NicuGal MSN, RN

NICU, PICU, PACU

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All Content by NicuGal

  1. NicuGal

    NICU vs. Peds

    We don't get cross trained but float to peds areas. If you want specialized, go NICU. If you want a broader spectrum, go PICU. Keep in mind most places won't let you transfer for one year. I've...
  2. NicuGal

    Charge nurse/ years of experience

    1-2 years on the
  3. NicuGal

    I want a social life

    You just have to find a balance. And yes, you miss out on stuff, but it come with territory. Make plans for your weekends off and remind friends and family you have work weekends, so if they are...
  4. NicuGal

    NAS baby care plan and nursing diagnoses

    Don't forget medication use to address NAS
  5. Our hospital let's the ones in the unit move first, it only seems fair you have done your time on that unit. Try to hang in
  6. NicuGal

    To glove or not to glove

    For ones who don't make parents gown and glove for isolated kids, do you limit where they can go in the unit while they are there to visit and do you have single rooms? I wish we could do this but we...
  7. NicuGal

    To glove or not to glove

    We do a 3 minute scrub, as does everyone entering the unit. Wash or gel in between. We glove for hands on care, line handling and breast milk handling, blood draws. But we do hold the babes for...
  8. NicuGal

    Transfusion associated NEC

    I asked our docs about this and they also stated that it is not the blood transfusion itself, but the anemia that causes the gut problems. Most of our kids who get blood are pretty sick to start...
  9. If my 16 year old can give a ride mooching friend the boot so can you. This girl expected my daughter to take her to the college with her for classes, never asked. My daughter was nice about it...
  10. NicuGal

    How did the 12 hour shift begin?

    I started out on 5 8's on nights, talk about no life. And most nights we weren't out on time or were mandated to work a double and had to be back that night. Fast forward 5 years and we were allowed...
  11. NicuGal

    NICU: Enteral Feeding Warmer?

    We use Penguins. Why would you have change out your enteral feeding system? I'd steer clear of that one...sounds mucho
  12. NicuGal

    social media problem

    And the above is why you don't post stuff on social media especially if they know where you work and your name is on
  13. NicuGal

    High school student needing help

    Good for you! Take AP classes or college classes if they offer them. My daughter did all her prerequisite classes in high school and was able to start her upperclass classes her freshman year in...
  14. NicuGal

    Breastmilk Errors

    It is a body fluid and is treated as such. As a parent, if I found out my child was fed another's EBM and that it was from a high risk mom, someone's head would
  15. NicuGal

    PPD

    Only employee health can read
  16. NicuGal

    social media problem

    I never bring up my job or being a nurse on social media. And I wouldn't worry about
  17. NicuGal

    Career Path Questions

    NP's work in the unit and function like a resident/fellow doc. There are also educators, Clinical nurse specialists, but they don't work at the
  18. NicuGal

    Breastmilk Errors

    We now have to scan all our milk. I was the charge nurse when we had a few errors before scanning started. As above all parents were notified, the nurses were counseled and written up for one of them...
  19. NicuGal

    testimonials on resume?

    We reviewed one that had all these testimonials in it. It was like reading an informercial and it was circular filed. Keep it clean and
  20. NicuGal

    Transfusion associated NEC

    Very good points. How low were the hcts? If they have really low crits, the blood is going to be shunted to more vital organs and you could see feeding intolerance and gut symptoms. Good
  21. NicuGal

    Transfusion associated NEC

    We have never made them NPO. If we only have one peripheral line and we can't start another for some reason we check glucoses every 30 minutes and restart IVF as needed for an hour. If we have a...
  22. NicuGal

    Easter??

    Not a paid holiday at our
  23. NicuGal

    How old is too old?

    None of us sign on to take care of these older babies, but they are our patients and usually do better with a team that knows them. We have had 3 or 4 older kids on our unit and it feels like a...
  24. NicuGal

    NAS baby care plan and nursing diagnoses

    Throw out some ideas and let's see where it goes. Not doing homework for you
  25. NicuGal

    How old is too old?

    Never. Sometimes we send them to Children's rehab across town, but our attendings hate our PICU and peds floor. We do try to only give one other kid with them and everyone pitches in to play. We...