NicuGal MSN, RN

NICU, PICU, PACU

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All Content by NicuGal

  1. NicuGal

    Paid for caring for family

    We had a very good lawyer who took care of this for us. I was able to bill my day's estate for care, laundry etc. I'm not to sure if Medicaid would pay you, you would most likely have to be employed...
  2. They are taking it away to save 1.2mil. Oh and no cost of living raise either.... Working at a county hospital sucks
  3. Nothing except having one of our paid holidays taken away :) Merry Christmas
  4. NicuGal

    Surveillance Swabs

    We swab upon admission so that we know if the baby was exposed before getting to us. We do it to track hospital acquired vs community acquired
  5. NicuGal

    Medication 20% Rule.

    Wow. That does seem complicated and time
  6. NicuGal

    NAS

    Their scores are sometimes lower if the mom comes and holds the baby a lot, but it doesn't seem to stop the symptoms like tremors, etc, it decreases the crying sometimes. The moms board but when the...
  7. NicuGal

    Can some one develop an allergy to PPD?

    Yes you can! I had a horrible reaction to my TB test and then my flu shot in the same year. I had a huge, and I mean huge ugly wheal from both! I had to go to the ER and get a steroid shot for the...
  8. NicuGal

    Hazed during orientation

    I'd get out of there pronto and tell HR all about it at your exit interview. The only problem with you being new and taking this up with HR would be they could make it worse for you. Did you...
  9. We don't sign/release the order anywhere in our hospital until they are on their way out the door, so if they are waiting for a ride we don't release the order until the ride is there, otherwise they...
  10. NicuGal

    NAS

    When the kids are in the normal nursery( not requiring high doses of Meds) they try to get the moms to board and have the baby with them. It doesn't always work out as when census goes up they have...
  11. NicuGal

    Medication 20% Rule.

    I've never heard of it either. Our pharmacy mixes all our Meds except for a select few. We just draw up or are dispensed what we need, put it on the med line or push it in if it is less that the...
  12. NicuGal

    RNs wearing gowns to feed newborns

    Our hospital hasn't done this since the 80's. there has been no evidence that cover gowns are needed, especially when good hand hygiene is used. We are not allowed anything below the elbows,...
  13. NicuGal

    Business is BOOMIN'

    We still have 30 some, but that better than the 50 we were running with for
  14. NicuGal

    HELP! NRP Questions

    Airway!!!
  15. NicuGal

    Infant of diabetic mother and feeding....

    I just went a conference and they are labeling diabetes in pregnancy as a teratogenic . It causes a lot if neuro issues, especially with poorly controlled moms. It seems we are seeing more and more...
  16. NicuGal

    Business is BOOMIN'

    We finally slowed down after months of being crazy! Hopefully it lasts for the
  17. NicuGal

    Transport

    I can count on one hand the number if kids that were near coding or did. We had to land in a Kmart parking lot once because we had a kid code and the weather was bad. I had one that we were coding...
  18. NicuGal

    Intralipid (20%) infusion administration

    We run most things with our lipids and TPN. We have a compatibility chart our peds pharmacy made up for us. Vasopressors are a no no for sure. We run ours thru a med line on a trifercated end...
  19. NicuGal

    Transport

    That sounds like a flawed plan! We go out with an RT and fellow, we can't intubate but we can do lines and art sticks. We have training on the isolette and get checked off on helicopter and ground...
  20. NicuGal

    Cleaning question

    We red wipe down our bedspaces and equipment ourselves once per tour of duty. Beds get wiped out with am cares, outer surfaces once per tour of duty. Housekeeping cleans obsoleted and equipment and...
  21. NicuGal

    Do you work at Hilton?

    I totally agree with the thought that people aren't evaluating their nursing care but whether or not they get what they want! Some of the things peolple write on their Evals for us just show how...
  22. If they yell where I work, they get reported to Human Resources, get a little vacation to attend anger management classes then have to apologize to the person and are on probation for 6 months....
  23. NicuGal

    PPV vs CPAP

    Great explanations! But I have to agree, taking all those classes is commendable but if I were interviewing you it would not play into hiring at all. Without the baseline knowledge you receive in...
  24. NicuGal

    How long did you wait to take advanced fetal monitoring?

    Look at the hospitals you are interested in and see what they require. Our L/D people are ACLS certified as we get very sick moms with complex
  25. NicuGal

    Bedside handoff report on mother/baby unit

    As much as you hate it, Joint Commision frowns on taped report. And it is best practice to give face to face report. It will take some getting used to and you will be able to streamline your report...