NicuGal MSN, RN

NICU, PICU, PACU

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All Content by NicuGal

  1. NicuGal

    Permanent documentation... "Please advise"?

    NicuGal replied to BiohazardBetty's topic in General Nursing

    No paper chart here either. We use EPIC and have a docs sticky note area we use. EMR's are automatically backed up and the info should not be able to be
  2. NicuGal

    Is it difficult for men to get into NICU?

    NicuGal replied to MattNurse's topic in NICU, Neonatal

    I work in the land of little people
  3. NicuGal

    Getting patient information before shift

    NicuGal replied to AikoRN's topic in General Nursing

    Like someone else said, they can get you on a HIPAA violation if you log in off the clock. You should never do anything off the
  4. NicuGal

    Question about pediatric employment

    NicuGal replied to neuron's topic in General Students

    Esme is right. You are best off going to a college or university instead of one of the "technical" programs like Bryant and Stratton, etc. Most places are hiring Bsn
  5. NicuGal

    Is it difficult for men to get into NICU?

    NicuGal replied to MattNurse's topic in NICU, Neonatal

    We have over 100 on staff now and 8 guys. We have never had anyone come from LD, most of ours are new grads or transfers in from peds or other ICU's
  6. NicuGal

    What to do about refusing Dr. orders?

    NicuGal replied to nancynurse0828's topic in General Nursing

    We can refuse any order until it is clarified and deemed needed/ safe. Always think to yourself....what would the reasonably prudent nurse
  7. NicuGal

    NG tube placement

    NicuGal replied to Animal3's topic in NICU, Neonatal

    You can't get an X-ray before all feeds! Those kids would light up after a day! We still do auscultation or aspirate. I can see getting on n the initial placement and making sure the mark is
  8. NicuGal

    Growing a Premie: Neonatal TPN

    NicuGal replied to mvaidya's topic in NICU, Neonatal

    Our IT built ours with input from pharmacy and our nutritionist. We pretty much just check the label to the order and sign off. The orders have areas for them to check glucose concentration,...
  9. NicuGal

    Nicu Nurses- what does your unit do with bedside supplies

    NicuGal replied to laurens115's topic in NICU, Neonatal

    We don't keep anything in the isolate or warmer drawers. The only time we put stuff in warmer drawers is if it is set up for an admission, so then it is line kits, etc. And the only thing I can see...
  10. NicuGal

    Case scenarios for a skills day?

    NicuGal replied to lccougar02's topic in NICU, Neonatal

    Sorry hit reply. Have you done NRP? There are scenarios for DR, admits
  11. NicuGal

    Case scenarios for a skills day?

    NicuGal replied to lccougar02's topic in NICU, Neonatal

    Have you guys done STABLE? I don't know if I would start with the worse case scenarios! You may want to treat this like an orientation, especially if they aren't used to micro kids. Do you have any...
  12. NicuGal

    Nicu Nurses- what does your unit do with bedside supplies

    NicuGal replied to laurens115's topic in NICU, Neonatal

    Should be central cart lol have to love auto correct
  13. NicuGal

    Nicu Nurses- what does your unit do with bedside supplies

    NicuGal replied to laurens115's topic in NICU, Neonatal

    We are in pods with 6 beds to a room. Each bedspace has a set of pull out drawers that we stock with things like diapers, linen, formula, bottles, etc. each pod has a cereal cart that holds things...
  14. NicuGal

    Learning to count newborn heart rate

    NicuGal replied to anurseatlast's topic in Nursing Student Assistance

    You may be hearing a murmur, which can be common in the first 24
  15. NicuGal

    Ethical Issues in Neonatal Care

    NicuGal replied to NRSKarenRN's topic in NICU, Neonatal

    I have to disagree about more female providers. The majority of our docs, especially our high risk docs, are male. If you were a patient at our hospital you would have been flagged high risk from...
  16. NicuGal

    AMA Discharges

    NicuGal replied to catlover314's topic in NICU, Neonatal

    We would get an emergency custody thru the
  17. NicuGal

    Neobar tape

    NicuGal replied to ScammRNC's topic in NICU, Neonatal

    You're right. We trialed those and we just used white cloth tape. We didn't like them for the reason you stated and went to the
  18. NicuGal

    Mandatory flu vaccines for staff

    NicuGal replied to mpccrn's topic in Disaster Preparation

    No shot equals no job here....unless you have a doctor's note, which is scrutinized by a board. They are't taking religious excuses either. Do I think it is right, no, but I always get a flu
  19. NicuGal

    MRSA colonization

    NicuGal replied to HarleyNrs's topic in NICU, Neonatal

    I wish our ID would let us do that!! They are under isolation protocol for one year after being negative for any readmissions. They are crazy when it comes to
  20. NicuGal

    Neobar tape

    NicuGal replied to ScammRNC's topic in NICU, Neonatal

    A neobar should have the Velcro with the teeth to grip the tube and the stretchy tape to adhere to the face. We don't use any additional tape on them. Are you doing this and then using additional...
  21. NicuGal

    Blood Stream Infections (BSI) in your unit

    NicuGal replied to traumasurgRN's topic in Critical Care

    Most line infections are caused by people improperly accessing the line or less than sterile technique putting them in. Our SICU changes all dressings that are done on the ER and places bio discs as...
  22. NicuGal

    AMA Discharges

    NicuGal replied to catlover314's topic in NICU, Neonatal

    Only a few have had their kids transferred. If they hate it in our unit so much, let them go so all of us aren't
  23. NicuGal

    MRSA colonization

    NicuGal replied to HarleyNrs's topic in NICU, Neonatal

    MRDO, thanks auto check
  24. NicuGal

    MRSA colonization

    NicuGal replied to HarleyNrs's topic in NICU, Neonatal

    Same here, once they get the mrso stamp on their chart they are doomed to isolation
  25. NicuGal

    A Question for NICU Nurses (especially ones who have been for awhile)

    NicuGal replied to blondy2061h's topic in NICU, Neonatal

    I have only seen one kid we had to intubate and knock out, and this kid was seizing almost non- stop. We put him on a methadone drip, paralyzed him ( when he wasn't seizing he was off the wall). The...