Download Unit Profile - Brandon Newborn ICU

Unit Profile - Brandon Newborn ICU
Nurse
Manager
Clinical
Nurse
Supervisor
Clinical
Nurse
Specialist
Educational
Nurse
Coordinator
NHPPD
Brief
Description
of the Unit
Common
Medications
(Categories
of Drugs)
Rose Ramey BSN, RN
Corrie Osgood MS, RNC
Lisa O’Leary BSN, RN
232-8801 / Pager 9217
232- 7895 / Pager 4419
232-7894 / Pager 32065
Michelle Nemshak, MSN, RNC-NIC
232-7896 / Pager 5576
Robin Jahnke MSN, RNC-NIC
232-8805 / Pager 4381
(19+ Charge+1 Nest + 2 TECH’s) Total RN staff=22
Brandon Newborn Intensive Care Unit is a 41 bed unit for newborns that require intensive
medical and nursing care. Many infants are referred to Brandon from other Level III NICU’s
throughout the state for the very specialized treatments offered here--ECMO, HFJV,
oscillator, surfactant replacement therapy, nitric oxide, brain-cooling, fetal surgery, exit
procedure, and various other procedures.
A family-centered approach to care is promoted in Holden. Providing individualized
support and education to families during hospitalization and in preparation for discharge.
We empower families to participate in decision making for and in care of their infant.
1. Antibiotics/Antifungal 3. Sedation/Analgesia
6. Immunizations/RSV
a. Ampicillin
a. Morphine
a. Hepatitis B
b. Gentamycin
b. Lorazapam
b. HBIG
c. Vancomycin
c. Fentanyl
c. Synagis® (RSV
d. Flagyl
d. Versed
Prophylaxis)
e. Fluconazole
e. Acetaminophen
d. Pediarix (DTaP, IPV,
f. Pipercillin
4. Resuscitation
Hepatitis B)
(Zosyn)
2. Cardiovascular
a. Aldactone
b. Diuril
c. Dopamine
d. Dobutamine
e. Epinephrine
f. Vasopressin
g. Milrinone
h. Furosemide
i. Prostaglandin E
Common
Patient
Procedures
Common
Unit
Practices
Medication
a. Atropine
b. Epinephrine
c. Tham
d. Sodium BiCarb
e. Albumin
f. .9 Normal Saline
5. Electrolytes
a. Calcium
Gluconate
b. Potassium
Chloride
e. Hemoph. B influenza
f. Prevnar
7. Miscellaneous
a. Caffeine Citrate
b. Aminophylline
c. Dexamethasone
d. Hydrocortisone
e. Ibuprofen
f. Phenobarbital
g. Vitamin K
h. Erythromycin eye
ointment
1. Diagnostic Procedures
2. Common Procedures
a. Sepsis Workup (Including
a. Peripheral Venous Access
blood cultures, CBCPD, urine
b. Heel stick Phlebotomy
cultures)
c. PICC line Insertion
b. Lumbar Puncture
d. CVL/PICC line maintenance, blood draws
c. Portable X-ray
and site care
d. EEG
e. Oral/Endotracheal/Nasopharyngeal
e. ECHO
Suctioning
f. Cranial Ultrasound
g. Eye Exams
1. Rounding Standards
a. Physician Rounds starting at 9:00
b. Nursing participation is an expectation
2. Communication Standards
a. SERVES
Common
Medical
Diagnoses
Common
Precautions
and Safety
Measures
3. Shift to Shift Rituals
a. Handoff report
4. Process and Contacts for calling a Patient Care Conference:
a. Family meetings- involve medical staff, nursing, social work
b. These meetings can be initiated by the family, nursing, or medical staff
1. Prematurity
9. Surgical
2. Respiratory Distress Syndrome
a. Congenital Diaphragmatic Hernia (CDH)
(RDS)
b. Gastroschesis
3. Transient Tachypnea of the
c. Choanal atresia
Newborn (TTNB)
d. Duodenal atresia
4. Neonatal Sepsis
e. Tracheo-esophageal fistula
5. Necrotizing Enterocolitis (NEC)
10. Hyperbilirubinemia
6. Interventricular Hemorrhage (IVH) 11. Congenital Heart Disease
7. Persistent Pulmonary Hypertension
of the Newborn (PPHN)
8. Retinopathy of Prematurity (ROP)
1. IV shift check
4. Monitor alarm limits at beginning of shift
2. Double check IV drips and high risk 5. Side rails and porthole up and closed
medications
3. Double check breast milk