NicuGal MSN, RN

NICU, PICU, PACU

Member

  • Content

    2,743

  • Visitors

    24,540

  • Followers

    0

  • Likes

    47

All Content by NicuGal

  1. NicuGal

    Hospital unit not using SBAR format vent

    NicuGal replied to ohmeowzer RN's topic in General Nursing

    Our SBAR is including in our EHR when we open the patients chart. Before we had our EHR, we did have an example of what to do, but all of us use our own written style to take
  2. NicuGal

    HIPAA Violation?

    NicuGal replied to FCMike11's topic in HIPAA Challenges

    Personally, I wouldn't do it. I don't think you can say names and the place where this happened might not be too happy either. You would be best off to contact the legal department of the hospital...
  3. NicuGal

    Sketchy situation with MD and neonate

    NicuGal replied to 6spdftwtm's topic in General Nursing

    Where I work, that kid would have gotten a fever of unknown origin workup, no suprapubic tap...haven't done those in 20 years. Those WBC's might buy an LP, depending on the other symptoms or blood...
  4. NicuGal

    Acuity tool needed

    NicuGal replied to luvsmaui's topic in NICU, Neonatal

    I don't think that there is an acuity tool out there that truly captures what we do. We have had 3 in all the years I work and it never ceases to amaze me that a vent kid can get the same number as a...
  5. NicuGal

    would this be useful?

    NicuGal replied to goats'r'us's topic in NICU, Neonatal

    We always get a huge shipment of hats, but booties and blankets are wonderful too! Some volunteers started sending us fleece squares that we use under the baby's heads to make it softer. They make...
  6. NicuGal

    Useless degree! At what point do you quit trying?

    NicuGal replied to SuburbanGypsy's topic in Job Search, Interview, Resume

    I'm not sure if you have done this, but have you contacted different hospitals to see if you can shadow on units? This puts you there, in person, the UM meets you, the staff meets you and if there is...
  7. NicuGal

    Do you have gifts for your new moms??

    NicuGal replied to shortstuff31117's topic in Ob/Gyn

    We have a little gift bag that has a few small things in it, but that is it. We aren't allowed to do anything to the crib cards as our moms take it to WIC and the offices around here won't take it if...
  8. NicuGal

    Please help with Delee suctioning :(

    NicuGal replied to babyswaddler's topic in Ob/Gyn

    I ditto the NRP. But, honestly, we haven't used Delee's in ages. We use regular suction and if we have to tube and suction we use a meconium aspirator on the OET. If you are inserting it orally and...
  9. NicuGal

    what is an okay GPA to put on your resume?

    NicuGal replied to nurse441's topic in General Nursing

    A high GPA doesn't always mean you are the best candidate for the job. When I interview you, you have to sell yourself to me... why you are a good fit for my floor. I don't look at GPA's if someone...
  10. NicuGal

    HIPAA violation?

    NicuGal replied to bwhite41's topic in HIPAA Challenges

    Your hospital probably has a policy on this. Where I work, that is a huge no no, esp since we are not to have our phones out at any time while we are on the floor. Flat out, if someone reported us,...
  11. NicuGal

    NICU monitor event review

    NicuGal replied to HeartNIC's topic in NICU, Neonatal

    We have brand spanking new monitors too with all those capabilities, but I can just hear the conversation from a lawyer about this running thru my head. I'd be running this past your legal team to...
  12. NicuGal

    Conflict between staff

    NicuGal replied to lovemybabes's topic in NICU, Neonatal

    If she resigned, they should have named someone to be interim. Are you saying the manager is letting these people run the floor??? Like I said, there should have been someone assigned as interim....
  13. NicuGal

    Have you ever heard of an attendance policy like this???

    NicuGal replied to NurseCard's topic in General Nursing

    Where I work, that would be a no-show-no-call and you accumulate big time sick points for that. We can cancel our OT/ET up to 4 hours before our show time, but not after that, after that is...
  14. NicuGal

    Terminating a contract, Do I have to pay them back??

    NicuGal replied to LoriLane's topic in General Nursing

    I'd call the HR department and ask about it. Better to contact them first then having them calling
  15. NicuGal

    Thermoregulation in NICU - what does it have to do with hypoxia?

    NicuGal replied to LR_C's topic in NICU, Neonatal

    Yup...I keep telling my HS daughter that the Kreb's cycle will haunt her for the rest of her days
  16. NicuGal

    Who floats first?

    NicuGal replied to vic_rn's topic in General Nursing

    Our PRN's always float first, then regular staff, regardless of PT or FT. We keep a book with the dates in it and rotate who goes by date. Our PRN's are per service, such as peds, critical care, med...
  17. NicuGal

    Negative titers even after several vaccines??

    NicuGal replied to FutureOBNurse2118's topic in General Nursing

    From working with several people with the same problem, you should see an immunologist, they can guide you the right way. And if you don't have titers to something, you really aren't too
  18. NicuGal

    Nurse with migraine?

    NicuGal replied to mochamonster's topic in General Nursing

    I found that mine flared up when I was tired and didn't drink enough. If I start to feel one coming on at work I immediately drink a bunch of water and drink something caffeinated. I don't like to...
  19. NicuGal

    ALL nights or day/night MIX shift to pick? HELP! need to reply to recruiter!

    NicuGal replied to froggy8's topic in First Year After Licensure

    Working rotating sucks...we did it years ago, 2 weeks on night, 2 weeks on days...and we worked 5 days a week which really was bad, esp if you only had one day off between nights and days. You will...
  20. NicuGal

    Thermoregulation in NICU - what does it have to do with hypoxia?

    NicuGal replied to LR_C's topic in NICU, Neonatal

    Think about it....when you are using all your energy to stay warm, how does it affect the
  21. NicuGal

    Area of hospital with minimal vomit...

    NicuGal replied to alxndria.mrqtt's topic in General Nursing

    You are going to run into puke anywhere...yes we even see it in NICU...sometimes more than we care for and sometimes really nasty puke, but at least it isn't chunky puke lol But it can smell pretty...
  22. NicuGal

    Patient Surveys..vent.

    NicuGal replied to Caffeine_IV's topic in General Nursing

    Some of my favorites: The nurse put the IV in the head because she knew I didn't want it there (not because your kids doesn't have any other access and is on a vent, nitric, and every gtt known to...
  23. NicuGal

    Peripheral Line Not for ABT?

    NicuGal replied to FutureRN_NP's topic in Patient Medications

    We give Vanco per PIV all the time in our unit. When a kid gets a sepsis, most of the time it is line related and we have to pull our PICC or Broviac, then we give the Vanco peripherally until ID...
  24. NicuGal

    ACLS requires a doctor's order?

    NicuGal replied to BUNightingale's topic in Critical Care

    If you have standing orders, you should be okay. It may depend on the state, I'm not sure. We always have docs there to tell us push this push that. Of course, that being said, I am taught how to...
  25. NicuGal

    Care Plan Help, Tricky One about Agenesis of Corpus Callosum

    NicuGal replied to Stargazn03's topic in Nursing Student Assistance

    Neuro, developmental delay, nutrition, parenting are just some branches to go off