prmenrs RN

NICU, Infection Control

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All Content by prmenrs

  1. prmenrs

    white nurse shoes

    prmenrs replied to scarecow's topic in Scrubs, Uniforms, Gear

    Amazon.com: new balance Men's Walking Shoes Searched New Balance Mens Walking Shoes, white. You will not regret spending a little more $ on your feet, cuz you're gonna be torturing them pretty soon!...
  2. prmenrs

    "unlearning" med surg habits?

    prmenrs replied to Sewbusy~RN's topic in NICU, Neonatal

    I agree, it's not "bad habits". It's a whole new skill set and a whole new "frame of reference" in NICU vs adult nsg. NICU is way more OCD abt hand-washing and other infection control stuff--our...
  3. prmenrs

    Paperclips for eye exam????

    prmenrs replied to nell's topic in NICU, Neonatal

    Thank you for that reference!! Let's hope it helps settle the issue! I love when someone comes up w/documentation that something we think "just doesn't make sense" (like using paper clips as an...
  4. prmenrs

    I can't stop dreaming about the NICU!~

    prmenrs replied to babyCNP's topic in NICU, Neonatal

    I think your problem is adjusting to night shift. Human beings are programed to be awake in the daytime, even when they've just worked all night. Everyone seems to develop their own little routine....
  5. prmenrs

    Paperclips for eye exam????

    prmenrs replied to nell's topic in NICU, Neonatal

    I'm w/you on that, Teeny! I got very adept @ swaddling the kid, holding his/her head, keeping the binky in and sucrosed, and, most imp't, NOT LOOKING! while the eye doc did their thing. One of them...
  6. prmenrs

    methadone effects on newborns

    prmenrs replied to hannahphn's topic in NICU, Neonatal

    Amen, BBG. It's the old "walk a mile". And NICU nurses have walked that mile many, many times. Hours of holding, rocking, dealing w/diaper rash because the kids are frantic and eat too much and...
  7. prmenrs

    Paperclips for eye exam????

    prmenrs replied to nell's topic in NICU, Neonatal

    http://indexmedical.com/ophthalmic-instruments/eye-speculums/adjustable/sauer-lid-speculum-newborn.html
  8. prmenrs

    Paperclips for eye exam????

    prmenrs replied to nell's topic in NICU, Neonatal

    @benny--I think your unit ought to invest several sets of the real thing, get them sterilized and packaged up real pretty. Then insist that the eye docs use them. Just keep saying "Standard of...
  9. prmenrs

    Poll: What do you love about the NICU?

    prmenrs replied to carolina_girl's topic in NICU, Neonatal

    True, but it's better than Med-Surg
  10. prmenrs

    Special Care Nursery vs. NICU

    prmenrs replied to BacktoBasics's topic in NICU, Neonatal

    Level 1 is basically Mother-Baby Unit or Newborn
  11. prmenrs

    methadone effects on newborns

    prmenrs replied to hannahphn's topic in NICU, Neonatal

    Again, we need to remind posters that this is a nursing forum, and we are discussing what we see in clinical settings, and how various hospitals handle this sensitive issue. We cannot comment on an...
  12. prmenrs

    This made my night last night...

    prmenrs replied to Forever Sunshine's topic in Geriatric, LTC

    My grandfather was one who was intermittently w/it, but you could never tell. My cousin sent him a letter, he opened it, read it, put it away. My aunt asked, "Do you know who that was from,...
  13. prmenrs

    "true knot"

    prmenrs replied to LouisVRN's topic in Ob/Gyn

    BABIES: do not play jump rope w/your umbilical
  14. prmenrs

    Poor kiddo, fat necrosis sucks :(

    prmenrs replied to NicuGal's topic in NICU, Neonatal

    Wow! Very sad. Do you have a "pain service"--usually it's tied in w/Anesthesia? They might be able to help w/pain control. Go thru the "convalescing" area of your nursery to see the kids that are...
  15. prmenrs

    PICU without wearing a gown?

    prmenrs replied to darren_callcareer18's topic in PICU, Pediatric

    I don't think it's standard practice to automatically wear a gown w/o a reason. Many pts have "self-contained" infections: that is, e.g., septicemia--it's "contained" w/in the pt's body. You would...
  16. prmenrs

    "Nurses Are So Mean"

    prmenrs replied to Ruby Vee's topic in Patient, Colleague Relations

    We do have high school students post @ allnurses, often in the wrong thread/forum, asking questions about a future career choice. Let's give them the best advice we can, courteously, so that all us...
  17. prmenrs

    Paperclips for eye exam????

    prmenrs replied to nell's topic in NICU, Neonatal

    @KD---Thankfully, this is a really old
  18. prmenrs

    What is the Highest Bilirubin you've ever seen?

    prmenrs replied to dawngloves's topic in NICU, Neonatal

    I think part of the problem was the 35 week--just a little immature, most premies wind up getting "lit" @ some point in time--so physiologic jaundice. The breast milk is a variable that might...
  19. prmenrs

    Higher CRBSI in Peds and NICU?

    prmenrs replied to WildcatFanRN's topic in NICU, Neonatal

    re: soap. Soap is very alkaline and destroys the acid mantle that acts as a microbial barrier on skin. Baby bath is pH neutral and does not do that. It's better to use baby bath on babies when they...
  20. prmenrs

    What is the Highest Bilirubin you've ever seen?

    prmenrs replied to dawngloves's topic in NICU, Neonatal

    You can't compare adult bilirubin levels to newborn bilirubin levels. We're talking about indirect/unconjugated bili, you're talking about direct bilirubin. Whole different process. We wish you the...
  21. prmenrs

    Higher CRBSI in Peds and NICU?

    prmenrs replied to WildcatFanRN's topic in NICU, Neonatal

    You have to be careful putting solutions like Chlorhexidine on neonatal/premie skin, as it's more permeable than grown-up skin. I'd be very interested in current practices in Level 3
  22. prmenrs

    New Grad NICU Support Thread

    prmenrs replied to niculove's topic in NICU, Neonatal

    Neofax: http://www.amazon.com/Neofax-Thomson-Reuters-Clinical-Editorial/dp/1563637898/ref=sr_1_1?s=books&ie=UTF8&qid=1317526686&sr=1-1 That and Merenstein are pretty essential. The...
  23. prmenrs

    When you're in NICU you know...

    prmenrs replied to TeenyTinyBabyRN's topic in NICU, Neonatal

    "Never trust a 35
  24. prmenrs

    A beautiful thing happened today...

    prmenrs replied to Anna Flaxis's topic in Emergency

    Good job for you and the doc. And the
  25. prmenrs

    My first death

    prmenrs replied to laynaER's topic in NICU, Neonatal

    My first death EVER of a pt I was directly involved with was an infant in what was then called the premature nursery. It had, maybe 5 incubators, and was staffed w/ONE LV/PN. I was a student. We...