Sweeper933

Sweeper933 specializes in NICU.

Latest Activity

1. 

   OG /NG Tube Placement

   Sweeper933 replied to THB4471's topic in NICU, Neonatal

   Auscultation / aspiration upon insertion, and before each feed/med. X-Ray only if it's an NJ/ND. We also chart with each VS what cm the tube is at at the nares /
2. 

   Transduce or not transduce?

   Sweeper933 replied to kalamazoo's topic in NICU, Neonatal

   I also agree with the previous posters. Sometimes the first sign that the line is going bad is that the waveform stops
3. 

   NICU NURSES....labeling breast milk???

   Sweeper933 replied to schoolnurseadmin's topic in NICU, Neonatal

   We also double check the label with another RN. We bring the second RN to the baby's bedside, and check the breast milk label against the bedside card, using name and dob. We add the patient ID if...
4. 

   Measuring urine output

   Sweeper933 replied to 3yrDiploma's topic in NICU, Neonatal

   We will use a 5fr feeding tube as a catheter on our babies. Works pretty well. But we have to make sure to use the old style ones - the ones that connect to both feeding tubes and IV syringes, not our...
5. 

   Measuring urine output

   Sweeper933 replied to 3yrDiploma's topic in NICU, Neonatal

   How do you deal with skin integrity and all of that stuff on kids with long term IVs...??? I can't imagine having to put a bag on a kid for more than a few times in a row, let along days /
6. 

   NICU RNC

   Sweeper933 replied to BabyLady's topic in NICU, Neonatal

   http://www.amazon.com/Certification-Review-Neonatal-Intensive-Nursing/dp/1416036679/ref=sr_1_1?ie=UTF8&s=books&qid=1252801839&sr=1-1 That's the book we all used on my unit. Although, a...
7. 

   busy or slow

   Sweeper933 replied to nicu4me's topic in NICU, Neonatal

   Evidently the fun on my unit is continuing. I just got a call from one of the managers to see if I could come in to work tonight at 11pm. Evidently in the last 18 or so hours, they've gotten 35 wk...
8. 

   busy or slow

   Sweeper933 replied to nicu4me's topic in NICU, Neonatal

   This whole week we've gotten nothing but sick term kids. Which is always a nice surprise addition to the census. At least with the preterms, you have somewhat of a warning as to their admission. And...
9. 

   busy or slow

   Sweeper933 replied to nicu4me's topic in NICU, Neonatal

   We (finally) slowed back down to normal after being crazy/busy all year. Our census is back to normal, but our acuity is still really high. A few really sick kids and a few really time-intensive...
10. 

    Measuring urine output

    Sweeper933 replied to 3yrDiploma's topic in NICU, Neonatal

    We weigh the diapers if they are on IV fluids, on oxygen, under phototherapy, or on diuretics. Otherwise we just do diaper
11. 

    Family Support Person

    Sweeper933 replied to lmwnnicurn's topic in NICU, Neonatal

    We have several social workers that just deal with our Moms / families. If Mom is inpatient on antepartum, then they get hooked up with them at that point as
12. 

    full assessments vs. monitor vitals

    Sweeper933 replied to nicu4me's topic in NICU, Neonatal

    Even when it's an "off" time (non feeding or vitals) we still chart a lot of stuff each hour - bed temps, hr, resp rate, O2, IV status.... And for the first hour of our shift, we always chart their...
13. 

    Stoma trouble

    Sweeper933 replied to Jaiden's topic in NICU, Neonatal

    The wafer is the donut shaped piece of duoderm that gets cut out to go between the skin and the bag. It gives the bag something better than just skin to stick on to. It also helps protect the skin...
14. 

    Stoma trouble

    Sweeper933 replied to Jaiden's topic in NICU, Neonatal

    Have you tried using stoma paste? It's used to fill in the gaps between the wafer and the bag. Works well when you have a tight area to work in and it's hard to get a good seal between the wafer and...
15. 

    NICU- how much math?

    Sweeper933 replied to dfike's topic in NICU, Neonatal

    All this math talk makes me really glad that we have our own NICU nutritionist with us during rounds every day! They are the ones who keep watchful eyes on all of the kcal/kg/day according to the...