RNCRICE
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To TiffieRn SOOOO sorry to hear you're having so much trouble with pain mgt. We do at times, but at least our Neo's will comply when we really want to increase the dose, etc. I understand their hesitency. Those little micropeemie brains are so so open to experiences. Most of ours are bad. Perhaps you could present the information to them as a group about what stress and pain do to their brains. There are loads of research about this. Always need more though. Even the AAP has their position statement about it. They feel relief of pain and stress is pretty much a right of everyone, even our youngest. Good luck RNCRICE
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hi, i am just starting a forensic nursing certificate progam. i believe i will be able to be a sane also at completion, but not sure if it takes more training. anyone know? rncrice
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I wrote our first pain management protocol in 2001. It needs updating, and I'd like to ask everyone: What does your unit use for Opiods, and what is used for sedation? We have had recovering micropreemies still on vents, but off perenteral fluids. We usually give po Morphine in these cases. What about vented babies who are on fentanyl already, and still are agitated? I've read several articles which are questioning the safety of Midazolam. Some give Ativan, and that can cause seizures. What about Nembutal or Chloral hydrate? I know CH was booed yrs ago. I really worry about the liitle brains and playing with their memories. I need help. Thanks in advance. Connie RNC pain resource nurse Neonatal ICU Sarasota Memorial Hopital Sarasota Fl
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Wow. I love NICU nurses!! I've been doing it for 35+ yrs, starting in 1970. Enormous changes from days when a 33 weeker was not "salvageable". Now we're debating the ethics of resucitating 23-24 weekers. I think about the littlest brains are a clean slate. Everything we do to and for them leaves your mark for their whole life. It's awesome, but a huge responsibilty. Everything we do has to viewed from that perspective. "If I do this, will it make him better or worse? If I don't do it, will hw survive?" Heavy, but you need to know all this before making a decision. BUT it's still the greatest job in the world.