NicuGal MSN, RN

NICU, PICU, PACU

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All Content by NicuGal

  1. NicuGal

    Pros and Cons of Computerized Charting

    Do you know the system they are going to Implement? Each have their own
  2. What happened to the other preceptor? Do you have meetings with manager or CNS on a regular basis? You could bring it up to them that you don't feel this is a good fit. I wouldn't tell them all she...
  3. What is your gestational age cut off? Our original protocol was written for 35 weeks and one attending wants to drop it to 34 weeks. The 2 area hospitals by us use 35 weeks and the manufactuer...
  4. NicuGal

    Paycheck Question

    We can't take a payout or work overtime the week we have vacation. No overtime can be accrued that week. If it is the next week then yes we get overtime unless we have a holiday or some other paid...
  5. NicuGal

    Canceled up to 3-4 times a WEEK. What do?!

    I would check your contract and hospital policy. Many have a limit built in. We aren't union, but we can only mandatory cancel a peron 16 hours per pay period. We rarely have to do this as people...
  6. NicuGal

    What do you do about leaks?

    Right there with you Tiff! They don't make small enough cuff tubes, I think the smallest is either a 3.5 or 4, at least that is what I have seen in our hospital. And a cuffed tube can cause damage...
  7. We fill out a 4 week block calendar sheet. We are allowed 4 requests off, have to schedule ourselves one full weekend and one Sat/Sun, one Monday and two Fridays. Our schedulers take all the forms,...
  8. NicuGal

    What nipple do you use for thickened formula

    We use the cross cut nipple. It's not safe to cut the regular nipple. Our OT will occasionally try the Advent if the parents bring them in but they like the cross cut
  9. NicuGal

    Meconium Birth

    Risk for fetal distress due to meconium present in fluid? Look at NRP and see what interventions they list
  10. NicuGal

    What do you do about leaks?

    I had two leakers last night! My roommate and I were ready to scream after 12 hours....please let them be extubated tomorrow! Lol and a few bad words were uttered hourly
  11. NicuGal

    Is it ever appropriate to...

    We do as a
  12. This sounds absolutely awful. I would think that the pay cut wouldn't matter if your commute cost is less. Sometimes you have to sacrifice money for
  13. NicuGal

    Cooling Blanket for HIE

    Interesting. We can use one under the head but only during rewarmimg. I'm surprised that is in your
  14. NicuGal

    Student Seeking Advice - Is NICU for me?

    I would go shadow for a day in NICU. If you want to be a psych nurse, NICU isn't really going to help you reach that goal, in my honest opinion. Only you know how you learn, but you have to be...
  15. NicuGal

    What do you do about leaks?

    Yup, swear and then move them a millimeter
  16. NicuGal

    Cooling Blanket for HIE

    I think they may be talking about eggcrates or
  17. NicuGal

    Central lines

    Our PICCs are placed either by our fellows or NPs, if they can't get one in on the 3rd attempt then Interventional Radiology is called and they put in a Femoral PICC. We try to not leave our PICCs,...
  18. NicuGal

    Help with my first Care Plan

    Very good! I am kinda nerdy... I love NCPs lol. But with the back to sleep initiative, no blanket over the top of the crib, even taped. The hat should be sufficient
  19. NicuGal

    Help with my first Care Plan

    Jaundice/hyperbilirubinemia is related to prematurity. And yes, once lights are turned off you check a rebound total bili within 24 hours. An easy way to figure out light level on a preemie less...
  20. NicuGal

    Hospitals hiring BSN & Obamacare

    Each hospital acts a goal for the percentage. All of our big hospitals are 70% and higher, but as people with ADN's leave they replace them with BSN. Our hospital has been circular filing any apps...
  21. NicuGal

    Cooling Blanket for HIE

    You guys put one blanket on it? Per manufacture recommendation the baby should lay directly on the blanket as it is disposable. Just curious if it is the same blanket all of us are
  22. NicuGal

    Hospitals hiring BSN & Obamacare

    It has nothing to do with the Healthcare Act. Where I live the large teaching hospitals are hiring BSN, my hospital has quit looking at ADN. The other two are hiring 99% BSN. Smaller community...
  23. NicuGal

    Cooling Blanket for HIE

    No, we only use a single rolled blanket under the cooling blanket to move side to side. The mushy positional devices will create to many dips and valleys to let the water circulate
  24. NicuGal

    Infection control and bringing bugs home

    I wouldn't worry about it if you are following proper universal protocol. Wash your hands, change out if your uniform when you get
  25. NicuGal

    MSN (not CNL) as a bedside nurse- thoughts?

    It would be different if we were paid on our degrees but we aren't. I have a masters and work bedside, for the same capped out salary people with my years if experience have. I lost my position as...