prmenrs RN

NICU, Infection Control

Member

  • Content

    4,565

  • Visitors

    35,655

  • Followers

    2

  • Likes

    137

All Content by prmenrs

  1. prmenrs

    How old is too old?

    prmenrs replied to Coffee Nurse's topic in NICU, Neonatal

    Chronics are "high maintanence"--they require better staffing than 4 babes to one nurse. Allowances need to be made to staff them. A nurse could take care of one other STABLE baby, but that would be...
  2. prmenrs

    Dopamine

    prmenrs replied to UCAFblue's topic in NICU, Neonatal

    Because the "tube" (the vein) is narrower, the flow will be slower. (It's a physics thing?) If you increase the rate, you'll probably make the vasoconstriction worse. You could elevate the limb to...
  3. prmenrs

    How old is too old?

    prmenrs replied to Coffee Nurse's topic in NICU, Neonatal

    Re: OT/PT. In the past, our OT support came from the hospital wide rehab unit. Frequently, when the OT was scheduled to come and feed a baby who was having oral-motor issues, the main dep't could...
  4. prmenrs

    How old is too old?

    prmenrs replied to Coffee Nurse's topic in NICU, Neonatal

    IMO--these long term patients should stay in familiar surroundings as long as possible. They should have a primary team to bond w/. They should see the same faces every day. If the hosp has a peds...
  5. prmenrs

    one side love problem between student nurse and doctor

    prmenrs replied to chinglee's topic in General Students

    I think OP is not listening/reading anything from us anymore (prolly since we're old and "don't understand"). She's certainly not responded since ~ p2. I'm w/you all. Grow up, OP, study and forget...
  6. prmenrs

    Providing care for all including the family pets

    prmenrs replied to Brian's topic in General Nursing

    I've been asked to give immunizations to other people's pets. Don't mind, but by the time you mix the diluent, etc., the one needle they give you from the pet store is d-u-l-l! So getting it thru the...
  7. prmenrs

    Certification

    prmenrs replied to morgan_porgan's topic in NICU, Neonatal

    I forgot this one, also very good: [h=1]Comprehensive Neonatal Nursing Care: Fifth Edition (Comprehensive Neonatal Nursing: A Physiologic Perspective (Kenner)) Paperback – August 21, 2013[/h]...
  8. prmenrs

    Dopamine

    prmenrs replied to UCAFblue's topic in NICU, Neonatal

    The other thing that happens when the vein in which the Dopa is being infused gets vasoconstricted, is that the baby is not getting as much drug as you think, so the effect you're looking for is...
  9. prmenrs

    Dopamine

    prmenrs replied to UCAFblue's topic in NICU, Neonatal

    Treatment of extravasation: Dopamine hydrochloride -Â Intravenous (IV) Dilution : "EXTRAVASATION- May result in sloughing and tissue necrosis. Use central line or large veins e.g. cephalic or...
  10. prmenrs

    Certification

    prmenrs replied to morgan_porgan's topic in NICU, Neonatal

    Merenstein [finally] has a new edition coming in May. Also recommend Core Curriculum: [h=2]Core Curriculum for Neonatal Intensive Care Nursing, 5e (Core Curriculum for Neonatal Intensive Care Nursing...
  11. prmenrs

    Chronic babies

    prmenrs replied to cristy28's topic in NICU, Neonatal

    We call those folks
  12. prmenrs

    Found a Peanut

    prmenrs replied to shermrn's topic in NICU, Neonatal

    I live to
  13. prmenrs

    Bad night in the NICU

    prmenrs replied to RNurse2414's topic in NICU, Neonatal

    Sometimes, you gotta say, ya know, I have a bad feeling about this, and I need your help! Whatever the outcome now, if you had left a kid w/ a blown belly for the next shift, it would have been worse....
  14. prmenrs

    Mispronunciations That Drive You Nuts

    prmenrs replied to ixchel's topic in General Nursing

    This is a tough word to pronounce unless you are an Infection Control Practitioner or a Public Health Nurse: epidemiology. I heard one nurse say "epididimology". Nope, wrong
  15. prmenrs

    Chronic babies

    prmenrs replied to cristy28's topic in NICU, Neonatal

    One tip w/the tub--place it inside a large plastic trash bag, fill, bathe, empty and toss bag as much as possible, and disinfect. Decreases the germs baby is exposed to, makes it easier to keep the...
  16. prmenrs

    Chronic babies

    prmenrs replied to cristy28's topic in NICU, Neonatal

    If they get 6mo or more, and the hospital has a child life program, have that person contribute to the babies care. A dedicated group of "primaries" is essential--the baby needs to have continuity of...
  17. prmenrs

    Found a Peanut

    prmenrs replied to shermrn's topic in NICU, Neonatal

  18. prmenrs

    Anyone with experience caring for elderly holocaust survivors?

    prmenrs replied to alivera's topic in Psychiatric

    Good for you for "embracing" this experience, gathering resources, and making sure this patient has what she needs. Thank
  19. prmenrs

    Dogs: A nursing intervention?

    prmenrs replied to Angeljho's topic in Psychiatric

    If you are going to initiate this type of therapy, you need to get certified therapy dogs. Also, establish policies to ensure the dogs are healthy, flea-free, and someone is controlling the dog @ all...
  20. prmenrs

    Nurses allowing infants to cry excessively with no attempts to soothe.

    prmenrs replied to TigerGalLE's topic in NICU, Neonatal

    I would start w/the manager. Gather your references and info before you speak to her. Document incidents: names, dates, times. Our patients are human beings first, and as such, deserve to be...
  21. prmenrs

    PVT no longer works

    prmenrs replied to trinitymaster's topic in General Nursing

    And here's another one:
  22. prmenrs

    PVT no longer works

    prmenrs replied to trinitymaster's topic in General Nursing

    And candidates now have to wait for snail mail notification---which takes 6 weeks minimum!!! (ahh, the
  23. prmenrs

    PVT no longer works

    prmenrs replied to trinitymaster's topic in General Nursing

    All med-surg nurses required to be certified in using the breast pump (because all NICU nurses required to be certified on restraint usage--fair is fair!) NLN and ANA decide to return to return to...
  24. prmenrs

    IV insertion issues

    prmenrs replied to champagnesupeRNova's topic in NICU, Neonatal

    Most units tell you to limit to 2 or 3 max--you get too frustrated! Get a colleague to take a look. If you've been "shopping", you'll know where the veins are, and you can help. Reswaddle, leaving the...
  25. prmenrs

    Back pain RN

    prmenrs replied to nursefortheLord's topic in NICU, Neonatal

    After >35years in NICU, nursing office wanted me to take care of a post-partum mom. I pointed out that the last time I had taken care of a "grown-up" was 1972. Then I discovered the IVs on these...