NicuGal MSN, RN

NICU, PICU, PACU

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All Content by NicuGal

  1. NicuGal

    need some help/guidance with a peds care plan

    NicuGal replied to firefly101's topic in Nursing Student Assistance

    What is her baseline at home? Some chronic kids always have retractions no matter what and what was the whole cap gas? What do they want her sats at? Also, if she aspirated, does she have GERD? Is...
  2. NicuGal

    Can a nurse refuse to participate in a code?

    NicuGal replied to wooh's topic in General Nursing

    We deal with this every day in NICU. When you have that 22 weeker with a massive head bleed, sepsis, renal shut down, etc but the family wants everything done, well you do it. If you we're assigned...
  3. NicuGal

    Best shift for raising young children?

    NicuGal replied to cherubhipster's topic in Nursing Career

    I always worked more weekends when they were little to be home more during the week. Once they hit junior high I worked 3 12's a week. I was able to go to school programs and be room mom etc since I...
  4. NicuGal

    IV Drug incompatibilities

    NicuGal replied to kerussll's topic in NICU, Neonatal

    I find it hard to believe that they would expect you to know this kind of stuff. I would think things like don't run vasopressors thru arterial lines and fentanyl causes chest rigidity, flush wih D5...
  5. NicuGal

    IV Drug incompatibilities

    NicuGal replied to kerussll's topic in NICU, Neonatal

    Does the hospital have guidelines? We run Versed and acyclovir with TPN per our guidelines. Are they using
  6. NicuGal

    Thank You Notes to Patients?

    NicuGal replied to BiohazardBetty's topic in Patient, Colleague Relations

    We have to have permission to contact patients after discharge. Has to do with professional boundaries. Once your care is done and they have been discharged, you should not be accessing personal...
  7. NicuGal

    Who reads your mantoux (PPD) test?

    NicuGal replied to psu_213's topic in General Nursing

    Employee health only ever since we had a stupid resident cover for his buddy who had a positive
  8. NicuGal

    Husband and wife working together

    NicuGal replied to JinnyLynn's topic in Patient, Colleague Relations

    How would you handle it if someone had to come to you with an issue with your spouse? I'd have to think that would be one thing I wouldn't want to deal
  9. NicuGal

    Bedside nurses and pregnancy

    NicuGal replied to beeker's topic in General Nursing

    Most of us work/worked up til we delivered. I contracted all night, pushed a kid to OR right at shift change and made a stop in L/D when my water broke in the elevator on the way back upstairs
  10. NicuGal

    Husband and wife working together

    NicuGal replied to JinnyLynn's topic in Patient, Colleague Relations

    We have had husband/wife combos on several units and they can not be in charge when the other is
  11. NicuGal

    NICU "crafts"

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

    We have boards in our waiting room and anteroom. We also have a doc who does photography and we have his pics if babies on our walls. We aren't allowed to tape anything up around the beds or on/in...
  12. NicuGal

    certified neonatal nurses 8) here

    NicuGal replied to RNshenanigan's topic in NICU, Neonatal

    More places recognize RNC-NIC over CCRN. I am not crazy about their modules. I'd like to see them more geared towards
  13. NicuGal

    Thermoregulation and regularity of temp checks?

    NicuGal replied to MistyM's topic in NICU, Neonatal

    I've never heard of an isolette without ISC capability or of a baby being burned by a probe. Is she sure it wasn't a warmer left on manual and it cooked the kid and heated up the disc so much it...
  14. NicuGal

    New BSN program - opinions on Ohio University?

    NicuGal replied to SwimmerGrrl's topic in Ohio Nursing

    Did you go to campus and speak with the staff and student reps? That would be a good eye to get a feel for
  15. NicuGal

    Bed bugs and contact precautions

    NicuGal replied to Peeker19's topic in Infectious Disease

    We just found them in our unit....came in on a car seat the parents brought in...we found bite marks on the baby because she had to have a car seat challenge that lasted over an hour and we keep our...
  16. NicuGal

    Infusion pump dosage calculation

    NicuGal replied to lclopez86's topic in Nursing Student Assistance

    Sweet baby Jesus, who is making up these problems???? Obviously someone who has never infused
  17. NicuGal

    Waiting to hear back is so sad to do!

    NicuGal replied to RNReadyManc's topic in NICU, Neonatal

    What type of classes are you taking? Honestly, when we interview and see people have taken those classes it doesn't give a leg up because 1. You don't have the experience to back it and 2. Those...
  18. NicuGal

    Thermoregulation and regularity of temp checks?

    NicuGal replied to MistyM's topic in NICU, Neonatal

    Do you even use them when they are dressed and gainer growers? We have an NTE chart we follow until we wean them out of the
  19. NicuGal

    Thermoregulation and regularity of temp checks?

    NicuGal replied to MistyM's topic in NICU, Neonatal

    The only other type of temp monitoring we do is esophageal with our cooling kids, I haven't seen nasal used in at least our unit. Remember, babies are obligatory nose breathers so you don't want a...
  20. NicuGal

    Thermoregulation and regularity of temp checks?

    NicuGal replied to MistyM's topic in NICU, Neonatal

    We do ours with hands on care. But, if they are sick enough to warrant minimal hands on (q6-12hrs) then they are on ISC. Once they are feeding and off ISC it is with feeds (q3-4) or if they are q2...
  21. NicuGal

    Hospital Insurance for Nurses

    NicuGal replied to cdale56's topic in General Nursing

    We are lucky as ours covers 100% as long as we go to the hospital my hubby works at. ER is $50, PCP appoint cost nothing, specialist $35. Our eye is covered under medical and we have decent dental....
  22. NicuGal

    Okay, need some help here...

    NicuGal replied to carolinapooh's topic in NICU, Neonatal

    I think the biggest thing for me has been struggling with the ethics of some of the things we do and deal with. It really makes you take a look into your sense of, if you will, right and wrong, and...
  23. NicuGal

    Waiting to hear back is so sad to do!

    NicuGal replied to RNReadyManc's topic in NICU, Neonatal

    I was in management and now I am part of our hiring and retention group for my unit
  24. NicuGal

    Is it really necessary to learn to read an ekg? anyone really use it?

    NicuGal replied to northmississippi's topic in General Nursing

    All nurses in our hospital have to be able to read strips, especially in areas that recover any patients from OR. We have to run x amount of strips during the
  25. NicuGal

    Double Fluid mess ups

    NicuGal replied to anon456's topic in First Year After Licensure

    Most policies come into being because of mistakes someone has made. And believe me, if something goes to court you better be able to state and prove you followed the policy. We haven't used buretrols...