NicuGal MSN, RN

NICU, PICU, PACU

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All Content by NicuGal

  1. NicuGal

    Gallbladder removal

    It depends on the type of incision, was it a full incision or was it a laparoscopy? Our surgeons superglue it shut and you are able to shower the next day. No dressings. But you still have to teach...
  2. NicuGal

    Future NICU RN

    You are best off getting your BSN. Many bigger hospitals that have NICU's are starting to be BSN
  3. NicuGal

    "Baby Friendly"

    Wow, there is something really wrong there! What does the director of your unit say? Sounds like they need to meet up with the director if the nursery. Are the nurses on the floor making sure...
  4. NicuGal

    Norovirus

    I believe it about aerosolizing, we had a 22 hour bus ride back from Florida with our HS marching band and by the end of the trip, nearly every kid on that bus was sick! Longest bus trip in
  5. NicuGal

    Mystery Baby

    We are level 3 and don't use speech, we use OT and PT for stuff like this. Speech is usually not used in NICU's, unless you have an old chronic. Our PT and OT specialize in NICU kids. So there is...
  6. NicuGal

    Argh why JCAHO, WHY?!

    Even if you work nights you aren't safe. We have had them show up on day two or three at
  7. NicuGal

    Nursing Hours

    You are hired into what shift is open, usually an off shift. Where I work, you can put in to move your shift if there are any openings, but it goes by
  8. NicuGal

    what makes a great NICU nurse?

    Patience, critical thinking, able to think out of the box, being flexible and adaptable ( babies don't take orders well lol), able to deal with things that may go against some ethics you have (why do...
  9. NicuGal

    Can a Nurse do a Respiratory Therapist's job?

    Our ICU's depend heavily on our RT's! The do gases, vent changes, help the docs with vent settings and suggestions for changing modalities. We have several vents and without them we would be
  10. NicuGal

    Can visitors be 'forced' to wear PPE?

    Sure they know they were exposed, but we require them to garb up so that they don't spread it around by contact. They come out of that room, go to the ice machine, go to the breast pumping room, go...
  11. NicuGal

    Can visitors be 'forced' to wear PPE?

    If you don't garb up you don't get to visit....doesn't matter who you
  12. NicuGal

    Nurse Calling In Scripts to Pharmacy Illegally

    Even if they don't take it back they would have to listen to why you can't take it! They will most likely flag that doc's name. I would have to report it to someone....imagine how you would feel if...
  13. If we are on leave or know we are going to be on leave we schedule ourselves before we go out or right when we come back. We have a 60 day window where I
  14. NicuGal

    Mystery Baby

    All of our IDM's have an echo on admission, I guess I assumed she had one. And with reflux you don't always get anything when you suction...they can get edema just from irritation and cause that...
  15. NicuGal

    Mystery Baby

    I have seen a lot of IDM kids like this. You have to remember that she is only 34 weeks corrected and IDM kids act so immature to start with. Our unit wouldn't even consider a GT until the baby was...
  16. Actually if you can't perform the expected duties, and it includes going to deliveries and having to take appropriate assignments, then I believe it is not covered under these. This is something you...
  17. NicuGal

    I maybe in trouble, HIPPA Violation

    Always think...would I want this on a billboard? Because when you post something on the Internet that is exactly what you are
  18. You are better off saying I don't recall. If you go home and look something up and say something on the stand that has not been discussed with your hospital legal team you will be in the hottest...
  19. NicuGal

    This year's flu vaccine not too useful

    Half my co-workers, including myself, came down with Influenza A and B!!! Could have been sicker I guess, but still. And ours was
  20. Many units are going to single patient rooms, so you may still be spread out. We are in pods with 6 kids to a room, but for assignment purposes sometimes we are in 3 or 4 rooms. We also go to LD on...
  21. NicuGal

    IV insertion issues

    We always use 24's, on occasion 26 on a micronates or really hard stick. I don't recommend using a 22 or 20, even on most full termers that is big. It is hard to tell what you are doing without...
  22. I have to agree, I'd relocate. ER communities are quite small and know everyone's business....mostly due to people who are in and out, like paramedics, etc. news like this won't stay under wraps....
  23. NicuGal

    Transport

    I think I would have to send a little anonymous tip to risk management. We have protocols in place and training on ground and air vehicles. We had to be checked off on line placement and art sticks....
  24. NicuGal

    Transport

    Holy crap, wonder what legal would have to say!!! We have been called to testify on kids we have picked
  25. NicuGal

    Am I asking too much from a nurse?

    This is when knowing the difference between nursing diagnosis and medical diagnosis comes into play. You can say, We are looking at his electrolytes to make sure they are okay. You can't say you are...