prmenrs RN

NICU, Infection Control

Member
  • Content

    4,565
  • Visitors

    35,657
  • Followers

    2
  • Likes

    137

All Content by prmenrs

  1. If you don't have a volunteer "cuddler" program, now would be great time to start one!! No, this time, I'm not kidding. (If I had my druthers, the folks who run the methadone programs would be...
  2. prmenrs

    Infection control overkill?

    I bought a "lapel watch" cuz I didn't like how I couldn't wash my hands w/o worrying about getting my wrist wet. Some places have clocks everywhere, but just my luck to be standing in the wrong dang...
  3. prmenrs

    Infection control overkill?

    Ask. Email the Infection Control team/nurse, whatever, and ask if you can see a copy what literature or study they are basing the policy on. Do it such a way that your questions are intended to gain...
  4. prmenrs

    Cross train in PICU?

    I used to do it a lot. You do need a good orientation, and they shouldn't be giving you teenagers on chemo and stuff like that. (In other words, don't dump on the float.) Make sure you have a...
  5. prmenrs

    Placing newborns prone position

    I point out to parents that "we cheat", i.e., our babies are monitored. Once the baby is out of the isolette, it's time to start putting them on their back, unless there are mitigating factors. In...
  6. NICU and med-surg might as well be on 2 separate planets for all they have in common. Are you trying to go to NICU as a career move? I do not recommend you do both. I would make my career goals as...
  7. As has been stated, we cannot give any opinions or advice regarding your baby. As a moderator, I must close the thread. Please know we wish you, your baby and your family all the best. Respectfully,...
  8. prmenrs

    Anyone ever use IV Glycopyrrolate?

    The kids that take a few years off your
  9. prmenrs

    NICU- accidental extubation

    It is extremely easy to extubate a baby, so don't beat yourself up over it. When you do your 1st assessment, check the tube. If you think it might be loosening, have an RT check it w/you, and do a...
  10. prmenrs

    why bolus and bicarb?

    It is sad, also, that you weren't better supported. I'm thinking you were right to question the NNP's order, I think she was hoping a little volume expansion would help the baby last til morning, and...
  11. prmenrs

    why bolus and bicarb?

    What a sad position to put YOU in! My condolences to all
  12. prmenrs

    why bolus and bicarb?

    I confess, I'm wondering the same
  13. prmenrs

    Neofax 2010 Question

    IMHO! The 2 essential books are Merenstein and Gardner (Merenstein & Gardner's Handbook of Neonatal Intensive Care by Sandra Lee Gardner RN MS CNS PNP, Brian S. Carter MD FAAP, Mary I...
  14. prmenrs

    cross-train from L&D

    "NICU is just as chaotic as L/D...." I totally agree. Unless it's a kinda small Level 2, you can just as burnt in the
  15. Don't know if you're in North or South Jersey, but check out Our Lady of Lourdes School of Nursing program. It's integrated w/Camden Co Comm College, takes 3 yrs (with pre-reqs) and gives you a very...
  16. prmenrs

    Families requesting no male nurses for their baby.

    I'm agreeing w/you based on what you wrote. What would management be saying/doing if a family requested no nurse of (whatever ethnic background) care for their family member. Sounds like some...
  17. prmenrs

    This too shall pass...? We hope?

    I disagree. I am really not trying to scare you, but that situation sounds dangerous, IMO. Let me count the ways: inadequate staffing as evidenced by: hiring unqualified staff (and it doesn't...
  18. prmenrs

    therapy involved in nicu

    It depends on the experience of said therapists. I often feel like I'm teaching them how to feed a baby. Which is ok, but don't come in like the "expert" until you've fed several babies.
  19. prmenrs

    Professional Organizations

    Aw, shucks. Thanks,
  20. prmenrs

    OGT or NGT for neonates?

    I agree w/the above. imo, oral feeding tubes are way easier to
  21. prmenrs

    I am officially a NICU nurse!

    I use a pediatric stethoscope for big NBs, and a neonatal for the little guys. Disinfect it frequently. My preference for reading is Merenstein and Gardner. They just came out w/a new edition....
  22. prmenrs

    Professional Organizations

    I agree about AWOHNN--only so much I want to read about nipple confusion! But, I do like that AWOHNN has "evidenced based" a belief I've state for many years: 35 weekers are not to be
  23. prmenrs

    Professional Organizations

    I have, @ one time or another belonged to one or both NANN and Academy of Neonatal Nurses. I think I currently belong to the Academy. For me, it's a matter of $$--if I can afford it, I join. I...
  24. prmenrs

    Earliest viable gestational age?

    @ 20 weeks, the baby has no alveoli. Therefore, s/he cannot breathe. Perhaps googling fetal development might help your co-worker understand why a 20 wkr can't survive. I'd be willing to bet her...
  25. prmenrs

    Lost Jehovah's Witness to H/H

    I believe that is the crux of the issue. In re: infants? Many parents in this area are also Hispanic, converted to JW, and are occassionally relieved when we got a court order to transfuse--which we...