prmenrs RN

NICU, Infection Control

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All Content by prmenrs

  1. prmenrs

    How often do you see headmolding/plagiocephaly?

    prmenrs replied to Dmendez's topic in NICU, Neonatal

    It's a matter of priorities. Maintaining the baby's physiological stability: pulmonary, cardiac and neurological function trumps head molding every time. That said, babies are repositioned as often...
  2. prmenrs

    NICU Swings Policies

    prmenrs replied to charryse77's topic in NICU, Neonatal

    I like swings. It's almost impossible to care for a "chronic" baby like you're describing w/o a swing! We just wiped them down w/disinfectant, put a clean blanket between the swing and the baby. Be...
  3. prmenrs

    Why on earth!

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

    There are pluses and minuses to everything. The good news: you get to work in your jammies. The bad news: they DO look a lot like your jammies! Good
  4. prmenrs

    Strep - Call in or go anyways?

    prmenrs replied to TX_nurse_08's topic in General Nursing

    DO, however, get a rapid strep test. It'll help if management gives you grief. Might be worth the money if it saves your
  5. prmenrs

    JCAHO in relation to NICU care

    prmenrs replied to HurleyRN's topic in NICU, Neonatal

    I think JACHO is putting pressure on the LAB to make sure critical values are reported and taken care of--that's where they're coming from. So they're putting pressure on you to help them comply. The...
  6. prmenrs

    Our Lady of Lourdes Nursing Program (Camden)

    prmenrs replied to Rach1981's topic in New Jersey Nursing

    I graduated from Lourdes in 1968; @ that time it was a traditional 3 year "diploma" program. I just attended the 50th anniversary celebration. Things have sure changed in 43 years! I was very...
  7. prmenrs

    Gastroschisis

    prmenrs replied to qcumba's topic in NICU, Neonatal

    OK. I kinda figured you had no choice. Merenstein and Gardner has a little--pp838-841 in the seventh edition. A lit search focusing on Neonatal Network and NANN Journal might get you some more...
  8. prmenrs

    Gastroschisis

    prmenrs replied to qcumba's topic in NICU, Neonatal

    Don't know the size of the defect, but this could be a MAJOR problem if your unit is not used to handling "gut" babies. They frequently take weeks to months to recover to a point @ which they can be...
  9. prmenrs

    Blood products question

    prmenrs replied to TigerGalLE's topic in NICU, Neonatal

    Just thinking about how to go about getting a 20 ga in a 500 gm baby kinda gives me a headache! And, as previously mentioned, we don't have to give 500 mls in 24ga works just fine for us. But on...
  10. prmenrs

    The CRAZIEST "Baseline" You've Ever Heard

    prmenrs replied to MoLee228's topic in General Nursing

    "Baseline heart rate stable in the 140's." Uh, yeah...stable... Actually, that's just great in my neck of the woods!!
  11. prmenrs

    Paramedics in the ER

    prmenrs replied to okie4ever's topic in Emergency

    HI. Moderator here. I'm closing the thread for a cooling off period. Don't hurt me! Might be re-opened in the
  12. prmenrs

    Anesthetist or Physicians Assistant?

    prmenrs replied to Future-nurse's topic in General Nursing

    This is a REALLY old thread. I can spell medical school, but ChulaMan, you don't know the difference between "your" and "you're". You're
  13. prmenrs

    Alien hand syndrome!

    prmenrs replied to bandas's topic in General Nursing

    Not a Med-Surg nurse here, but I wonder what would happen if that "bad arm" were massaged and pampered, like a manicure? Need to keep those nails trimmed anyway... Otherwise, I would wrap and...
  14. prmenrs

    frustrating coworkers

    prmenrs replied to ICURN27's topic in NICU, Neonatal

    It's an absolute HIPPA no-no. Communicate w/management, and keep going up the chain til you find someone who doesn't want to get sued. Risk Management,
  15. prmenrs

    Neonatal Nurse Questionaire--PLEASE HELP ME OUT!

    prmenrs replied to tashadanielle1234321's topic in NICU, Neonatal

    Perhaps I am not understanding your question, but, a "Neonatal Nurse" is a Registered Nurse who works in an Neonatal Intensive Care Unit. NICUs are located in
  16. prmenrs

    Member-recommended neonatal reading list!

    prmenrs replied to NICU_Nurse's topic in NICU, Neonatal

    Merenstein and Gardner (imho) remains the best entry level text. A new edition came out in 2010. Available on amazon. Start there! And---Best Wishes for success! (Hopefully, they will give you a...
  17. prmenrs

    Pulse Oximetry

    prmenrs replied to Sunlight-RN's topic in NICU, Neonatal

    Depends on the unit. Big Level 3 units often have their own RT dep't, in that case, the RTs change sites, document. In a smaller unit where you're sharing RTs w/the grown-ups, the RN will initiate...
  18. prmenrs

    frustration - new grad in level iii

    prmenrs replied to rnicu28's topic in NICU, Neonatal

    I just want to repeat Bitty Baby's advice: sit down w/the Unit Manager/CMS/Educator or any combination thereof, and tell them what's going on. Don't work any extra shifts, you need the down time for...
  19. prmenrs

    "Untraining" someone from adults to NICU

    prmenrs replied to WorkofHeart8's topic in NICU, Neonatal

    I confess to a few "prima donna" moments in the past, but I am well and truely over
  20. prmenrs

    "Untraining" someone from adults to NICU

    prmenrs replied to WorkofHeart8's topic in NICU, Neonatal

    My apologies if my response came off as any of the above. Not my intent @
  21. prmenrs

    "Untraining" someone from adults to NICU

    prmenrs replied to WorkofHeart8's topic in NICU, Neonatal

    When you've been a nurse for a while, you develop a "frame of reference". Walk into a pt room, you automatically compare the pt w/that norm. You often get an impression of what's wrong, and how fast...
  22. prmenrs

    Starting off as a New Grad in the NICU--bad idea?

    prmenrs replied to iDeftones's topic in NICU, Neonatal

    JMO, but I'd rather see a new grad starting out in NICU than have to "untrain" someone who's had that magic year in med-surg. Neonates and grown-ups are almost not the same species. Go for it....
  23. prmenrs

    Guidelines/ Requirement for one to one Nursing Care in a NICU

    prmenrs replied to ona fofah's topic in NICU, Neonatal

    Are there no acuity tools? That would really help to indicate where staff need to be. And, IMHO, NO one should ever, ever have 5 babies unless they're working in a straight Level 1 NBN. Not a Level...
  24. prmenrs

    Guidelines/ Requirement for one to one Nursing Care in a NICU

    prmenrs replied to ona fofah's topic in NICU, Neonatal

    I once read an essay in a Neo journal (and, no, I'm sorry, I don't have the complete citation) entitled, "Being on ECMO means never having to say you're unstable!". Or words to that effect. That...
  25. prmenrs

    Need Advice- My SGA baby

    prmenrs replied to PEDSVA's topic in NICU, Neonatal

    Allnurses cannot give medical advice, therefore, I must close this thread. We wish you the