NicuGal MSN, RN

NICU, PICU, PACU

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All Content by NicuGal

  1. NicuGal

    Infection control concern in NICU

    You posted a similar thread in the NICU forum. Where I work you can't come back to the unit after floating and receiving isolated patients. If you absolutely have to do so you must shower and...
  2. NicuGal

    Raises after annual review where you work

    I work for a county hospital, we are lucky if we get a raise every year lol We usually get 2-3% if it is a good year
  3. NicuGal

    forced to come in on days off?

    Former manager here. 1. If the on call people are not coming in, start disciplining and fire people. They are not fulfilling their schedule. 2. Yes, you do have to answer the calls, part of...
  4. NicuGal

    New Grad Trying for NICU

    Honestly, take anything you can get in the nursing realm to get work experience. Even if it means taking a job on a floor. The longer you go without a job of some sort the worse it looks. Volunteer...
  5. NicuGal

    New Grad Trying for NICU

    Are you working now? If not, that may play Ito not getting call backs. Good
  6. You have to find the right hospital! We have a big LGTB group at my hospital, as a matter if fact, several of our attending docs head up the committee. Don't give up your
  7. Why on earth would someone tell her to be unprofessional! Really? Great advice. You have to be the one to go forward and try to change this. If it doesn't work, look for another job, give the...
  8. NicuGal

    Weather Policy

    I don't think of it as doing it for my employer...I am doing it for little patients and their family. I am not a martyr in any way shape or form, but this is my
  9. NicuGal

    Shabbat issues

    Our girls work nights and extra Saturday nights to make up for not working on Fridays
  10. I can tell you from management experience, have witnesses to her behavior. Also, your manager should be able to see what your patient load is by the assignment sheet, which the CN is hopefully...
  11. I am not really getting this going home early thing....if you are picked to go home is it right then or in a 4 hour block? When we cancel due to over staffing we do it in 4 hour blocks, so if someone...
  12. NicuGal

    Trouble understanding PPHN...

    We usually have a bad outcome with the late onset PPHN. Those kids are beyond sick sometimes. We have had a few survive but they have terrible chronic lung
  13. NicuGal

    Done it All.... Now THIS.

    Dude I do live in the tundra lol Negative temps are starting to feel normal lol As for cliques, unfortunately they do exist. We have a small one who are in the inner circle, the type that get away...
  14. NicuGal

    Change-of-shift reports that are too long

    Those people will never change. I have had the same baby for 7 months and a few still feel They have to give me the whole spiel even when I say that I was there yesterday and just need to know...
  15. NicuGal

    Weather Policy

    I have only called off twice for weather in almost 30 years. Once I slid off into the median and was stuck. The other was a level 3 snow emergency and if we got on the highway you were ticketed and...
  16. NicuGal

    Done it All.... Now THIS.

    Are you coming to work with me? We only bite on Mondays with a full moon lol
  17. NicuGal

    Trouble understanding PPHN...

    It was once called PFC=persistent fetal circulation...occasionally one of us old timers let that one slip. But in our world PPHN is persistent pulmonary hypertension, but older kids can develop it...
  18. NicuGal

    hypothermia therapy

    http://www.unchealthcare.org/site/Nursing/servicelines/aircare/aircareprotocols/pedscooling I hope the link works, but this is the criteria/ algorithm we use. There are a lot of things to
  19. NicuGal

    Hospital staff/no weekends/holidays

    Even if it isn't union someone will in all likelihood be hoofing it down to
  20. NicuGal

    Securing ET's

    The holders we have don't stick well! Of course when you have to take low bid...anywho, we and our PICU use benzoin and white cloth tape. Even in NICU we get those bigger kids who slob up the tape...
  21. We only cancel in 4 hour blocks in case if call offs, admissions, etc, but we give 2 hour call, so if you are cancelled from 7a-11a then by 9am we know if we need you, then by 1pm if you are needed at...
  22. NicuGal

    Charge and Resus --How does your facility do it?

    I think I love your set up! We are looking at, hopefully, a 5 year timeline to a new OB/ NICU wing. I am going to suggest something like
  23. NicuGal

    My first case of NEC

    NEC just sucks. We just had one a few days ago they had to open up in the unit. It is so insidious.
  24. NicuGal

    New Job Bummed Out

    I've been in the biz for almost 30 years and still use a sheet :) and you really need to speak up, if someone is not doing what they are supposed to, and it is affecting you, say something. Not...
  25. NicuGal

    New Job Bummed Out

    My suggestion is to get used to using a brain sheet, make sure you write down every hour on every patient and what you have to do every hour. Tick it off when you are done. What did you do for your...