NicuGal MSN, RN

NICU, PICU, PACU

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All Content by NicuGal

  1. NicuGal

    Don't do the physicians work!

    We too have Am and Pm rounds, and we can send a sticky note in EPIC for reminders. But you should be making sure all those things are done, you are the patient safety net! And to cover your own...
  2. Oh honey, you did the best you could. Kids sometimes surprise us, I've seen it in the PICU and I hope this child is one of the ones. Please, talk to someone thru your EAP at work if you need to, it...
  3. We have to meet a matrix, but we self schedule. We have to schedule one full weekend and a split per 6 weeks, 2 Friday's and 1 Monday. Our schedulers move us if
  4. NicuGal

    That wasn't cool

    Can I vote ugly just based on your
  5. NicuGal

    What is your "pearl of wisdom"? Tips & Tricks!

    Here is my PSA of the day about the suction in the bed near a baby. We had a few incidents of the suction getting moved and accidentally placed where it sucked onto the baby (sick kids) it caused a...
  6. NicuGal

    Baby positioning. What do you use?

    I don't care for z-flo unless it is the smaller ones we can use around the babies. Our radiologists make us remove them for X-rays ( we never place the films directly under our kids, we use the...
  7. NicuGal

    Nasty ....

    So, I had a pretty extensive surgery about a year ago, I had my right liver lobe resection. I remember that first day they had those swabs for me, I may not have had my feet pampered (they were prior...
  8. NicuGal

    Diploma RN's, any of us left?

    Original diploma nurse here :) Still darn proud of my roots. Almost everyone of us in my unit who have been there 25 years and up are diplomas. When we tell the newer girls about our clinical and...
  9. NicuGal

    Handwashing Question

    Just use the paper towel in your hand or an
  10. NicuGal

    My Documentation Disappeared...?

    If it is done electronically, there is a footprint. On our EPIC we can hit deleted notes or audit and it pops up. I would go and ask about it. And that is pretty
  11. NicuGal

    Online STABLE classes

    I don't think it is offered online, you have to do the class in
  12. NicuGal

    Hemodialysis in the NICU

    I have a real problem with their thinking....so it's okay for this baby to get so out of control she is requiring other interventions. Thank you for advocating for her! Your unit team may need to...
  13. NicuGal

    Hemodialysis in the NICU

    I was thinking about this last night. Have you tried some sedation prior to starting dialysis? A little something may help her tolerate it better. Maybe put the NC on with a little O2 prior also....
  14. NicuGal

    Hemodialysis in the NICU

    I've never had a hemodialysis baby, we've done peritoneal and we have a dialysis nurse who would come daily to check on things and make sure we were okay. So are they going to keep on with this...
  15. NicuGal

    Tetralogy of Fallot

    Look at how the blood is flowing....and is the child a pink tet or blue tet, meaning does the infant have periods of cyanosis? How much valve issue is present, how big are the other defects associated...
  16. NicuGal

    Nursing Student From Hell

    Yes, she's a student who will be graduating soon! I have taken on capstone students and the expectation is that we treat them like a new grad and they are expected to be able to function somewhat...
  17. NicuGal

    Nursing Student From Hell

    You have tried with this girl. She needs to be failed. You have done nothing wrong except try to be a great mentor. Why did she even pick
  18. It is easier to get them back up and settled right away than to wait for them since they are usually already assigned as a 1:1 or 1:2. All of our ICUs, adult or peds, recover their own patients. I...
  19. OT PT programs are quite competitive. Have you spoken to or shadowing either? You live, breathe, eat, sleep that program. It is intense and costly. The jobs are competitive. And you may have to...
  20. I have worked with many people for over 20 years. I can't imagine never doing anything with them! We celebrate birthdays, retirements, babies, etc. We have Christmas parties and causal get...
  21. NicuGal

    Go Fund Me for Co-workers?

    There was a mom of one of my daughter's classmates who set one up begging for money to send her daughter to college. Right after she posted about her and her husband booking a two week cruise í...
  22. Most likely you will not get 6 month off. You are entitled to 12 weeks of FMLA, but to go 6 months is usually a medical leave and a healthy mother and newborn don't qualify. Your best bet is to ask...
  23. Truly a hot topic. We have seen a rise in the number of readmits and admissions to us due to hyperbili or dehydration. We are trying to figure it out. We have 3 great LC for all our baby units, a...
  24. NicuGal

    In need of some support - absolutely devastated

    It is gut wretching to watch. But, each mom has a story and after listening, sometimes it is easier to put that aside. Heroin and prescription drug addiction are so widespread, and many of these...
  25. NicuGal

    Documenting Procedures

    What type of equipment? Or are you talking about policy and procedures? Our hospital bought the Lippincott manual and each department went in and added revisions specific to our hospital. We have...