NicuGal MSN, RN

NICU, PICU, PACU

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All Content by NicuGal

  1. NicuGal

    NNP 24 hour coverage

    NicuGal replied to mybooboo's topic in NICU, Neonatal

    Ours used to do 24 hour shifts, but about 10 years ago opted to go to 12's. Too many times of absolutely no sleep due to really sick kids and really green residents. The fellows now stay in house....
  2. NicuGal

    Low glucose baby, NPO, no access to dextrose

    NicuGal replied to anon456's topic in Pediatric

    I've never given glucagon in all my years. You can place an IO until the kid can get a line. We usually call IR and see if the can bounce up to throw in a fem line. If strict NPO you want nothing in...
  3. NicuGal

    Tympanic temperature of children with CHF and on digoxin

    NicuGal replied to Enthused RN's topic in Pediatric

    What are the answers they give? Tympanic isn't very reliable
  4. NicuGal

    How to properly care for Antepartum patients

    NicuGal replied to BSNbeauty's topic in Ob/Gyn

    It depends on what the parents want, at least where I work it is dependent on that. We do resucitate 22 weekers (that is a whole can of worms). Our fellows go over and speak to the family and tell...
  5. NicuGal

    Persistent hypernatremia in infant

    NicuGal replied to Double-Helix's topic in PICU, Pediatric

    We see this with really septic kids. The kidneys take a hit and it just takes time to recover. We do replacements until it slows up and the electrolytes start to look
  6. NicuGal

    Scrub the hub

    NicuGal replied to arbldj1234's topic in General Nursing

    We do 15 sec scrub 30 second dry. Definitely say
  7. NicuGal

    Size matters? (IV question)

    NicuGal replied to theantichick's topic in General Nursing

    In NICU we give blood products they 26 gauges when that all we have, never had an issue.
  8. NicuGal

    IV Drug incompatibilities

    NicuGal replied to kerussll's topic in NICU, Neonatal

    Get the you-know-what out!!!!! I know I could not have kept my mouth shut over that one!!! And she stuck a needle into the TPN bag which is a huge no
  9. NicuGal

    Do PRN positions let you pick what days you want to work?

    NicuGal replied to Nurse ABC's topic in General Nursing

    We put out what days we need covered and we have minimum you have work, including one weekend per month and 2 major holidays (one winter one
  10. NicuGal

    No call/ No show

    NicuGal replied to Redder's topic in General Nursing

    No call no show means just that. You had a late call in if it wasn't in the window your policy set. We goon a point system and a no call no show pretty much gets you close to being fired, given you...
  11. NicuGal

    End of Per Diem?

    NicuGal replied to hdawnRN's topic in General Nursing

    We are not hiring anymore PRN, as they leave their position is
  12. NicuGal

    So who do nurses marry or have as civil partners???

    NicuGal replied to snoopy29's topic in General Nursing

    Radiology wife
  13. NicuGal

    Triaging pregnant women in the ED?

    NicuGal replied to mommy2boysaz's topic in Ob/Gyn

    Once cleared by ER triage they go to OB at any
  14. NicuGal

    Code words

    NicuGal replied to Vespertinas's topic in General Nursing

    Nope, not illegal. It is her private health history, but a lot of the time it comes out when we put the baby on
  15. NicuGal

    BE CAREFUL on social networks

    NicuGal replied to Chico David's topic in General Nursing

    There are programs that can get around privacy features . And there are glitches with Facebook security. Don't be fooled or lulled into a false
  16. NicuGal

    Poop Free Nursing Jobs in the Hospital?

    NicuGal replied to IcySageNurse's topic in General Nursing

    NICU gets some pretty gross stuff from the older kids, smaller scale but still gross lol. If you want to do FP APN you are going to have to bite the bullet. I used to always think, what if that was...
  17. NicuGal

    Please explain this concept to me!

    NicuGal replied to TnRN43's topic in General Nursing

    It sounds like the pump was set wrong, it was set for :20 not 20:00. Each should infuse at what you set it for or what a smart pump is programmed for. Gravity has nothing to do with
  18. NicuGal

    Engagement/Wedding Bands

    NicuGal replied to ~Melissa~'s topic in General Nursing

    Our hospital just went ring and watch free. You need to check with the places you do clinical. Personally, I wouldn't because of the germ factor and the hand sanitizer is hard on
  19. NicuGal

    BE CAREFUL on social networks

    NicuGal replied to Chico David's topic in General Nursing

    We have had people called into the office over not only work related things, but pics they posted on their page, such as 2 of the PCC's really drunk and dressed up like nurses, a few obscene ones from...
  20. NicuGal

    pediatric assessment: whole or by exception

    NicuGal replied to Pediatricjo's topic in Pediatric

    Depends on the policy. We do one full assessment once a shift and then the others are by
  21. NicuGal

    Can a nurse refuse to participate in a code?

    NicuGal replied to wooh's topic in General Nursing

    But times have changes, parents do not have to leave when their child is coding, it is their right to stay there. Sometimes this is better because we have has parents see this and then decide enough...
  22. NicuGal

    need some help/guidance with a peds care plan

    NicuGal replied to firefly101's topic in Nursing Student Assistance

    Her reflux must be bad if she aspirated with an NJ tube. Aspiration pneumonia is a bad thing, you have formula in there causing inflammation and then it just goes south from there, When your...
  23. NicuGal

    was reported by a nurse... what's going to happen?

    NicuGal replied to Priaz's topic in General Students

    Wow, but did you guys actually check her lines to see if the chemo was running at the time you pulled the vanco? And we have to use identifiers and check the MAR at the bedside when giving meds....
  24. NicuGal

    Can a nurse refuse to participate in a code?

    NicuGal replied to wooh's topic in General Nursing

    To the pedis nurse: we have claimed a few cases of futility and actually gone to court for a DNR, but the families were not really involved. Please tell me you would not go against a family wishes....
  25. NicuGal

    When the patients shares their health information and nurses pick up on it

    NicuGal replied to anon456's topic in HIPAA Challenges

    Most hospitals, if not all, have social media policies. Also, you have to be careful with professional