NicuGal MSN, RN

NICU, PICU, PACU

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All Content by NicuGal

  1. NicuGal

    needing a prescription for vaseline??

    NicuGal replied to lalalalexi's topic in General Nursing

    Yup, we do too, and it is in our pyxis and we can't even override it! Same for vaseline guaze, always fun when you are putting in a chest tube and have to yell...get the order in! Chargeable items,...
  2. NicuGal

    Time to read the chart, MD notes?

    NicuGal replied to stellaRN1983's topic in General Nursing

    I can't imagine having taped report anymore! And if you have patients with lines, aren't you supposed to go over them with the offgoing nurse? It honestly doesn't take anymore time than face to...
  3. NicuGal

    Staff and artificial nails

    NicuGal replied to txdon's topic in Geriatric, LTC

    In our unit, you get caught with them, you are off without pay until the nails are gone. We had so many that thought they could slide by, but it is documented that MRSA and Pseudomonas can come from...
  4. NicuGal

    Questions re: NICU CNA

    NicuGal replied to manytinymomma's topic in NICU, Neonatal

    I wish we had CNA's on our unit! We used to until they decided that it should be all RN You'll get an orientation, or at least you should. We gave ours a 4 week orientation where she was paired...
  5. NicuGal

    new drug-Avastin for ROP

    NicuGal replied to babyNP.'s topic in NICU, Neonatal

    I was thinking about it...Survanta was studied for a lot of years and the trials were years long...our hospital was involved in it, but surfactant is made in the lungs so it isn't being used off...
  6. NicuGal

    Blood products question

    NicuGal replied to TigerGalLE's topic in NICU, Neonatal

    We use 24 or 26 angios, our UA or UVC (UA if we have not other access), and our PICCs if they are 3fr. We took 24 and 26 angios and pushed blood thru them in to crit tubes once and there was no...
  7. NicuGal

    new drug-Avastin for ROP

    NicuGal replied to babyNP.'s topic in NICU, Neonatal

    http://www.emaxhealth.com/1024/avastin-offers-new-hope-treatment-rop Here is one article that I
  8. NicuGal

    Is EPIC coming to your facility??....

    NicuGal replied to NYRN08's topic in Nursing Informatics

    Once the bugs get worked out and your system tweeked, you will really like it. It took about a year to totally implement and we were able to build specific things in for NICU. The docs orders are a...
  9. NicuGal

    Pregnancy and floor nursing

    NicuGal replied to aerorunner80's topic in General Nursing

    We have 7 pregnant on our unit....our manager just rolls her eyes, but then again, when you work with 90 some women, someone is always pregnant lol I'd wait for confirmation and just avoid xrays. If...
  10. NicuGal

    What is the difference between CT scan And MRI

    NicuGal replied to nursegreenbean's topic in General Nursing

    Ct uses radiation, MRI uses a magnet to stand your hydrogen molecules on end to provide the image. When the magnet is in use it spins the molecules on their axis and makes them "stand up" so that you...
  11. NicuGal

    Sterile gloves during procedures

    NicuGal replied to brown678's topic in General Nursing

    We don't charge the patient for gloves, so it would only cost the unit for their par stock. When we mess with dressings we tend to wear sterile gloves, but that is for our
  12. NicuGal

    Fed up with the "rules"

    NicuGal replied to Been there,done that's topic in General Nursing

    We don't even have a nurse's station in our unit...we have this room in the middle that we share with the docs and they tried to tell us that we couldn't even have water in there! They finally...
  13. NicuGal

    new drug-Avastin for ROP

    NicuGal replied to babyNP.'s topic in NICU, Neonatal

    We heard about this at a seminar, and we asked our optho about it, but he won't do it because it isn't approved yet and getting reimbursement is hard. He also said he doesn't like that they are...
  14. NicuGal

    Does an employer have to have staff phone numbers?

    NicuGal replied to sasha2lady's topic in General Nursing

    Yes, they need your number. If we are cancelling due to low census and I can't get hold of you, you will be sent home even if it is for 4 hours and have to come back after that 4 hours...not my...
  15. NicuGal

    Webcam use in NICU/SCBU

    NicuGal replied to swazi-maci's topic in NICU, Neonatal

    Wow, Skype? We don't allow them to use their computers in the room or videotape...that is from
  16. NicuGal

    Staff assignments

    NicuGal replied to luvsmaui's topic in NICU, Neonatal

    There are a couple of other threads about this too
  17. NicuGal

    Weaning to open crib

    NicuGal replied to CareForBabies's topic in NICU, Neonatal

    Usually we go to 27C, around 1.5kg and nippling at least once a
  18. NicuGal

    Lazy Charge Nurse

    NicuGal replied to JoeyGirlRNNYC's topic in General Nursing

    Do you do peer review? You can use that CONSTRUCTIVELY to get a point across. I can tell you, as the charge nurse of a busy unit, there are times that it probably looks like I am sitting doing a...
  19. NicuGal

    Webcam use in NICU/SCBU

    NicuGal replied to swazi-maci's topic in NICU, Neonatal

    A hospital near us used this then they stopped it because they were getting more complaints than ever. Parents saying that their baby was crying too long, they didn't like when the nurses turned off...
  20. NicuGal

    NICU nurses working on Peds

    NicuGal replied to schoolnurseadmin's topic in NICU, Neonatal

    We have an age limit of under 1 unless we are comfortable with the older kids. Nursery people float under that stipulation also. Most everyone will take the older kids, but if there is something we...
  21. NicuGal

    work excuse and privacy issues

    NicuGal replied to psu_213's topic in Emergency

    Really, what is the big deal with the doc putting dates on the paper? It only takes a few seconds to print out a sheet, esp if you have e-charting. When we call off work and have to have a note we...
  22. NicuGal

    Benchmarking Level III NICU nurse/pt ratios....please help

    NicuGal replied to SteveNNP's topic in NICU, Neonatal

    Our unit just went thru something similar Steve. We were all busting our butts. Then our hospital brought in NASH, who now dictates our staffing according to census...we have to fight tooth and nail...
  23. NicuGal

    Giving pts. medications to take home at discharge

    NicuGal replied to TorsadesDePointesRN's topic in General Nursing

    At our hospital there is some paper work that the doc can fill out so that we can send home the rest of the days doses. And they get charged the hospital cost for them EEK! It works well for the...
  24. NicuGal

    Icu

    NicuGal replied to RNCoastiewife's topic in NICU, Neonatal

    It can't hurt because you will have critical thinking skills, but you have to relearn a lot of things as adult and neos are on the opposite spectrum
  25. NicuGal

    Rocephin Question

    NicuGal replied to janat's topic in General Nursing

    It hurts like a mother! I've had it for a really bad strep infection and it was mixed with lido! My daughter go it once when she was 4 for a really bad ear infection and she kept spitting the oral...