what are the guidelines between different levels of NICU's?
86294
Check out this site:\nhttp://www.guideline.gov/summary/summary.aspx?ss=15&doc_id=5986&nbr=3944#s23
693702
These activity restrictions are usually recommended:\n\n Limit stair climbing as much as possible.\n\n Don't lift anything heavier than your baby for the first two weeks.\n\n Ask your mate or a friend to do laundry, vacuuming, and other tasks that require bending, lifting, or pushing for at least the first few weeks after birth. Then resume such work gradually.\n\n Do not drive a car for the first two weeks.\n\n Take showers instead of tub baths until the incision is completely healed and dry.\n\nAsk your doctor or midwife for specific instructions on the care of your incision.\n\nWhen you are ready for exercise discuss with your doctor what exercises you can do.  Walking is a good start.
662601
It's the the level of care legally required of someone in a particular situation.  For instance, parents are legally required to provide a certain level of care to their children, just as a doctor is required to exercise a certain level of care to his or her patient.  Not meeting this level of care can lead to legal liability.
1052426
probably best to get in touch with your local ICU-possessing hospital and seeing if they can supply you with any suitable (anonymised) materials, or even if you can go down make the notes yourself (which will certainly give you a more true to life experience / record of the patient care, symptoms etc which may have been sugar coated in official materials or those sent out from the hosp)
37357
I usually write vitals first, then you write about the pt beginnig head to toe, as you are taught in school.  for ex: 124/72-80-12 96% on o2 2litres.  Pt alert, oriented x3.  Lung sounds clear, diminshed bases- no cough or SOB, abdomen soft, non-distended, sluggish bowel sounds left upper quadrant- mom given 30cc 5pm, no results.  Bilateral 1+ pitting edema both lower extremities, +pedal pulses, -Homans signs ble.  Pt family member updated on pt. status.  \nOften in nursing notes arent as detailed but I try to think ' If someone were to investigate this case, and my notes in a court of law, would they hold up?" Its basically to 'cover your a#$, it takes practice
484736
Extremely important!  I am an infant/toddler caregiver and teach classes on early childhood education at the university level.  There are many different charts and forms you can use to see if the infant's growth and development is "on track" - more involved and detailed than just the pediatrician checking the child's height and weight.  But for any of those charts/forms you will be observing things the infant can do - some easily observed like turning over and crawling, but some that take really focused observation and practice to notice, like certain reflexes.
287955
If proper neonatal care applied upon delivery, your child will almost have a good health.\n\nPre-term birth has a serious impact on child if not properly cared e.g.: Respiratory distress syndrom, and cerebral hemorrhage.
169229
It depends on the age of the child.  If it is a young child I found out that they can run 103-104 temp (which would be high for older children or adults.)  Give the child tylenol or motrin (and other measures to cool down as mentioned in previous answers) and if it goes down in an hour it's probably ok.  A full degree is a really good sign, but even if it goes down >.2 it's probably ok. If the temp doesn't go down with those measures take him/her in.  Lots of fluids and rest, tylenol or motrin as directed (4-6 hours) to keep them comfy.  If the child is still running a fever in 3 days take him/her in. If it is a toddler take them in if it runs 105. My daughter usually gets non-specific rashes when she runs fevers, but keep an eye out for anything unusual, and call a nurses help-line if you see anything (if one is available) and describe what it looks like and they can direct you whether they should be seen.  Good luck, it's always tough when our kids are sick.  \n\n(I am sure you know this, but their temp generally doesn't go back to normal with meds, but it should lower it.)
338759
You need to have at least a year of adult ICU experience (after getting a BSN and becoming a nurse),take the GRE (graduate record examination) some schools will take the MAT test (miller analogies test),you need to have plenty of chemistry classes (inorganic,organic,biochem,general chem 1 and 2). These are the requirements for ECU. You need to check with a school in your area to be sure you meet the requirements. But most schools want an adult ICU experience.
301963
Department of Human Resources/Social Service at any State facility...there is a different criteria for each state....be prepared for a thorough background check as well as references to your character and past work history....people can never be to careful when it comes to whose taking care of their kids....
228310
Generally?  Well...get the FIO2 down below 50% ASAP...lowering as tolerated (I like O2 at 40% or less).  To wean...NIFs of course, lowering SIMV rate to at least six, pressure support....The NIFs mean a lot.  They are a pretty good indicator regarding the pt's ability to do well post vent/intubation......
700172
I'm in a course now, and I can a couple of things to the list...\n\n1) lift 125 pounds  (patients on cots)\n2) ride along on an ambulance (or the ER) and observe (you don't touch anything or help, just observe)\n3) pass skill stations where they simulate medical and trauma calls (such as heart attacks, car accidents and child birth), and you take control and verbalize how you would assess the patient and intervene to help them.\n4) the written test might be computerized, and they'll ask harder questions if you find the first questions easy.  (i.e. if you know respiratory well and child birth not-so-well, the computer refocuses the questions on child birth)\n\nThis is for Connecticut, so check your state to see what the standards are..
883406
A perinatologist.  Your O. B. should be able to recommend one.  Any hospital that takes high risk pregancies or has a Neonatal Intensive Care Unit will have a Perinatologist.
629159
early 7 mouths.but see your doctor before you take any decision.remember,your life and your baby's is more important than any journey.
958897
Here's an example of a healthy person's assessment. My rule of thumb is start at the head and cover each system.\n\nPt. appears stated age, well-groomed, no body odor. Alert and orientedx3. Conversation clear and appropriate. No headache. Eyes clear, no redness, swelling or discharge. External ocular muscles intact. No double vision or blurred vision noted. Gross auditory function intact; pt. responds appropriately to questions. Mucous membranes moist. S1 and S2 auscultated, no S3 or S4 noted.  No murmur. Pulse 72, regular at left radial. Peripheral pulses present, equal bilaterally and strong. BP 116/72. Skin pink, warm and dry. Resps. easy, effortless, quiet. No discharge from nose, no cough. Lungs auscultated, clear to bases. Bowel sounds auscultated to all 4 quadrants. Last BM this AM, soft, brown, formed. No nausea or vomiting. No pain on palpation of abdomen. No pain, urgency, or frequency of voiding noted. Urine is clear, yellow, no foul odor. Functional range of motion, no swelling or redness of joints. Pt. is pleasant, no voiced concerns.\n\nThis is more thorough than you usually see in practice, and there are abbreviations to make it shorter, but it's good practice to know what all goes into an assessment. Just write what you saw, heard, felt, smelled, and also what you didn't see. That way, it's known that something wasn't there, not just that you didn't look for it. Good luck, we nurses have to stick together!
85230
Sorry to hear that!  I work in the ICU as an RN...I don't know what ur grandmother had, so it's difficult to say why...but we don't let anyone in under 6 yrs old.  They can be carring bug from school ect....we are protecting the patient.  We also don't want infants to be exposed to what any patients on the unit may have...Little kids really don't have a strong immune system and that goes for critically ill patient on the unit as well.  I encourage everyone over the age of six to visit...they may have to wear a mask over their nose and mouth so you don't spread germs...if we nurses feel ill, we wear a mask to keep the patients safe, also some patients are in isolation and if your grandmother was..it was probably (if the case) not to bring anything back to the baby and vise versa.  Pneumonia is a very dangerous illness, I wear a mask when dealing with these patient, you never know when someone is going to cough in your face and share their germs...Have your family member talk to someone at your church or to a counselor....I hope I helped, at least alittle...
1028797
well theres one for pulse and one for oxygen saturation.  check also with respiratory tech infor