NicuGal MSN, RN

NICU, PICU, PACU

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All Content by NicuGal

  1. NicuGal

    Not picking up murmurs in newborns

    NicuGal replied to BSNbeauty's topic in Ob/Gyn

    Also, listen thru the back, some murmurs are heard better there :). Murmurs can come and
  2. NicuGal

    GI content in ET tube

    NicuGal replied to sophie<3's topic in NICU, Neonatal

    Sounds like major reflux. Is he a previous 26 weeker or a newer kid? If he has tracheal malacia and continues to do this he may need a trach, GT and Nissan procedure to protect his airway. It sounds...
  3. NicuGal

    Visitation during handoff

    NicuGal replied to maxx12's topic in NICU, Neonatal

    Open. Our legal department deems it "incidental overhearing". Alrighty. Parents and visitors can be at the bedside, but we do have a letter we give them upon admission to please try to not...
  4. NicuGal

    NICU palliative care

    NicuGal replied to NICUgalRN's topic in NICU, Neonatal

    We use hospice a lot. It depends on the baby and family if the baby goes home or not, many of them are too little. We have tried to have babies moves to mom's room ( the full term kids with a lethal...
  5. NicuGal

    Are nurses allowed to have facial piercings?

    NicuGal replied to cascadingbeauty's topic in General Nursing

    Even if the school is somewhat lax, you have to adhere to the dress code dictated by the hospital where you do clinicals. The students who come to use a clear stud in their nose. No biggy and not...
  6. NicuGal

    Help with Nursing DX newborn sepsis(imagine that)

    NicuGal replied to Fiat40's topic in Nursing Student Assistance

    Can I say that the baby's temp is related to mom's temp after delivery and we so not consider that a fever. I wouldn't use pyrexia since it is pretty rare in neonates. Go with the labs. Also don't...
  7. NicuGal

    Are we tyrants?

    NicuGal replied to Bortaz's topic in NICU, Neonatal

    I work in a very well known and progressive NICU. And our teams work with us to set our kids schedules. We rank second in the nation for our care and follow up. So I guess our being bossy is...
  8. NicuGal

    What to do when my baby desats...

    NicuGal replied to shermrn's topic in NICU, Neonatal

    Just reassure them that the baby is okay, especially if they do tend to drift around. We only adjust O2 if they stay below the set low
  9. NicuGal

    PRN being cancelled

    NicuGal replied to Nicole3d's topic in General Nursing

    Our PRN are first to be floated and cancelled. You need to check on what you signed on for. Some facilities will cancel in 4 hour blocks such as yours and mine do. Some cancel the whole
  10. NicuGal

    Are we tyrants?

    NicuGal replied to Bortaz's topic in NICU, Neonatal

    Trauma surfer go spend 8 hours in a NICU. You will change your
  11. NicuGal

    Are we tyrants?

    NicuGal replied to Bortaz's topic in NICU, Neonatal

    Yes, it is MY baby for the 12 hours I am there, it is MY family for the time I spend with them. I have literally "grown" kids from a tiny fetus whom looks like a naked mole rat to a beautiful 9 month...
  12. NicuGal

    Are we tyrants?

    NicuGal replied to Bortaz's topic in NICU, Neonatal

    Sure I act like a tryannt at times....my little friends can't speak for themselves and if someone is going to do something that could potentially harm my kid then yea, I will say something. Do it...
  13. NicuGal

    Looking for a new grad program anywhere in Ohio

    NicuGal replied to Javelina's topic in Ohio Nursing

    Metro is NOT unionized and pay is not negotiable. I don't know who told you that but it is not true. Housekeeping, radiology and a few other departments are union but nursing is not. The "big" three...
  14. NicuGal

    Neonatal reference books

    NicuGal replied to amanda.j's topic in NICU, Neonatal

    Our new people get reading assignments as part of orientation. We use Core curriculum and Merstein. Now Smith's ... We call that the scary book!
  15. NicuGal

    Can they force me to work weekends during jury duty???

    NicuGal replied to luv2dive's topic in General Nursing

    Will this throw you into overtime? We get paid 8 hour days for jury duty, so working the weekend would put us into OT. And being on a jury is worse than being at work! The courts by us will not...
  16. NicuGal

    Purple;or, I'm Not Barney

    NicuGal replied to Bortaz's topic in Scrubs, Uniforms, Gear

    Out critical care adults wear dark purple. Several years ago we wore dusky rose pink...including the guys! We teased them all the time, they took it in stride. Now we wear all black...just call us...
  17. NicuGal

    Can they force me to work weekends during jury duty???

    NicuGal replied to luv2dive's topic in General Nursing

    Wow around here they excuse you for much of anything, so I'd like to hear the AUM's excuses!! I'd take it to HR if they are being crappy. And all the court/trials I sat on I rarely got out before...
  18. NicuGal

    Can they force me to work weekends during jury duty???

    NicuGal replied to luv2dive's topic in General Nursing

    Wow, at least my hospital doesn't make you work while on Jury Duty! They just take you off. Did you call HR and ask? I would. Especially if you are on an off shift that will make a difference on...
  19. NicuGal

    Study: Doctors don't wash hands properly 40% of the time

    NicuGal replied to herring_RN's topic in Patient Safety Issues

    The surgeons who come to our unit are the
  20. NicuGal

    nurse's rights when patients are verbally abusive...do we have any?

    NicuGal replied to proud nurse's topic in Patient, Colleague Relations

    Get your charge nurse, do not engage them when they are shouting. If she/ he can't stop it then you go up to supervisor and then security to escort the family out. Inhave found, over many years as a...
  21. NicuGal

    Wrong Breast Milk

    NicuGal replied to SummerLei's topic in Pediatric

    Policy and procedure are there for a reason!! And if a parent goes the legal route you don't have a leg to stand on. We have caught a few near misses, especially with kids with the same last name...
  22. NicuGal

    Good to see you back Steve!!

    NicuGal posted a topic in NICU, Neonatal

    How are things
  23. NicuGal

    New hire and pregnant... need advice Please.

    NicuGal replied to Encast's topic in NICU, Neonatal

    Honestly, as a NICU nurse of almost 30 years I have never seen it in our unit, or heard if it any any if our units, someone being let go. If you are still on orientation you need to tell your...
  24. NicuGal

    RN's and pain management/ADA

    NicuGal replied to ImaNicurn2006's topic in General Nursing

    ADA isn't going to cover you on this. If they feel you aren't safe on the job, such as can you get quickly from point A to point B in case of an emergency. We have had people that had issues that...
  25. NicuGal

    Why do Nurses tell students to go BSN??

    NicuGal replied to besaangel's topic in General Students

    Do it now. We just found out that even though many of us will retire at our 30 year anniversary, our hospital will NOT hire us back without a BSN. Thankfully I have mine, but several of my...