Baby Wrangler

Baby Wrangler

NICU

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All Content by Baby Wrangler

  1. Dr. Brown Nipples....

    Baby Wrangler replied to adventure_rn's topic in NICU, Neonatal

    Can't management shell out to get a dishwasher just for pumping equipment and bottles? We just got one last year for the moms to wash their pumping equipment and baby bottles. You can disassemble the...

  2. Physical Demand

    Baby Wrangler replied to UCRN1111's topic in NICU, Neonatal

    There's very few nursing jobs that don't require lots of standing unfortunately. Especially like other posters said, when you have an emergency you're on your feet the whole shift drawing up meds,...

  3. Conversing with parents in NICU

    Baby Wrangler replied to JJ1994's topic in NICU, Neonatal

    I'm not the most outgoing person either but often times it's the caring attitude and attentive listening that is more important to parents than constant babbling and incessant small talk. I mean,...

  4. Diaper Rash

    Baby Wrangler replied to LRN_RN's topic in NICU, Neonatal

    We use a zinc barrier cream called Zincofax, but that's just for like mild diaper rashes. We also use Aquaphor, which is glycerin mixed with sterile water, or Critic aid cream for worse rashes. Once I...

  5. NICU Documentaries

    Baby Wrangler replied to maeli's topic in NICU, Neonatal

    Hi fellow Canadian! :) Another documentary that I would suggest you watch is called Keeping Canada Alive, and it's free to stream on the CBC website. It was just filmed in May of this year, and it's...

  6. Vent: parents

    Baby Wrangler replied to Coffee Nurse's topic in NICU, Neonatal

    Family "centered" not family "controlled" . There are

  7. Nursing Model

    Baby Wrangler replied to BabyRN1023's topic in NICU, Neonatal

    Wow! 160 beds! That's the largest nicu I've ever heard of. Our nicu which is a level 3 only has 54 beds at max capacity (which it almost always is). We've been pretty short staffed lately, but it's...

  8. New nicu nurse in need of advice!

    Baby Wrangler replied to Kcv19's topic in NICU, Neonatal

    Not so much things to look up beforehand but what I found helpful was to write down the things you learn every day after a shift in a notebook, like procedures, what you need for procedures, tips your...

  9. NICU pearls

    Baby Wrangler replied to mrscreixell's topic in NICU, Neonatal

    Do you guys notice any difference between them and the other kind? It would be nice if all our babies that needed cpap could be on RAM. No more nasal

  10. Looking for some support on how to keep focused in the face of short staffing and pressure

    Baby Wrangler replied to tinkerbell419's topic in NICU, Neonatal

    Tinkerbell, I think you should look for another nicu job. You've stuck out your year at this place and working somewhere where you're short staffed to the point where you can't provide quality patient...

  11. NICU pearls

    Baby Wrangler replied to mrscreixell's topic in NICU, Neonatal

    We have ram cannulas too but I was told by our RTs that because it's less of a seal around the nose it doesn't actually provide the same amount of pressure as the mask cpap. We generally only put our...

  12. A few questions on medicines management

    Baby Wrangler replied to tinkerbell419's topic in NICU, Neonatal

    Do you mean prepacked as in stock meds? That's what we call the medications that are in our med room that are not prepared in a specific dose for a specific baby. We generally only use them on admits...

  13. Made first big mistake at work :(

    Baby Wrangler replied to Apple4159's topic in NICU, Neonatal

    I think Apple is talking about the T-piece that you would attach to the IV catheter of the PIV. We generally change the T-piece of a PIV (and prime it with saline) after giving a blood transfusion...

  14. Your worst nightmare (Part deux)

    Baby Wrangler replied to canigraduate's topic in General Nursing

    Agreed! I work NICU and once had a dream that it was shift change and I had apparently forgotten to feed a baby the entire shift. I think it's related to workload and insane

  15. New nicu nurse in need of advice!

    Baby Wrangler replied to Kcv19's topic in NICU, Neonatal

    Like BecomingNursey said, don't be afraid to ask questions. The fact that you doubt yourself to some extent is a good thing. Nothing pisses off more experienced nurses than new grads that think they...

  16. My first long term baby going home

    Baby Wrangler replied to LisaNICUrn's topic in NICU, Neonatal

    Just worked a shift yesterday, had a quiet moment near the end of shift change and was just watching my little primary sleeping in her isolette. Little IUGR 500g baby that's more than doubled her...

  17. Nicu in need

    Baby Wrangler replied to catken's topic in NICU, Neonatal

    You guys are allowed to insert uvcs and uacs in the states?! That's pretty cool. Only docs and NPs can do it here. And I work in a level

  18. Medicine used to treat respiratory conditions

    Baby Wrangler replied to tinkerbell419's topic in NICU, Neonatal

    I think dexamethasone is a good pick. We also use budesonide, an inhaled corticosteroid to help with chronic lung disease in our microprems. Here's an article: Postnatal corticosteroids to treat or...

  19. What brands/type of milk do you have in your units?

    Baby Wrangler replied to tinkerbell419's topic in NICU, Neonatal

    Here in Canada, formula wise we use Similac (Advance for term babes, SSC 24 or 20 for preemies). We fortify our milk with Similar Human Milk Fortifier. Haven't heard of the ones you

  20. Maximum bedside visitors

    Baby Wrangler replied to guest769224's topic in NICU, Neonatal

    4 people is nuts lol! I'd be elbowing people out of the way to try to reach the baby. Not to mention how some visitors breathe down your neck when you're doing baby up or wave a giant camera around...

  21. Latex free!!

    Baby Wrangler replied to Susie McShea's topic in NICU, Neonatal

    We cut tegaderm patches for og and ng tubes. They do peel off though, especially with high

  22. I made a mistake and feel awful

    Baby Wrangler replied to kerussll's topic in NICU, Neonatal

    First of all, I highly doubt that you did anything that could've contributed to the grade 4 bleed. It's sad that it happened to the baby, but you don't have anything to do with it. That's part and...

  23. Not cut out for NICU

    Baby Wrangler replied to nurseinFL2567's topic in NICU, Neonatal

    I know it may sound clichéd, but as tinkerbell419 said above, the first year really is the hardest. I started out as a new grad too and that first year I won't tell you the number of times I cried...

  24. Babies vitamin k administration

    Baby Wrangler replied to northmississippi's topic in NICU, Neonatal

    Waaah I'm going to answer because the heel part scared me. :S It's done in the anterolateral aspect of the thigh, so yes the chunky part of the vastus lateralis muscle. Heels are only reserved for...

  25. NICU pearls

    Baby Wrangler replied to mrscreixell's topic in NICU, Neonatal

    That regression algorithm would definitely be very useful to double check ng tubes! Thanks for sharing that! I'm going to memorize that. I don't know if I agree with this one though..."From a pain and...