PremieOne

PremieOne

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All Content by PremieOne

  1. Syringe Feeding Near Term Infants

    PremieOne posted a topic in NICU, Neonatal

    I have been asked by my colleagues to see how many NICUs and Newborn Nurseries are syringe feeding their near term or term infants. We have been having nursing mothers who have been discharged home...

  2. Carseats for premies less than 5 pounds

    PremieOne posted a topic in NICU, Neonatal

    My NICU and several others in my area are having problems trying to find a car seat company that produces car seats that will hold premies that

  3. Dual UVC catherter

    PremieOne posted a topic in NICU, Neonatal

    I have been asked by my fellow staff if any NICUs that use dual UVC catheters - clamp off one line if not needed. I have not been able to find any literature that will support this as a safe practice....

  4. Car seats for Premies under 4 lbs

    PremieOne posted a topic in NICU, Neonatal

    My NICU is having a major problem with car seats. We are sending premies home that are less than 4 pounds (small for gestational age). The one car seat that did accommodate these tiny infants had a...

  5. 99 Balloons - Warning. You'll probably cry your eyes out.

    PremieOne replied to SteveNNP's topic in NICU, Neonatal

    Dear Steve, Thank you for sharing this video web site. Many of us as NICU nurses rarely see how parents deal with situations like this. I thought the parents did a beautiful job of presenting a...

  6. Incubator Fire Badly Burns Minn. Newborn

    PremieOne replied to dawngloves's topic in NICU, Neonatal

    I am wondering how this could happen!! Normally your oxyhood has oxygen or air going through humidity and so the gas is humidified. We all know how wet the oxyhood gets along with the blankets and...

  7. Cup Feeding Strikes Again!

    PremieOne replied to TiffyRN's topic in NICU, Neonatal

    I am an advocate for breast feeding but this idea of nipple confusion is all wrong. I have been a nurse for 40 years and have never seen any infant with nipple confusion. There were many moms who were...

  8. Speaking of changing lines....

    PremieOne replied to BittyBabyGrower's topic in NICU, Neonatal

    We have a separate med system that has either NSS or 1/2NSS in a bag. We have a special flush system where you place your med syringe on the syringe pumpand infuse through tubing that is piggybacked...

  9. PDA treatment Ibuprofen versus Indocin

    PremieOne posted a topic in NICU, Neonatal

    We just started using Ibuprofen to treat our micropremie's PDAs. Is any NICU using this drug and do you have a protocol you could share with me? I have seen the huge problems using Indocin and hope...

  10. Bacteria Outbreak Closes Hospital Units

    PremieOne replied to huladancer's topic in NICU, Neonatal

    Thank you for providing this news link. I think we are going to see more incidents like yhis in the future. We just got back an infant from a tertiary children's hospital collonized with MRSA. The...

  11. VLBW infants and positioning

    PremieOne replied to NICU Mama's topic in NICU, Neonatal

    SteveRN21, I would be very interested in your protocol. We do keep our infant's midline for about 72 hours and if they are stable we will place them on their abdomen. We provide nesting to all our...

  12. NCPAP with a rate

    PremieOne replied to Love_2_Learn's topic in NICU, Neonatal

    BittyBabyGrower, You are correct on the alarms sounding if the prongs are out. They can also be anoying if your infant is on PSVG and the limited PIP is set too low. The alarm keeps ring low VT and...

  13. Do you change your TPN tubing Q24 or Q72??

    PremieOne replied to MA Nurse's topic in NICU, Neonatal

    We change TPN and Lipids q24h as suggested by CDC. Our UAC lines get changed every 72

  14. NCPAP with a rate

    PremieOne replied to Love_2_Learn's topic in NICU, Neonatal

    My unit has been using Dragers for several years. We love them because they are quiet and have several settings for both vented (SIMV, PSVG, etc), and CPAP infants. Infants can be on CPAP and a...

  15. Use of Methadone for NAS Infants

    PremieOne posted a topic in NICU, Neonatal

    My unit recently switiched from using oral Morphine solution for withdrawing infants [whose mother during pregnancy had been on Methadone maiteance], to Methadone oral solution that is given daily or...

  16. Use of Methadone for NAS Infants

    PremieOne replied to PremieOne's topic in NICU, Neonatal

    We are seeing major hypertension in the infants we have on Methadone. From what I am hearing from other NICUs it is taking a much longer time to wean these infants off Methadone. Our Neo Docs refuse...

  17. I'm starting my NNP, need some advice from y'all!

    PremieOne replied to SteveNNP's topic in NICU, Neonatal

    Dear Saah, Yes it does. You can go for your certificate. Many programs now allow you to do most of your study online. The clinical hours required can vary greatly. This is the actual hands on care you...

  18. I'm starting my NNP, need some advice from y'all!

    PremieOne replied to SteveNNP's topic in NICU, Neonatal

    I was born & raised in NYS and I worked at St. Luke's/ Roosevelt for 10 years in Peds and Ped ER. I also worked at Memorial Sloan-Kettering in Peds.I would go for the Columbia University NNP. Do...

  19. HELP - need vent advice

    PremieOne replied to 33-weeker's topic in NICU, Neonatal

    You need to work with vents all the time in order to maintain your skills. My unit cares for 22 weekers and above and we can have 2 or 3 oscillators plus conventional vents going. I agree with Jolie...

  20. NCC questions

    PremieOne replied to t2000JC's topic in NICU, Neonatal

    Our unit sends the nurses to the Hershey NICU course or some take the online NICU course from University of Indiana. Also use and read the core Neonatal NICU text and also "Workbook in Practical...

  21. Need advise on IV's

    PremieOne replied to Justhere's topic in NICU, Neonatal

    Starting IVs can be frustrating at times. It takes practice, skill, luck, a good IV catheter product (we are trialing 3 new types) and whether you can visulize the vein without transluminating. With...

  22. Transilluminator for IV Starts/Lab Sticks

    PremieOne replied to AtlantaWalter's topic in NICU, Neonatal

    NICU_Nurse you are in luck, I still have the package the flat light came in. I got it at target. It is from Energizer Trim Flex LED. It cost less than $10 before tax. I hope this helps. It works great...

  23. What are your nurse:pt ratios?

    PremieOne replied to NICU_Nurse's topic in NICU, Neonatal

    My unit is small only 24 beds but it can be hectic at times. In the NICU area it can be 1:1 for sick premie or unstable newborn/or micropremie that has lines and is on oscillator. Also post-op infants...

  24. NICU Sewing Patterns

    PremieOne replied to Wren's topic in NICU, Neonatal

    My unit uses snugglies from Children's Medical Venture (Products, Childrens Medical Ventures (CHMV), Respironics ). You can get their developmental positioning packs. Everything can be washed and...

  25. Does your unit utilize support RNs without pt assignments?

    PremieOne replied to Magilacutty's topic in NICU, Neonatal

    My unit is a Level II/III in which we do some sugeries. We have an ANN on evening & night shifts who is in charge of the unit. She usually does not take an assignment but is there to help out if...