NicuGal MSN, RN

NICU, PICU, PACU

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All Content by NicuGal

  1. NicuGal

    Poor kiddo, fat necrosis sucks :(

    NicuGal posted a topic in NICU, Neonatal

    I've seen fat necrosis on some of our cooling blanket kids, but this one is the worst I have seen It goes from the top of his neck to his butt Pain meds and TLC, but he is still so uncomfortable...
  2. NicuGal

    Diagnoses for LGA Infant; HELP!

    NicuGal replied to aismail3's topic in General Students

    Was the mom diabetic? Many LGA babies have the same problems as IDM
  3. NicuGal

    Breast milk via GT

    NicuGal replied to RN_PICU's topic in PICU, Pediatric

    We have used kangaroo pumps on kids that are older. Milk can't hang more than 2 hours, we always rinse the bags well and use only for 4 hours. We would have the moms pump and we have approved...
  4. NicuGal

    Poor kiddo, fat necrosis sucks :(

    NicuGal replied to NicuGal's topic in NICU, Neonatal

    Thanks guys. Just some kids just get to you, and this is one of them. umc, we put him in the tub yesterday....really warm with lavender baby soap and he fell asleep in there...we left him there as...
  5. NicuGal

    Newborn Shiver

    NicuGal replied to Emily Suzanne's topic in NICU, Neonatal

    Newborns don't shiver...and the kids on the cooling blankets sometimes do that jittery movement, but it is usually related to electrolye and glucose issues. If you see a baby with tremors think low...
  6. NicuGal

    When did you start precepting/mentoring?

    NicuGal replied to Miller86's topic in General Nursing

    Ours is a minimum two
  7. NicuGal

    TPN question

    NicuGal replied to birdie22's topic in General Nursing

    IVRUS, think that is a bit harsh. Maybe you should pick up a Neofax or peds IV compatibilty chart and see that there are many things compatible with TPN, esp in the neonatal and peds world. Maybe...
  8. NicuGal

    TPN question

    NicuGal replied to birdie22's topic in General Nursing

    We run anything compatible with our TPN/IL. There are some things that aren't compatible with the IL, so we dc them until we can run them. I'm sure it is the same for adults, but with adults you may...
  9. NicuGal

    EBP project help,please let me pick your brains!

    NicuGal replied to TakingCareOfBabies's topic in NICU, Neonatal

    We implemented our new nurse program about 4 years ago and we have had great success with it. It takes away that fear of being "on your own". This is your go to person besides the charge nurse, and...
  10. NicuGal

    Thoughts on using donor breast milk in NICU?

    NicuGal replied to HeartNIC's topic in NICU, Neonatal

    Interesting. We can't begin giving DBM until the parents have been informed. If we gave it and a parent didn't want it that could be potentially ugly. You can educate people out the wahoo but it...
  11. NicuGal

    Thoughts on using donor breast milk in NICU?

    NicuGal replied to HeartNIC's topic in NICU, Neonatal

    I'd be curious as to how you get around not having consent, it is a body fluid even if it is
  12. NicuGal

    l&d and malpractice

    NicuGal replied to LouisVRN's topic in Ob/Gyn

    Oh and I forgot to mention....that child involved in this case is now 22 years old...the suit was brought up right before his 18th birthday and it took almost 4 years for it to go to court. So, think...
  13. NicuGal

    Chorio s/s

    NicuGal replied to MKS8806's topic in Ob/Gyn

    The elevated WBC is the first clue. They should be sending the placenta to patho also. And with baby's temp up that high, then mom had a fever also. Baby's overall look at birth is pretty right on...
  14. NicuGal

    State Issue 2

    NicuGal replied to lyela's topic in Ohio Nursing

    The public doesn't realize that the majority of the hospitals in Ohio are non-unionized, therefore it really does not affect us. I work for the county, we have staffing ratios that are in line with...
  15. NicuGal

    Premie/Infant ID Bracelets

    NicuGal replied to CajunNurseMan's topic in NICU, Neonatal

    We use the plastic infant bands that have the paper that slips inside...we cut the bar code and put on the paper with the other info and then it protected and doesn't fade or get
  16. NicuGal

    NICU Waiting Room Design

    NicuGal replied to kitty29's topic in NICU, Neonatal

    We had to take our fridge out because they wanted to treat it like a patient food fridge and we would have to do temp checks and such. Also, housekeeping doesn't want to take resposiblility for...
  17. NicuGal

    NICU Waiting Room Design

    NicuGal replied to kitty29's topic in NICU, Neonatal

    Wow...I'd love all that but where I work, they would strip that place clean in about 5 mintues, regardless of the security lol Our waiting room is pretty universal, couches, chairs, lockers,...
  18. NicuGal

    Neonatal IV question

    NicuGal replied to NickB's topic in NICU, Neonatal

    We don't cover ours at all. I've never had a kid scratch themselves either, so I guess I never thought about it. But I wouldn't because while you may take it off and look at it every hour, I am...
  19. NicuGal

    l&d and malpractice

    NicuGal replied to LouisVRN's topic in Ob/Gyn

    Agree with the above. I was recently involved, with several other people, in a large suit for our hospital. Not once was I asked about my insurance that I carry, nor were any of them. Carrying...
  20. NicuGal

    EBP project help,please let me pick your brains!

    NicuGal replied to TakingCareOfBabies's topic in NICU, Neonatal

    I'd chose number one. We have a "little baby protocol" that we follow and it includes neutral head positioning. We get those kids with bleeds, but it isn't because of positioning anymore. The...
  21. NicuGal

    Any hospitals out there doing 8 hr shifts?

    NicuGal replied to kacm74's topic in General Nursing

    We only hire in 4-8's a week. If a 12 hours position opens up and you want it, you can move into it based on
  22. NicuGal

    Charge nurse advice

    NicuGal replied to idonthaveaphd's topic in General Nursing

    We don't take an assignment as charge nurse so we are a bit more free. I always went around once an hour to make sure everyone was okay, see if they needed help. You will get a routine down. After...
  23. NicuGal

    Thoughts on using donor breast milk in NICU?

    NicuGal replied to HeartNIC's topic in NICU, Neonatal

    When we use it, we have to have a permit signed, an informed consent. We have had moms refuse. Nothing much you can do about it. We try to get all moms to pump for at least 4 weeks. We aren't...
  24. NicuGal

    Obvious violation of hippa

    NicuGal replied to nicenurselpn's topic in HIPAA Challenges

    Facebook keeps logs of every single post and picture that is ever posted, so it doesn't matter if they pull it down or not. Our schools have used this function for bullying. Like I've said before,...
  25. NicuGal

    Bathing Policies

    NicuGal replied to umcRN's topic in PICU, Pediatric

    We have some new soap we use, I'll have to look up the name, but it can be used on anyone from baby to adult. Our micros only get sterile water if needed, no soap. We will use Sali-wipes on the...