prmenrs RN

NICU, Infection Control

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All Content by prmenrs

  1. prmenrs

    Things Patients Have Taught Me NOT To Do

    http://www.amazon.com/Presto-05420-FryDaddy-Electric-Fryer/dp/B00005KB37/sr=8-1/qid=1171645891/ref=pd_bbs_sr_1/103-4446450-9911064?ie=UTF8&s=home-garden
  2. prmenrs

    anyone from portugal?

    Just a moderator reminder to please use English when posting on allnurses.
  3. prmenrs

    Bilirubin level: What would you do?

    That's a great idea, 33-weeker! BTW, if you had called the doc, you'd be here telling us how bad s/he yelled @
  4. prmenrs

    My Anatomy professor said...

    The difference between newborn jaundice and jaundice after the newborn period is direct vs indirect bilirubin. When you test a jaundiced infants blood, the results show virtually NO direct bilirubin....
  5. Not sure if everyone knows this, but "near misses" are required to be reported to the FDA. Baxter may not have "known there was a problem" before that incident, but once was certainly enough to...
  6. prmenrs

    When is a child an adult with meds?

    It's not their wt so much as their age. No matter what a 16y/o (even thru college age) weighs their bodies don't metabolize drugs as effectively as an adult. Livers and kidneys are just not "there"...
  7. There are some cultures that use cabbage leave to decrease inflamation; sometimes people put them on their head to relieve a headache and/or reduce fever. I'll try to find a reference. I wonder if...
  8. prmenrs

    World Breastfeeding Week

    http://www.worldbreastfeedingweek.org/index.htm
  9. prmenrs

    Bilirubin level: What would you do?

    I would not have called a doc @ 1:30 w/that result unless the baby was symptomatic-lethargy, poor feeding. In that case, I would have had an RN from the NICU check the baby--it might have to go to...
  10. We just had a "near miss" w/ this same product!!!! Baxter needs to change the packaging.
  11. prmenrs

    Anyone Else Have Troube With The "Cells"?

    Use a lot of pictures. When you hear or read the name of an organelle, a picture of it should pop into your head. Making pictures in your mind gives you a place to "file" info related. I learned...
  12. prmenrs

    "You're gonna need to learn Spanish...."

    I am not sure who CeCi is referring to as a "racist", but in any context, that word, all by itself, tends to wound folks. Please be
  13. prmenrs

    "You're gonna need to learn Spanish...."

    This turning into a lively discussion! Let's respect each other,
  14. prmenrs

    "You're gonna need to learn Spanish...."

    I'm coming from the point of view of "how can I get the job done". If I need to do d/c teaching for 5 or 6 moms, and 2 of them are Spanish only, 2 more are limited English, or I need to help one of...
  15. prmenrs

    "You're gonna need to learn Spanish...."

    For a large variety of reasons (educational, logistical, and numerous others), demanding that all patients learn English before arriving @ the hospital in need of care is futile. It simply will not...
  16. I'm very glad! That did sound
  17. prmenrs

    Jaundice skin color and labs

    If the values don't correlate, you might want to ditch the bilicheks and just do labs on the babies whose clinical picture justify it. Like possible ABO incompatibilites, or appear jaundiced. Seems...
  18. prmenrs

    Nutramigen

    We use HMF for younger premies and Neosure for ones >34 wks and close to d/c. I don't see any advantage to Nutramagen. Not to mention that it's stinky
  19. prmenrs

    Cath toes

    I think it may be more imp't to fix the line placement than to warm feet. (I, too, was taught to warm only the unaffected foot. You might also try a position change for the baby to see if that...
  20. prmenrs

    Why don't the big boys understand??

    Shamira and Hope have hit the nail on the head. This is business we're talking. Our small Level 2 NICU transfers babies to tertiary care. One is a dedicated Children's Hospital, if they don't...
  21. I think some cream around the wound, either Benadryl or Hydrocortisone would help her. As far as the wound itself, you know more than I! Just a suggestion--keep her hands really clean and trim her...
  22. prmenrs

    strange request?

    I just love deliveries where I'm up to my rear in
  23. prmenrs

    Could I have done more?

    I think you did well. Really well. I suspect the baby might have had a sepsis brewing @ birth. That can happen any time. Mother-Baby nurses frequently have a significant pt. load. In California,...
  24. prmenrs

    "You're a nurse...."

    I used to tell them I hadn't gotten to that part yet. Now I tell them I don't know anything about grown-ups anymore! If whatever they asks me about worries me, I say I don't know, but if I were...
  25. prmenrs

    Why must all docs bathe in cologne?

    My son was having a hard time adjusting to his Intracranial Pressure changes p/op a shunt revision a few years ago. Every time he raised his head, he barfed. Eating was out of the question. His...