NicuGal MSN, RN

NICU, PICU, PACU

Member

  • Content

    2,743

  • Visitors

    24,540

  • Followers

    0

  • Likes

    47

All Content by NicuGal

  1. NicuGal

    Endotracheal Intubation Protocols vs guidelines

    NicuGal replied to KristineRN,NICU's topic in NICU, Neonatal

    We don't have a protocol for intubation, we use NRP guidelines on size of blade, depth, etc. We cover certain things in our VAP pathway, such as not laying the larygnoscope on the bed,
  2. NicuGal

    UVC catheter infiltration

    NicuGal replied to breaanne81's topic in General Nursing

    I have seen 2, and it because of improper placement and it is in the liver. It doesn't infiltrate, per say, but it can cause a nasty abcess. Sometimes they migrate too, and even if it looks okay on...
  3. NicuGal

    Nursing Scope of Practice Regarding Arterial Line Insertion

    NicuGal replied to rntnlee's topic in Critical Care

    We can place them in our unit also, but we have a certification process we go thru and have to do so many sticks a year to keep it. All of our CC nurses can do this, but it is usually the fellow on...
  4. NicuGal

    How to Self schedule yourself ?

    NicuGal replied to nursynurseRN's topic in General Nursing

    Are there guidelines? We have to sign up for a full weekend plus one other weekend day, one Monday and two Fridays. We only get 4 requests per schedule (days we really need off in a 4 week block)....
  5. NicuGal

    Anyone have a link to recent preemie survival rates?

    NicuGal replied to Double-Helix's topic in NICU, Neonatal

    There is a registry of small babies...I'll have to ask at work and see if there is something on
  6. NicuGal

    Splitting pills outside of nurse's scope of practice?

    NicuGal replied to thesundowner's topic in Patient Medications

    The split pills were I work also. Then they send them up in the unit dose
  7. NicuGal

    Is it worth travelling 4 hrs to work?

    NicuGal replied to RNHURT's topic in General Nursing

    That would take a lot of thinking on my part. Is she hoping to only work over weekends? How many hours a week is she working? Does she live in an area with bad weather like snowstorms? You can't...
  8. NicuGal

    NRC Neonatal

    NicuGal replied to LeahChan's topic in Ob/Gyn

    I agree...don't go getting NRP until you are employed, you need a little background to understand and honestly, it will not get a job over someone else as that is usually included in your orientation....
  9. NicuGal

    Has anyone coded a co-worker? Dealing with the grief...

    NicuGal replied to Zookeeper3's topic in Patient, Colleague Relations

    We had to code one of our co-workers and I can tell you things could have been done different, but it is so emotional when it is someone you work with and are good friends with. Personally, if...
  10. NicuGal

    Is this outside my scope of practice?

    NicuGal replied to FORTHELOVEOF!!!!'s topic in General Nursing

    We have a list of who can do what tasks. Our nurse interns aren't allowed to access art lines without supervision in our hospital, and never a CNA. You should also be following policy and procedure,...
  11. NicuGal

    Is $49,000.00 too much for ADN program?

    NicuGal replied to abqfavorite's topic in General Students

    Holy cow....our community college is only $100/credit hour! And I will tell you that many bigger hospitals shy away from hiring people from some of these smaller institutions, such as Bryant and...
  12. NicuGal

    Born with Leukemia

    NicuGal replied to acenab4jc's topic in NICU, Neonatal

    I've seen two...both were Trisomy 21 kids We sent them over to the Children's hospital across town to start
  13. NicuGal

    Unit practice councils

    NicuGal replied to taft207's topic in Critical Care

    That is not what our practice council does....and it isn't meant to. We go over policy/procedure/protocol, we update as needed, we address clinical practice issues, go thru EBP and update our...
  14. NicuGal

    Students nursing during EMR go-live

    NicuGal replied to jappey17's topic in General Nursing

    We didn't have nursing students on the floors when we went live with our EPIC...because they did not have sign on. We had enough trouble making sure all the staff were being able to sign in without...
  15. NicuGal

    HIPPA and Parents of Minors

    NicuGal replied to vintagemother's topic in HIPAA Challenges

    It is different with every state, but if they are a minor, you still have to give consent to treat. If they want consent to treat, then you should be able to go back. In my state, they have to have...
  16. NicuGal

    Understaffed hospitals and unemployed nurses

    NicuGal replied to vivicaq's topic in General Nursing

    Money, money, money. Budget, budget, budget. That about says it
  17. NicuGal

    HIPPA and Parents of Minors

    NicuGal replied to vintagemother's topic in HIPAA Challenges

    Our docs request to speak to the child alone, esp once they start hitting the teen years. The parents can say they don't want to leave, but then the kid might hold back something. When my kids were...
  18. NicuGal

    Please, please, please remember the 5 rights!

    NicuGal replied to Double-Helix's topic in Patient Safety Issues

    That is awful And if it goes to trial, more than likely they will both be hung out to dry. I am sure legal is all up on this and if it goes to suit they will try to settle. Your facility will be...
  19. NicuGal

    Bracelets in the NICU

    NicuGal replied to kandrien's topic in NICU, Neonatal

    All of our kiddos have to have one on, and there has to be one on when they come from L/D, except for micronates under 500gm. This is our hospital policy. For the micronates we put a piece of...
  20. NicuGal

    Texting while doing patient care?

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

    My guess is that the ones here that say they think is fine to use your phone on the floor would be the first to be complaining if the nurse was in a family members room using their phone while working...
  21. NicuGal

    I hate night shift

    NicuGal replied to carrie_c's topic in General Nursing

    I think shift work is why I have been married for over 20 years
  22. NicuGal

    Wiping off IV ports

    NicuGal replied to blondy2061h's topic in General Nursing

    Our pharmacy has told us to scrub the rubber hubs from anything with a flip top. We vetoed the alcohol caps...to pricey for our facility when compared to an alcohol
  23. NicuGal

    Texting while doing patient care?

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

    If we get caught with our phones out we get written up...3 write ups and they fire you. We have a pretty extensive policy on cell phone usage in patient care areas. I would have said something to...
  24. NicuGal

    I hate night shift

    NicuGal replied to carrie_c's topic in General Nursing

    Good advice...I worked nights for a lot of years out of necessity. 1. Keep hydrated...but no caffeine after 3am! 2. Try melatonin...take it right before you leave work. You can add a benadryl to it...
  25. NicuGal

    Nurse with a therapy dog?

    NicuGal replied to theincrediblearc's topic in General Nursing

    We have 2 nursing homes by us that have retired greyhounds who live there, but therapy dogs are different. You have to go thru training and the dog has to be with the owner. You need to investigate...