dawngloves

One week midline.

Wrapping a baby in a shroud.

The AAP does not recommend elevating the HOB for infants. Not even those with reflux.

Most of these are available to anyone. :\

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.

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!

Same here. And this is why it is now community acquired and I doubt it's from the hospital, anymore.

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.

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.

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.

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.

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.

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!

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!!

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.

I'm sorry, as much as I agree with some of what you said. I have to call BS on this. a 23 weeker has a 70% mortality rate and of those surviving, 46% will have severe to moderate disabilities. Your hospital is defying the odds across the board by a large percentage?

Nothing makes me angrier than a pt dying while on osc because no one has the balls to say, "Enough!". Can you imagine dying that way??! How horrific!

HOw is visiting a baby a HIPPA violation? Parents give permission for family members to visit. Test results, medication and treatments are only discussed with parents.

It's OK to take a break from your primary. Sometimes it helps if you come back to a pt after a couple of weeks. You get a different perspective, you are more centered. And someone may care for her in that time that has different perspective. Beneficial all around.

I've had grandmothers and a grandfather kangaroo, while the mother was there. I'd have to say I wouldn't let a grandparent kangaroo unless the mother said it was OK. Kangaroo care is for the babies. It benefits them no matter who does it, although it is great if a breast feeding mother does it more. I am also surprised how many facilities don't let grandparents visit or even hold the babies without a parent there. Family center care is all the rage, nurses. Jump up and take initiative to get it going in your unit.

Thank you! This is the best use for human breast milk? Really??

Our SW will make contact with every MOB. Make sure they have no immediate needs, ask them if they have ever been involved with CPS, ect. They will contact CPS if they admit to having had investigations done, if they are drug positive, a variety of other reasons. They will chart this in the progress notes. If you have concerns that are feel aren't being addressed, then by all means contact CPS yourself to see if they are actively investigating your pts home. If you find your SW isn't doing their job you need to talk to your NM and/or their supervisor. If they are falsely documenting, they will have heck to pay.

Oh yeah. One of the first things I do at start of shift.

Only if you witness abuse and neglect, which is difficult in the hospital setting. Have you asked them if they've talked to CPS? Can you talk to their supervisor about your concerns?

Any ICU I've worked in, adult or neonatal, has had a bag/mask and suction at the bedside.