there so they told her to, "cross her legs. They were serious!
  21. Transporting newborns after c-sections

    To the Nursery, warm transporter. Sicky-poo, it all
  22. I would like to see a decrease in who we let in. A parent can bring in whoever they want, two at a time. Sometimes it's like a parade of visitors. And we let in children over 4. We have outbreaks of...
  23. Not all our ED RNs have PALS! The NRP I understand, but PALS? :uhoh21: Who here doesn't have PALS? Does anyone have
  24. Are you required to have NRP or at least PALS Certification?

    You should shadow me for a day. Nothing like running to a stat c/s for a placental abruption on a 26 weeker. Blood, guts, compressions, intubation, rapid trasfusion, epi.
  25. Are you required to have NRP or at least PALS Certification?

    Then our ER must be staffed with all new grads because only about half have PALS, forget