Sweeper933

NICU

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All Content by Sweeper933

  1. Sweeper933

    I hate NEC

    Sweeper933 replied to Sweeper933's topic in NICU, Neonatal

    Once again - I hate NEC. Former 30 1/7th week twin who is 9 (or so) days old. Was almost on full feeds. 2000 assessment perfect. No aspirates / emesis at 2300 (had good stool too). 0200 assessment...
  2. Sweeper933

    Need Help with Primary Care Nursing in NICU

    Sweeper933 replied to oglesbymom's topic in NICU, Neonatal

    I definitely agree with what DawnBeth said. My unit has done primary nursing since it first opened 40 some odd years ago. We keep cards at the bedside that have lines for primaries and associates....
  3. Sweeper933

    5 babies die in India hospital

    Sweeper933 replied to mom to a PRINCESS's topic in General World

    That is horrible. I can't believe that a "senior doctor" ordered the the nursing station be moved away from the nursery. Seriously!!! How could there have been NO ONE in the nursery at the time???...
  4. Sweeper933

    Octuplets

    Sweeper933 replied to Sweeper933's topic in NICU, Neonatal

    On our unit, it costs $2000 a day just for a bedspace. Then add Dr fees, meds, labs, x-rays, PT/OT, oxygen and all that stuff / equipment. It adds up real
  5. Sweeper933

    Octuplets

    Sweeper933 replied to Sweeper933's topic in NICU, Neonatal

    Our docs in our system will never implant more than 4. And a lot of the IVF twins that we get were selectively reduced from 4 so that there could be a better chance at a positive
  6. Sweeper933

    Alarm limits and ROP

    Sweeper933 replied to Mithrah's topic in NICU, Neonatal

    For babies For babies >32 weeks old on oxygen, limits are set 85-99. Room air babies are 85-100. Of course a lot of the cardiac babies and other special circumstances will have the docs writing...
  7. Sweeper933

    Octuplets

    Sweeper933 replied to Sweeper933's topic in NICU, Neonatal

    Here's an updated article on the situation... http://www.ktla.com/landing_topstories/?Octuplets-Mother-is-Obsessed-with-Childr=1&blockID=196258&feedID=1198 The Mom (Nadya) has done IVF for all...
  8. Sweeper933

    Still not comforatble with NICU

    Sweeper933 replied to ittybittybabynurse's topic in NICU, Neonatal

    It does take time to become comfortable. It took me about a year until I truly felt that way. Keep asking questions though. I still do. I'm always learning different ways to do things, different ways...
  9. Sweeper933

    How long do you wait before ligating PDAs?

    Sweeper933 replied to lvnurs9's topic in NICU, Neonatal

    The only reason we wait a bit to ligate, is if they're too unstable. Although if they continue to be unstable, then we just do it right at the bedside anyway. They're never going to start getting...
  10. Sweeper933

    chronic cpap

    Sweeper933 replied to sweet0176's topic in NICU, Neonatal

    We will sometimes do a "Dex burst" of 3 days to help chronics make that final wean off the vent / CPAP... the docs always discuss it in length wit the parents before hand though - to make sure they...
  11. Sweeper933

    Funny/happy NICU moments needed

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

    Seriously.....
  12. Sweeper933

    micro preemie trophic feeds

    Sweeper933 replied to kangarooyou's topic in NICU, Neonatal

    We've had a lot of perfs on our unit lately. Only on the micros. And none of then had ever eaten yet when they perfed. Very
  13. Sweeper933

    Weaning from CPAP

    Sweeper933 replied to KatRNC's topic in NICU, Neonatal

    For the most part, once they've been on +4 or +5 for awhile on CPAP we will then go to a 4L HFNC. We then wean on that as well. For some of our chronics, we will cycle between CPAP and HFNC until...
  14. Sweeper933

    What are the smallest diapers available?

    Sweeper933 replied to HealthShepherd's topic in NICU, Neonatal

    We use the same
  15. Sweeper933

    Post Traumatic Stress anyone else?

    Sweeper933 replied to kangarooyou's topic in NICU, Neonatal

    Speaking from some personal experience, it does get a little bit easier. There are still going to be cases that stay with you for a long time. It's part of the job. But over time, it does get better....
  16. Sweeper933

    micro preemie trophic feeds

    Sweeper933 replied to kangarooyou's topic in NICU, Neonatal

    For the most part, we usually don't start feeds until the UAC is pulled. For the micros that are behaving themselves, we might start some trophic feeds (after Indocin) while the UAC is still in. 1ml...
  17. Sweeper933

    Does your unit use Vapotherm?

    Sweeper933 replied to MandaAnda's topic in NICU, Neonatal

    We've been doing great with just our HFNC system. We still use CPAP when needed, but the HFNC really works well for our babies! It's been so long since we've used vapotherm... how is it different than...
  18. Sweeper933

    Does your unit use Vapotherm?

    Sweeper933 replied to MandaAnda's topic in NICU, Neonatal

    We stopped using VT a few years back when it was all being recalled d/t infection problems. We have since just used a "high flow cannula" system. Same function as VT but with easier equipment to...
  19. Sweeper933

    Level III NICU, low census days q....

    Sweeper933 replied to kangarooyou's topic in NICU, Neonatal

    We will first float to NBN or peds (for an assignment with babies Same rules for downstaffing, but in alphabetical order. For each 4 hour chunk you are downstaffed, you get an "x" and so on... I wish...
  20. Sweeper933

    ATTN: To those whose census is down: Free babies!!!

    Sweeper933 replied to SteveNNP's topic in NICU, Neonatal

    My unit will totally take some of those babies! Our census is still about half of what it should be - and has been about that way since the
  21. Sweeper933

    Funny Names

    Sweeper933 replied to nurserynurse55's topic in NICU, Neonatal

    I just saw that article posted on a friends facebook page... seriously!!! What are those parents
  22. Sweeper933

    Kangaroo Care

    Sweeper933 replied to kangarooyou's topic in NICU, Neonatal

    I would SOOOO much rather have that then when the baby seems to get swallowed up by dad's chest hair!
  23. Sweeper933

    Talking to your neonate patients

    Sweeper933 replied to Journey_On's topic in NICU, Neonatal

    We're always talking to our babies! And when we "yell" at them to 'save themselves' when they are having an A/B episode... I swear they listen and
  24. Sweeper933

    Is there literature out there????

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

    We actually stopped using 20cal premie formula. We start all babies who get formula straight on 24cal. The osmolarity is the same in 20 and 24cal formulas... If they are getting breast milk, we still...
  25. Sweeper933

    Alternative part-time PRN jobs for NICU RN's?

    Sweeper933 replied to Enfermera85's topic in NICU, Neonatal

    My unit has been having the exact same problem Our census is still half of what our average is, and it's been like this since about July (sigh...). Since most NICUs are slow this time of year, the...