NicuGal MSN, RN

NICU, PICU, PACU

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All Content by NicuGal

  1. NicuGal

    Dopamine

    NicuGal replied to UCAFblue's topic in NICU, Neonatal

    Usually it is just the infiltration. But if the extremity has extreme blanching you should change the site and let it rest. Always try to use a larger vessel such as an antecubital or saphenous to...
  2. NicuGal

    To tell or not to tell!

    NicuGal replied to XNavyCorpsman's topic in Patient, Colleague Relations

    Never suggest taking pictures in a patient care area...bad bad bad. Wouldn't just "put you at risk" but will most likely get you flat out fired if management found
  3. NicuGal

    RN forging doc's signature

    NicuGal replied to Student Mom to Three's topic in General Nursing

    You also should say something to the nurse. Tell him the doc came looking for the req and you told him what went
  4. NicuGal

    bedside resuscitation?

    NicuGal replied to cayenne06's topic in NICU, Neonatal

    I'm having a hard time visualizing all these people at the end of table. And I can see cost being a deterrent in some institutions as they would have to purchase these tables/equipment. We do a...
  5. NicuGal

    To tell or not to tell!

    NicuGal replied to XNavyCorpsman's topic in Patient, Colleague Relations

    And he posted elsewhere how he made a huge med error...when it really wasn't. I think being 50 years old (same age I am!) and working civilian now might not be his forte. Hopefully he chills
  6. NicuGal

    IR RN call pay vs Rad Tech call pay

    NicuGal replied to irsbear's topic in General Nursing

    Are the techs union and nursing not? That is how it is at our hospital and our radiology techs are pretty well paid and their on call is higher than ours. And to call them ancillary staff is pretty...
  7. NicuGal

    Med Error

    NicuGal replied to XNavyCorpsman's topic in General Nursing

    So, in accordance to your other post, to tell or not tell, did you write yourself up for giving a med you didn't loo up, etc?? You need to simmer down or your nursing life is going to be
  8. NicuGal

    HELP: What does your JCAHO required Neonatal pathway look like?

    NicuGal replied to marooon13's topic in NICU, Neonatal

    Well that sucks. That doesn't even sound like a care plan. So they have short and long term goals with interventions? You probably need to start from scratch. If you used electronic careplans...
  9. NicuGal

    HELP: What does your JCAHO required Neonatal pathway look like?

    NicuGal replied to marooon13's topic in NICU, Neonatal

    What type of POC? We have several care plans we use for different diagnosis. Individualized for each patient in EPIC. Do you mean an algorithm for admission or something
  10. NicuGal

    Neonatal Nursing Education

    NicuGal replied to NickiLynne11's topic in General Nursing

    Yes you can, but sometimes you have to take something else until something opens up, many NICUs don't have a high turn over rate. You may even have to
  11. NicuGal

    To tell or not to tell!

    NicuGal replied to XNavyCorpsman's topic in Patient, Colleague Relations

    I was a manger and I would ask you who was doing what. We may have gone over all this before you got here and already had a sign and read. Then it comes down to they are still doing it wrong and I...
  12. NicuGal

    Being an individual

    NicuGal replied to Circulate's topic in Men in Nursing

    Depends on where you work. We wear all black hospital issued scrubs, only white or black short sleeve tshirts under, solid black jacket. No rings, watches or bracelets. We do wear funky shoes and...
  13. NicuGal

    The Nightingale Pledge - Still relevant today?

    NicuGal replied to Julius Seizure's topic in Nursing Professionalism

    You have to look at the era it was written in. It is part of our nursing history and you take out of it what you want. If you don't like what it says, don't say it. Ours now now a days would have...
  14. NicuGal

    Dopamine

    NicuGal replied to UCAFblue's topic in NICU, Neonatal

    I honestly don't remember the last time we gave Dopa peripherally. But I do remember the infiltrates and sloughing and the wounds down to fascia, then the scar. Horrible. The hospital just settled...
  15. NicuGal

    Magnet Recognition

    NicuGal replied to NurseSusieQ's topic in General Nursing

    They had trays of sandwiches, desserts, salad and drinks sent to the units for each
  16. NicuGal

    Dopamine

    NicuGal replied to UCAFblue's topic in NICU, Neonatal

    Yes, you will see a white streak up the vessel from vasoconstriction. Dopamine infiltrates are pretty bad. Sometimes you will notice a white circle that will turn red and that line needs to get...
  17. NicuGal

    Chronic babies

    NicuGal replied to cristy28's topic in NICU, Neonatal

    We try to get them into a regular routine and have OT/PT work with them daily. For example, I had an 8 month old trached guy a year ago. His day went like this: 8-9a: get up, face washed, trach care...
  18. NicuGal

    Is this a VALID reason to terminate someone?

    NicuGal replied to lllenjolll's topic in Nursing Professionalism

    This is what it boils down to, and I tell my orienters: if something were to go to court, how would you justify things. 1. You clicked the box without doing the task. Falsification. 2. You say you...
  19. NicuGal

    Per diem ..maternity leave?

    NicuGal replied to erin01's topic in General Nursing

    Many of our PRNs picked up extra hours to guarantee they had 1250 hours in. Then they could be out for 12 weeks. If they didn't make the 1250, then they get 6 weeks for a lady partsl delivery and 8...
  20. NicuGal

    Tablets

    NicuGal replied to NurseEmmy's topic in General Nursing

    I have an HP 360, no problems. had office installed on it. It comes down to personal preference. My my daughter has a Toshiba and an I Pad at college. She uses the tablet for class (lighter than...
  21. NicuGal

    Educator pay vs. floor nurse pay

    NicuGal replied to Aurora77's topic in General Nursing

    I made the same amount but received a stipend every quarter, not much but the extra money was
  22. NicuGal

    Dealing with cpap machines and skin damage

    NicuGal replied to tinkerbell419's topic in NICU, Neonatal

    We put duoderm under the nose and on the septum. It also depends on the setup you use. We use the RAM cannula and it is easier on them. Vaseline can break down the plastics of the prongs and make...
  23. NicuGal

    Orientation + OT

    NicuGal replied to Nurse_Lily's topic in General Nursing

    Ours can stay to finish things with the preceptor, but they cannot pick up hours. I'd clarify this with management. If they aren't getting paid and have to click out, then that is what it
  24. NicuGal

    Medication safety what if...

    NicuGal replied to SBGangelJC's topic in Patient Safety Issues

    I have done this taking our kids for MRI or IR. Their Pyxis doesn't have our dilution of narcs. We typically take a vial of Versed and 3 syringes of Fentanyl. We put them in a biohazard bag and...
  25. NicuGal

    Nurses allowing infants to cry excessively with no attempts to soothe.

    NicuGal replied to TigerGalLE's topic in NICU, Neonatal

    I'd say, hey Junior is crying again, want me to go get him or can