NicuGal MSN, RN

NICU, PICU, PACU

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All Content by NicuGal

  1. NicuGal

    Hand help please!

    organic skin care Meadowlake Farm Beehive Skin Therapies All organic line of products and the person who developed them is a NICU nurse :) Great stuff! Her hand cream and wound salve are out of...
  2. NicuGal

    Lack of standards in healthcare

    There are certain standards that have to be done per protocol, or your butt will be in a sling. Sometimes there are more than one way to do a procedure, both being right, such as how long to run feed...
  3. You have to look at what you think you can tolerate. Is the first place going to be too rigid for your life needs? Are you going to be able to put money into retirement funds with the second one, or...
  4. NicuGal

    Newborn Nursing Diagnosis

    For respiratory...look at the gestational age and what you wrote. Not immature, what age is considered premature or late premature? also,RR WNL, what are the norms for a newborn. Look at temp and...
  5. NicuGal

    PPD Test Reaction

    Ask for preservative free next time...mine always got like
  6. You just have to keep reminding him...and if that doesn't work, do stuff when he is trying to sleep...sounds awful, but I did it twice and my husband got the message. The worst thing though was him...
  7. I have to echo what the others said. Especially if it is during the summer when the most vacation hours are taken. This isn't a personal leave, nor a medical leave, this is a leave to do another paid...
  8. Where I work, the fellows and NNP's are responsible to get consent for PICCs and blood
  9. NicuGal

    EPIC STORK electronic medical record

    You shouldn't have to do taped report if you are doing bedside, that takes up a lot of time. My unit, and the peds floor, do a charge nurse to charge nurse report on the whole floor, but each nurse...
  10. We use a biosensor if we have need to access for blood draws on any of our lines. Nice closed system. Our bigger babies get 3fr fem lines so we can draw off those...makes life nice! We just have a...
  11. NicuGal

    SGA vs, IUGR

    They are! They are older babies in these little bodies...most of the time they don't really have any problems except they are small! They are bright eyed and bushy tailed, that is for sure
  12. We have a central line bundle in place, we adapted from ihi.org We don't do sterile procedure to access lines. We cleanse the hub with alcohol (chlorhex if cultures), let air dry and then access....
  13. NicuGal

    severe skin flaking...anyone seen this?

    I was going to say scabies, SJS, or staph, esp if she has it in her blood. Scabies...just makes me want to itch! There are also certain types of ichthyosis that people can have. They just shed skin...
  14. NicuGal

    Link to a neat essay about...

    We decided at work that we make 6 figures...if you count the 2 figures behind the decimal point
  15. NicuGal

    Forgot to start continuous feed!

    Hey we all do it...I've fed the bed more than one time in my career. Take it and learn from it. I doubt you will be disciplined over it...just admit to the mistake, tell her what you are going to do...
  16. NicuGal

    No more fun scrubs

    Be happy they are giving you an allowance, even if it only buys 2 sets. Our hospital is purchasing ours, but they have to be laundered there, no more wearing them in and out of the hospital. We are...
  17. NicuGal

    SGA vs, IUGR

    IUGR babies are usually associated with something that prevents them from growing well, such as PIH, poor placental perfusion, TORCH infections. SGA means you grew a little baby lol That is the...
  18. I'd bring it up after you are hired, esp in the first trimesters, there are things you have to becareful of. You won't qualify for FMLA, so most likely you will be given 6-8 weeks leave after the...
  19. NicuGal

    NRP certification online?

    We only do renewal this way. You have to have some actual hands on experience under your belt (ie on orientation) for the stuff to click really. We have an actual class for our newbies. Also, if...
  20. NicuGal

    chinstraps on ncpap

    The ones we have don't seem to work well and being a county hospital we are stuck with them. We tried the bili mask thing but got reprimanded because that isn't what they are for...okayy. We have...
  21. NicuGal

    scoop method for recapping

    No scoop method here, as a matter of fact, I think that is a ding by the Health Departments and JACHO (or whatever they are calling themselves these days lol). We have sharps containers at each...
  22. NicuGal

    chinstraps on ncpap

    We have used them, but we don't like
  23. NicuGal

    Link to a neat essay about...

    I loved it...read it yesterday :) But didn't she say something about 6 figure salary....I want to work there lol But it is a very true essay!
  24. NicuGal

    Bad preceptorship assignment

    Can I ask what type of program you are in? If you only had 8 clinical days, well you should be filing a complaint over that! And you aren't getting screwed,you put it on the paper and you got one of...
  25. NicuGal

    Bad preceptorship assignment

    You have to take what was handed to you and make the best of it. I think you will be amazed at how many of these people have many other problems besides behavioral....those nurses have to be on top...