NicuGal MSN, RN

NICU, PICU, PACU

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All Content by NicuGal

  1. NicuGal

    Documentation Tool for A's/B's/D's

    We had EPIC build a sheet for us in our program. It basically has a space for Apneic? Y/N Bradycardia? Y/N HR Desaturation? Y/N PO reading Then drop down boxes for activity such as asleep, crying,...
  2. NicuGal

    Negotiating Pay

    Most places start all New grads at the same rate and on the same pay scale. Also, look at your benefit package. Many places that offer great benefits have a lower
  3. NicuGal

    Calling off on two week notice?

    We would not get paid for calling off and marked ineligible for rehire. I think that paying out sick time varies. We only get a portion of it as our sick time accrues forever without a cap. If I...
  4. NicuGal

    Can you work while in nursing school?

    Depends on the type of person you are. If you have great time management skills and can buckle down when needed yes. My daughter is in her junior year and works 20 hours per week. She is still...
  5. NicuGal

    Got fired for a medication error

    Even if someone reports off a dosage, you should be checking it
  6. NicuGal

    NICU Practicum Objectives

    Our practicum students have items like Babyland has. Keep it simple and measurable. Working with the doc is important but working as a team is more important. Your care plan one will be hard to...
  7. We have dual certified NPs, but they are peds and NICU. Have you worked in a NICU? If you aren't sure about critical care you might like peds better and be in the normal newborn nursery or WHNP :)...
  8. NicuGal

    Preventing call-ins

    I always read these type of threads and it amazes me that people think management can just hire PRNs or more people for coverage. Like the old lady in the commercial says "It doesn't work that way"....
  9. NicuGal

    Stethoscope cover for men?

    Our hospital banned them also. Just put in a pocket if you have
  10. NicuGal

    Slow nursing jobs? So I can go back to school.

    You must not have seen nurses in a busy level 3 or 4 NICU, I wish we had down time like that. And there is ALWAYS something that needs
  11. NicuGal

    What was the REAL reason you called off

    Pyelonephritis....sick as a dog, almost hospitalized. Then on my first day back, still feeling like death and looking it, they asked if I wanted to work a double. Huh, I'll jump right on
  12. NicuGal

    superstitions/things you always do before work?

    I always either eat a little something or drink a protein shake on the way to work....guaranteed bad morning with no breaks or lunch if I
  13. NicuGal

    Does your unit often utilize HFNC?

    I don't find that they use any more oxygen. Many of our kids wean pretty rapidly once we get them on Vapo. Once we hit 2L on our Vapo we change over to a standard nasal cannula at 2L. We found...
  14. NicuGal

    Does your unit often utilize HFNC?

    We extubate babies as young as 24-25 weeks to either NIMV using a RAM cannula or to vapotherm as soon as possible. We also extubate from oscillators to vapotherm. Of course we have those that have to...
  15. NicuGal

    Floating from the NICU

    We only take kids 2 years and under. We have float guidelines for all units that show what each floor can take or not take when floated. Check to see if you have a float policy. Up until about 8...
  16. NicuGal

    Denied PTO for my marriage

    1. See if you bunch your days up, work Sun-Tues and then Thurs-Fri. Take your honeymoon later. 2. If you are receiving tuition reimbursement, check to see what the payback period is....most places...
  17. NicuGal

    Norovirus going around!

    That went thru my house like wildfire! And so many co-workers too. Bad bad bad. Lost 5lbs though
  18. NicuGal

    Starting clinicals - Question

    All of our procedures have a chart as to who can do what and if it has to be supervised. Be very familiar with policy and
  19. NicuGal

    Joint commission and PICU

    Ummm , hello, so who knows how to use it? And if it isn't something routinely used at your institution why is it being used
  20. NicuGal

    Joint commission and PICU

    Our PICU takes people in their low 20's if they are comp care patients. If you are unfamiliar with the equipment I'd be getting your CNS or Educator to find someone to I service you or come and help...
  21. NicuGal

    Should I give up on NICU?

    Do you work in a hospital with a NICU, postpartum or peds floor? Many times it is easier to transfer to another unit than it is to try to be hired from the
  22. NicuGal

    OR nurse schedule - 4 10's or 5 8's?

    I'd take the extra day
  23. NicuGal

    Cleveland Clinic VS University Hospital

    I have mine in education. I liked it but missed bedside nursing, I did a stint as manager and that was for the birds! So back to the bedside lol As I can retire now, and am still young, I am...
  24. NicuGal

    Question About Med Management for NAS

    Poor little one We only use phenobarb when we are maxed on morohine. That poor foster mom. I hope someone talks to the peds who released that
  25. NicuGal

    Is it legal..

    We, including L/D, used to whole house float. We were sent to all the ICU's, peds, nursery and L/D. Imagine the poor Surgical ICU or CCU charge nurses horror when a NICU nurse showed up. We...