Sweeper933

NICU

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All Content by Sweeper933

  1. Sweeper933

    Hydrops

    Sweeper933 replied to juliachloe's topic in NICU, Neonatal

    I've never heard of pregnant nurses not being able to take care of hydrops kids either... I guess it depends on the original etiology of the hydrops in the first place. One of our docs was pregnant a...
  2. Sweeper933

    Nasotracheal Intubation

    Sweeper933 replied to SteveNNP's topic in NICU, Neonatal

    Our unit has always used ET tubes since the unit first opened (around 1968...). We even still secure them the same way we did back them. We have a pretty low self-extubation rate, usually just on the...
  3. Sweeper933

    Cool new products in the NICU

    Sweeper933 replied to kitty29's topic in NICU, Neonatal

    I love those nasal aspirators! We use them all the time in our unit. Great for those kids that seem to get a lot of upper airway congestion from being on cannulas... It's always "fun" to get a booger...
  4. Sweeper933

    Patient Experience in the NICU?

    Sweeper933 replied to Beggar♂'s topic in NICU, Neonatal

    I had a sister who would have been a year older than me. When she was born (around 34 weeks...), my parents knew that she had a duadonal atresia. They later learned that she also had dextracardia....
  5. Sweeper933

    Caffeine vs. Theophylline

    Sweeper933 replied to ScammRNC's topic in NICU, Neonatal

    We use both of them. Most of our babies just get started on the caffeine. Our babies that will (or already have) turned into the chronic respiratory kids get started on theo. Theophylline has more...
  6. Sweeper933

    shift question

    Sweeper933 replied to boofish's topic in NICU, Neonatal

    It really all depends on the specific unit. Where I work, we hire for all shifts. There is a big group of us on nights who have no intention of leaving that shift any time soon. The extra pay, less...
  7. Sweeper933

    Is X-Ray Exposure ok?

    Sweeper933 replied to KTLou06's topic in NICU, Neonatal

    When we hold for x-rays, we always wear the protective apron. Usually the other nurses who are also in the room at the time will step out while the x-ray is being taken - unless they are super busy...
  8. Sweeper933

    discharge of MRSA infant

    Sweeper933 replied to pooperscooperrn0624's topic in NICU, Neonatal

    At our hospital - we carry the babies out to their parents car in their corificeat. Only RNs are allowed to carry the babies out. As far as DCing babies w/ MRSA - we recently had one go home who was...
  9. Sweeper933

    Is your NICU slow or busy?

    Sweeper933 replied to MA Nurse's topic in NICU, Neonatal

    My unit has been pretty slow all year... Our census is usually runs from the high 30's to the mid 40's. Lately we have been holding steady in the high 20's to low 30's. This time last year, we had 60+...
  10. Sweeper933

    NICU VS. Newborn Nursery in your hospital?

    Sweeper933 replied to justjenny's topic in NICU, Neonatal

    Not to get completely off the topic here - but when our chronics transition to the part of our unit that is like a stepdown unit - the primary nurses always stay with them. Primary nurses are with the...
  11. Sweeper933

    My time in a NICU in Honduras

    Sweeper933 replied to LilPeanut's topic in NICU, Neonatal

    Wow... A bunch of our nurses recently went on a similar trip to a NICU in China (I can't remember the exact name of the city right now). It was a large hospital, and the NICU usually had 40+ babies....
  12. Sweeper933

    Question about care managers

    Sweeper933 replied to waded's topic in NICU, Neonatal

    We have had primary nursing on our unit for over 20 years - we all love it! It is not mandatory that each nurse has a primary - but most of us do. We also have what we call "associates" as well. In...
  13. Sweeper933

    Developmental care

    Sweeper933 replied to sofiam's topic in NICU, Neonatal

    We have a whole "team" of people on our developmental care team. We have a developmental specialist - she will evaluate the babies (if they qualify... under 1500g... any other special concerns) before...
  14. Sweeper933

    Giraffe Beds - how often do you change them?

    Sweeper933 replied to grlgid's topic in NICU, Neonatal

    We change out our giraffe beds every two weeks. Regular isoletts get changed out once a week. Of coorifice if a baby is to unstable for the giraffe to be changed out - we just leave them in there....
  15. Sweeper933

    Wild day while charge...have to vent!

    Sweeper933 replied to SteveNNP's topic in NICU, Neonatal

    There is definately a charge nurse "curse"!!! It gets passed around our unit - different for each shift. Currently myself and a few other night nurses seem to have crazy shifts the last few times we...
  16. Sweeper933

    How do u deal with death?

    Sweeper933 replied to dares_to_care's topic in NICU, Neonatal

    We pretty much do the same as said above as far as who talks to the parents, what is done during/afterwards. One thing that a lot of us on the night shift have done, is all go out to eat pancakes...
  17. Sweeper933

    Domestic Washer and Dryer in the NICU

    Sweeper933 replied to BABY--RN's topic in NICU, Neonatal

    We have w/d on our unit. We use it for bendy/isolette covers, hats, swing covers..., and unit clothing. If parents bring in clothing for their babies, then they wash those articles of clothing at...
  18. Sweeper933

    Are RRT's NRP certified?

    Sweeper933 replied to DST2RN's topic in NICU, Neonatal

    Our RTs are NICU trained and work solely on our unit. They have to keep up their CPR/NRP certifications along w/ the rest of us RNs. We always have at least 2 RTs on our unit at all times, depending...
  19. Sweeper933

    Skin care for Premature Neonates

    Sweeper933 replied to wrighty's topic in NICU, Neonatal

    We also use the limb bands here and they are great. They are more sensitive to artifact at times though. We also trim down the pulse-ox probe and other things of that nature. We will use tegaderm...
  20. Sweeper933

    What's included in level IV?

    Sweeper933 replied to stillpressingon's topic in NICU, Neonatal

    I think you might be refering to Nitric Oxide (NO). It is used when babies have severe PPHN, as it is a bronchodialator. As far as the level is concerned, I was under the impression that there were...
  21. Sweeper933

    Skin care for Premature Neonates

    Sweeper933 replied to wrighty's topic in NICU, Neonatal

    We have standing orders for any
  22. Sweeper933

    My First Transport

    Sweeper933 replied to 2curlygirls's topic in NICU, Neonatal

    So would I....
  23. Sweeper933

    Hypoxic Brain Injury & Elective Hypothermia... Who's doing it?

    Sweeper933 replied to SteveNNP's topic in NICU, Neonatal

    We just got inserviced on it a couple of months ago. We have yet to have a situation where we need to use it though. Without copying our entire protocol... here's some of the basics: A. Term infants...
  24. Sweeper933

    SiPAP

    Sweeper933 replied to danissa's topic in NICU, Neonatal

    We use SiPAP (as well as NCPAP) here. The SiPAP basically gives an extra "burst of air" to the babies with a set rate. A baby on CPAP would be on something like +5 or +6... the 5/6 being the PEEP....
  25. Sweeper933

    My First Transport

    Sweeper933 replied to 2curlygirls's topic in NICU, Neonatal

    I can't imagine going out on transport w/o a doc! We only do ambulance here - we're too close to the EL to do any helicopter transports. We always take a doc, and 1-2 RNs depending on how sick/little...