NicuGal MSN, RN

NICU, PICU, PACU

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All Content by NicuGal

  1. NicuGal

    Baby Friendly Question

    If you are just sponge bathing the baby and not submerging , just wash around it. We use the HUGs system and just avoid the tag. When the tag is removed just wash under it. We routinely take ours...
  2. NicuGal

    What did you do before?

    That is true, but there is very little that comes over from med surg to NICU. Time management, meds, etc are all very
  3. NicuGal

    Computing for Sodium Bicarbonate

    Not sure what you are asking....are you correcting to deficit? Are you giving a bolus or a gtt? How much does the doc want to give? And while we like to help people, you work it out first and then...
  4. NicuGal

    State requirements on flu shots

    And the rule can change any time, it isn't like they vote it in for a term. We have to get one or be
  5. NicuGal

    Salary

    No difference at ours
  6. NicuGal

    ICU Family Orientation

    Our ICU's, including NICU and PICU, have a booklet that all families are given. It has unit specific guidelines for visitation, times, how to contact the unit, etc. It has some basic info on...
  7. NicuGal

    EBP Topic Ideas

    Ventilator acquires pneumonia, lots of nursing interventions
  8. NicuGal

    Antepartum rounding?

    That should be antepartum, autocorrect likes to speak for me
  9. NicuGal

    Antepartum rounding?

    Our attendings and fellows talk to the moms on postpartum and they bring them for tours if they are able to come over, but we don't round on the moms ourselves. We see a lot of women prior to delivery...
  10. NicuGal

    Ranting on the New Grads

    It really isn't a stupid question, it is to see if you are setting goals for yourself. If you are an ADN, will you have your BSN in 5 years? If you are working a specialized unit, will you have your...
  11. NicuGal

    Finding time for breastfeeding assist

    I always feel bad when I have a new BFing mom paired with a super sick kid... the poor mom is on her own if the lactation crew aren't around. And I wish women did more reading about BFing! Most seem...
  12. NicuGal

    Hallway beds on the floor/overcrowding

    Yup...and our attendings still balked at sending kids to peds or the nursery. The whole turf thing grows old..we could have lost our
  13. NicuGal

    Hallway beds on the floor/overcrowding

    If not TJC them the health department... We got slammed when they were in our department and we were doubling up kids in bedspaces and transport monitors...we got cited for going over our bed capacity...
  14. NicuGal

    PICU without wearing a gown?

    If you have been there for a year and a half you better find out where all the policies and protocols are...it will save your butt one
  15. NicuGal

    Baby Friendly- getting a tad over the top

    If people are having to consent about formula if they choose to not BF, do the moms who can't due to various reasons have to sign also? Not all hospitals have access to donor milk. I am not going...
  16. NicuGal

    Hallway beds on the floor/overcrowding

    TJC will have a lot to say, I would think. Is there monitoring, a call
  17. NicuGal

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

    We don't scrub in...they never call early enough! We just gown up and the fellow
  18. NicuGal

    Question on dopamine infusion

    We still only change our tubings 96 hours, we purge our line if their is a change in solution by using a 20ml syringe to draw the fluid up thru a port. There are EBP articles out there and the CDC...
  19. I agree about the NICU. Our PO alarms are set 86-94 and go off constantly. And with the upgrade that was just installed on our monitors all the alarms sound the same, except for asystole....
  20. NicuGal

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

    We don't usually go to deliveries since we always have an NNP, a fellow and 2 residents on during off shifts and a zillion people during the day, but if they need help it is the person who has the...
  21. NicuGal

    Defensive/CYA charting

    Side note: Make sure you document names, not just charge nurse. I have been including involved in 2 cases that did not have names documented. The prosecuting attorney loved
  22. NicuGal

    Defensive/CYA charting

    It is not a policy where I work...usually the charge nurse knows before we do that the patient is being transferred. It may be the policy for your
  23. NicuGal

    Defensive/CYA charting

    Actually, if you are leaving the floor with the patient, you do need to chart who you reported to about your other patients. If it routine flow, then no, it doesn't have to be charted. When...
  24. NicuGal

    Pt's FB pictures of me

    We have been told by our legal to tell parents to please not post our names or pictures on social media. If the mom gives you a copy of the picture, or emails it to you, go for it, but don't copy it...
  25. Am asking this because we are seeing a huge influx of these kids into the NICU. The nursery turfs them to us because they claim they don't have the staff to take care of them. We started having the...