Sweeper933

NICU

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All Content by Sweeper933

  1. Sweeper933

    Feeling overwhelmed!!!

    Sweeper933 replied to lilbug's topic in NICU, Neonatal

    Where I work, we always try to give newer nurses the harder assignments (admits, HFOV...) that way they can build their skill level and their confidence as well. However - we would never let somebody...
  2. Sweeper933

    eXpresso Milk Warmer

    Sweeper933 replied to BittyBabyRN's topic in NICU, Neonatal

    Same
  3. Sweeper933

    HFOV/Jet orientation

    Sweeper933 replied to nurserynurse55's topic in NICU, Neonatal

    During orientation, we work our way up to stable vents, then unstable vents, then HFOV. (we don't use Jets where I work). Depending on what our patient acutity is at the time, a person might get 2-8...
  4. Sweeper933

    30 day NGT/OGT rinse or discard??

    Sweeper933 replied to supermommy3's topic in NICU, Neonatal

    If ours come out before the 30 days is up, we are supposed to rinse them out with sterile water, then re-insert. However, if when we take them out, and they just look too gross, we toss
  5. Sweeper933

    Difficult Delivery!

    Sweeper933 replied to Sweeper933's topic in NICU, Neonatal

    Like I said above - I'm not sure about all of the details concerning the delivery... I think part of the reason for the OB not wanting to do a C-section was because Mom was so young - didn't want to...
  6. Sweeper933

    Funny Names

    Sweeper933 replied to nurserynurse55's topic in NICU, Neonatal

    for a girl: Semaj (dad's name is
  7. Sweeper933

    Hospital Scrubs

    Sweeper933 replied to nicunursem10's topic in NICU, Neonatal

    Since the time my unit first opened (in the mid 60's) nurses / docs have been required to wear hospital scrubs. It is an infectional control thing. Besides - it's nice to always have plenty of "spare...
  8. Sweeper933

    Humiliating IV questions

    Sweeper933 replied to elizabells's topic in NICU, Neonatal

    While new admits are usually wonderful to practice getting IVs on - they can be the hardest as well. But when they're volume depleted (especially sick term kids) getting an IV is usually horrible....
  9. Sweeper933

    When a Baby dies....

    Sweeper933 replied to Anonymous2013's topic in NICU, Neonatal

    No
  10. Sweeper933

    Oops....

    Sweeper933 posted a topic in NICU, Neonatal

    So I'm standing out at our front desk talking with the charge nurse about the 32 week triplets that we've been waiting half the night for, when she gets a phone call. I see her face kinda go all pale,...
  11. Sweeper933

    frequency of linen changes in the NICU

    Sweeper933 replied to iyqyqr's topic in NICU, Neonatal

    Seriously.
  12. Sweeper933

    surfactant

    Sweeper933 replied to carebeth's topic in NICU, Neonatal

    We sometimes give as many as 3 doses, and is is usually dependent on their oxygen requirements and what pressers they are requiring to be adequately
  13. Sweeper933

    frequency of linen changes in the NICU

    Sweeper933 replied to iyqyqr's topic in NICU, Neonatal

    We change all linens every night when we weigh the babies. I am always surprised (and annoyed) when I come in to find that the day shift just turned over the burp cloth after the baby puked all over...
  14. Sweeper933

    How Do You Cope?

    Sweeper933 replied to RainDreamer's topic in NICU, Neonatal

    We also seem to be having a run of heartbreaking cases right now... After some harder than most nights, a bunch of us will all go out to breakfast together right after work. It's a good way to...
  15. Sweeper933

    OG tube

    Sweeper933 replied to sofiam's topic in NICU, Neonatal

    Not really... the size of the tube is small compared to the size of their nares. Now if you were putting a 10fr down their noses... then yeah - that would probably affect their
  16. Sweeper933

    Geez...quit having babies already!!

    Sweeper933 replied to BittyBabyGrower's topic in NICU, Neonatal

    No thanks!!! I think I'm still recovering from that night that I had - and it was a week and a half ago! When I woke up the next afternoon... my feet STILL
  17. Sweeper933

    Geez...quit having babies already!!

    Sweeper933 replied to BittyBabyGrower's topic in NICU, Neonatal

    We have also had a lot of multiples recently. About a week and a half ago, in a 3.5hour time period, we got 25 week twins, 29 week twins, and then 33 week twins. All from 0030-0400. I ended up...
  18. Sweeper933

    Geez...quit having babies already!!

    Sweeper933 replied to BittyBabyGrower's topic in NICU, Neonatal

    Our census has gone up the past few weeks as well! We are note quite yet at capacity, but are getting pretty close. It just feels busier than it is because we have a lot of really sick babies, when I...
  19. Sweeper933

    neonatal transfusion policy, PLEASE HELP

    Sweeper933 replied to oletirednurz's topic in NICU, Neonatal

    We check our VS the same as for adults - but some of it is a little easier as our babies are on temp/hr monitors continuously... We usually give 10 or 15ml/kg and usually run it over 3-3.5hrs. Like...
  20. Sweeper933

    Do you medicate for intubation?

    Sweeper933 replied to elizabells's topic in NICU, Neonatal

    We also have sux available for the bigger kids - although I can't remember ever using
  21. Sweeper933

    I hate NEC

    Sweeper933 replied to Sweeper933's topic in NICU, Neonatal

    Thanks everybody for all of you kind words! NEC is definately one of the most horrid things we see here in the NICU... going from completely fine (in the corificeat) to being taken off of support in...
  22. Sweeper933

    I hate NEC

    Sweeper933 replied to Sweeper933's topic in NICU, Neonatal

    I'm not sure of the exact details right now, but I do know that the surgeon sat down with the parents and the attending on call tonight and talked about all of the possiblities. Currently, our surgeon...
  23. Sweeper933

    OG tube

    Sweeper933 replied to sofiam's topic in NICU, Neonatal

    We mostly use NGs, but we do use OGs when the baby is on CPAP - it's hard to get that good seal around the nares when there's an NG tube in the
  24. Sweeper933

    nasal suctioning

    Sweeper933 replied to KimblyRN's topic in NICU, Neonatal

    That trick definitely works the
  25. Sweeper933

    Do you medicate for intubation?

    Sweeper933 replied to elizabells's topic in NICU, Neonatal

    Every once and a while we do. I've seen it done more on the big chronics who self-extubated (again...) and are just to big and strong for any type of successful intubation with out being at least a...