DebblesRN ASN, BSN, RN

NICU

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All Content by DebblesRN

  1. That's a really crappy thing to say to another person on here and I find it offensive that you would attack the parenting of someone you know NOTHING about based on one opinion. As far as...
  2. DebblesRN

    Bilirubin levels? 36week baby

    DAT pos or neg is referring to the direct coombs testing. a positive DAT increases the risk of elevated bilirubin levels. check Google or your nursing textbook to read about coombs testing. :)...
  3. DebblesRN

    Bilirubin levels? 36week baby

    Where I work, we typically will do a TCB on the baby at 24 hours of age, then at two days old, and three days old (if they are still an inpatient). If the Transcutaneous Bilirubin falls in the High...
  4. DebblesRN

    Bicitra

    One place I used to work gave a dose of PPI IVP and a 30ml dose of Bicitra PO right before the patient was wheeled into the OR. We never diluted it. Told patients to take it like a shot. I never...
  5. DebblesRN

    What is "Assisted" about Assisted Living

    I get what you're saying. My grandmother recently moved to an ALF. She is pretty much self sufficient, but needs a little help with her showers (mainly just someone to help her get in and out--she...
  6. DebblesRN

    Gastric lavage in healthy term newborn??

    I used to work at a facility where they routinely deep suctioned all newborns in the delivery room to clean out their bellies, but not of lavage as routine care of a term newborn. I have to admit,...
  7. DebblesRN

    Does this make me an "RN snob"?

    I don't get the attitude towards the OP at all. She IS concerned about safety for the patients, or she wouldn't have posted. She is ALSO concerned about the fact that staff with limited or no...
  8. DebblesRN

    Questionable staffing in L&D vs Nursery

    Our hospital is also having a big overhaul on how our unit is run. Currently, we have a L&D unit, PostPartum unit, and a Nursery (divided into a newborn nursery, special care nursery, and a 3 bed...
  9. Wow. I took the CNA course at my local community college back in 1994. Cost me $565 for the class, got me a CNA/HHA certification, AIDS and Bloodborne Pathogens, Domestic Violence, and BLS for...
  10. DebblesRN

    Swings in SCN

    We have swings in the nursery for our NAS babies. I will see if I can pull the policy and I'll get back with you--not even sure if we have one. We also use the vibrating bouncy seats. The...
  11. DebblesRN

    baby not keen on breast and jiterry..what to do

    You need to check your facility's policy and procedure on babies with hypoglycemia, especially those who are symptomatic and follow that to the best of your ability. Make sure the Pediatrician or...
  12. DebblesRN

    Would keeping my own birth book be a HIPAA violation?

    I would check with your nurse manager and policy and procedure before I start that up. You do realize that if there is an issue with one of your patients that goes to court, and your coworkers know...
  13. DebblesRN

    Can a nurse make the call to change a baby to soy formula?

    I work in nursery, and we do change formula on occasion. If an infant is screaming a lot, spitting up large amounts of oatmeal consistency or "clabbered" appearing milk, and there is a family history...
  14. DebblesRN

    From a student, to, hospital floor nurses...

    Ahhhh mindlor. Been there, done that, have the t-shirt to prove it. LOL The thing I didn't get as a bright eyed eager beaver nursing student is that the nurse didn't NEED report from me. Do you not...
  15. DebblesRN

    Nursing School while still working?

    I worked full time while going to nursing school. It sucked, but I did it. If you can maintain part-time hours while going to school, that is awesome. Go for it. I always felt it wouldn't have...
  16. DebblesRN

    Med surg RN turns OB?

    Neonatal Resuscitation Program is a must. Also, most L&D units are requiring their nurses to be ACLS certified these days--so it wouldn't hurt if you have ACLS. There are plenty of on-line...
  17. DebblesRN

    Chaperone or not during exam

    I personally do not want a male nurse being the assistant or chaperone during a pelvic exam. That's just my preference. Honestly, even during a pelvic with a female practitioner, I have always seen...
  18. DebblesRN

    Doulas: love them or hate them.

    I've only had experience with three doulas, because where I work, moms don't seem to use them often. One was great--very supportive to mother, baby, and the family. They did not cause problems with...
  19. DebblesRN

    Is this normal for a 5 y/o!!!!!

    Sounds kind of like sinus arrythmia to me, which is totally normal in kids. Probably a good idea to take him in for a check up though. He shouldn't be having chest pain. Here is some info on sinus...
  20. DebblesRN

    Chest PT on newborns post delivery

    That's nice. Are you implying that there is something in the NRP guidelines that is for or against CPT in the neonate?? Might be nice for you to reference it for the
  21. DebblesRN

    Chest PT on newborns post delivery

    yes--do
  22. DebblesRN

    Chest PT on newborns post delivery

    I thought I stated that we did not percuss preterm infants. Didn't mean to confuse you. We also aren't percussing babies who have been GFR for long periods of time. The ones we perform CPT with are...
  23. DebblesRN

    Chest PT on newborns post delivery

    Here is a link to a picture of the manual percussor we use on the babies.
  24. DebblesRN

    Chest PT on newborns post delivery

    We do CPT with manual percussors where I work for babies with wet lungs (especially after c-section) if they sound like they have fluid in the lungs after delivery accompanied by mild resp distress....
  25. DebblesRN

    Antiobiotic delivery via iv pump in NICU

    We use the abbott plum triple pumps for maintenance fluid with a buretrol. There is a cartridge that inserts into the pump and there is a piggyback port there that you can either hook a syringe or a...