NicuGal MSN, RN

NICU, PICU, PACU

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All Content by NicuGal

  1. NicuGal

    Neuro Care of Micro-Preemies

    We keep their head midline with the umbilicus for 72 hours. Our HOB is elevated per our VAP protocol. We slide diapers in and out, we put cotton balls or gauze in the groin to catch urine. We also...
  2. NicuGal

    Do your peds floors take drug withdrawl babies?

    We have even said it would be better for them as our rooms are private on peds and it would be better for them. They also have more child life people and cuddles than we do. I just feel bad for all...
  3. It sounds like a multidisciplinary meeting is called for, including management and social work along with the docs. Limits need to be set but everyone needs to be on board. Policy and protocols...
  4. NicuGal

    Nosey nurse

    We cannot access our chart or a family members chart. We have a system called Mychart that the docs can release things into for us to see, but using the hospital charting system to access your chart...
  5. NicuGal

    Safety concern

    We don't float outside of maternal child, but we get sent to peds and get isolation kids. We are not allowed back in the unit until we have showered and changed, so usually our next working day. Do...
  6. NicuGal

    New Uniform Policy... ugh!

    We used to be able to get away with taking hospital issues stuff home on the sly to wash but now it has a sensor and barcode in it...hello big brother! Someone called us Dementors today lol You know...
  7. NicuGal

    New Uniform Policy... ugh!

    Nope not union. We even asked if we could send the ones we bought to be tagged with the barcode and use them and they told us no. They are just the ugliest things and cheapest things they could...
  8. NicuGal

    Interview with scrubs on

    I would change. You don't want to look all rumpled up and our manager would comment on wearing dirty scrubs into a "clean" unit if you were interviewing for our
  9. NicuGal

    Staffing

    So what happens of the nurse doesn't want to primary that
  10. NicuGal

    Nurses with tattoos and piercings

    It is hospital wide. I have one that clips to my
  11. If it were my unit, if am official time change went in and the second MA was on the schedule then it is now her shift and she needs to find coverage or take it as a call off. If no official time...
  12. NicuGal

    documentation

    Anything that is entered into an EMR is there forever. There is no erasing it. It will be a mistaken entry. You can go back anytime and alter anything, which I wouldn't advise, but your footprint...
  13. NicuGal

    Nurses with tattoos and piercings

    Also keep in mind the dress codes of the hospitals where you will do clinicals. Some areas do not allow long sleeves and some facial piercings are not allowed per their dress codes. Ours states no...
  14. NicuGal

    New Uniform Policy... ugh!

    We were all whites before the uniform of choice lol We have run all the choices...changes with each change of upper management. I feel all black is morbid . And the pants are ala Urkele and the tops...
  15. NicuGal

    How to become a labor and delivery nurse??

    Does your community college offer a partnership program with a 4 year degree? I would go formate BSN, it will make you more
  16. NicuGal

    documentation

    You can't change what is charted. It is a permanent part of the chart. The only thing you can do is say it is a mistaken entry and rechart but it will always be present in the
  17. NicuGal

    NRP help

    You are probably going to have to find a book. Can you get one from anyone or from the hospital
  18. NicuGal

    NRP help

    Do you have the book? The test is based off the
  19. NicuGal

    New Uniform Policy... ugh!

    Our hospital decided to put us in all black after wearing our choice of scrubs for years. So many of us went out and bought all black scrubs to the tune of about $200. One month into the change 6...
  20. NicuGal

    Does nursing really suck that badly?

    Sure it sucks...every job sucks at one time or another. You have great days and then you have days when you are walking out and plotting to never go again, you may even call off the next day because...
  21. Budget is hard! For example, our unit just purchased 40 new Drager isolettes to the tune of over half a million dollars, without the options we want yet! You also have to research salaries. This...
  22. NicuGal

    D25 infusion through a UAC

    We have a whole chart on what can and can't be given thru what line. Our pharmacy made it for our med guidelines. Believe me, I have sat on several court cases and they go thru your p/p with a fine...
  23. NicuGal

    What is the difference between CT scan And MRI

    Not in your scope, but you should know why one is used over the other. For most Neuro things an MRI is better, unless you are looking for an acute bleed or infarction. MRI is better for structural...
  24. NicuGal

    Tuition Reimbursement

    No where I know will pay for what you have already taken. You get reimbursement usually after you have worked somewhere for a certain amount of time, then they will reimburse your classes you are...
  25. NicuGal

    D25 infusion through a UAC

    We would not infuse D25 thru a UAC. If they couldn't get a line in the kid, either UVC or a PICC then the baby should have been transferred. Severe IUGR kids have a lot of blood sugar issues. We also...