NicuGal MSN, RN

NICU, PICU, PACU

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All Content by NicuGal

  1. NicuGal

    Are you Facebook friends with your coworkers?

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

    I have my close friends from work, the ones that I have worked with for almost 30 years. They have been and are my family. They already know what's going on in my life and I don't post about work...
  2. NicuGal

    Taking 20 credit hours?

    NicuGal replied to Kaylle's topic in Pre-Nursing Students

    I'm glad you dropped one class, my one daughter had 20 credits last semester and it was pretty hard on her, and they were more difficult classes like you had. She was ready to jump off a cliff by the...
  3. NicuGal

    Hyperemesis Gravidarum PICC line

    NicuGal replied to vandermom's topic in Ob/Gyn

    What did the doc say to her? I work at a high risk center and we have moms with PICCs without a problem. They even go home with them
  4. NicuGal

    NICU TRAVELER

    NicuGal replied to nicurn2012's topic in NICU, Neonatal

    When we had travelers we generally gave them vents that weren't critical or gainers/growers also. Several of my traveler friends say the same thing, nature of the beast I suppose. Maybe talk with...
  5. NicuGal

    I don't understand anatomy, but I did well in patho!!

    NicuGal replied to stacylethani's topic in General Students

    I have to strongly disagree with the hospitalist who told you this. You have to have a good strong understanding of NORMAL anatomy to understand the ABNORMAL and how it affects a patient. If I...
  6. NicuGal

    Manager is emailing my personal email address

    NicuGal replied to koalafiedRN's topic in HIPAA Challenges

    Hard to believe they don't have hospital email, that is a huge slippery slope. Many places will not even let you access your hospital email at home. You have good advice to just state to the manager...
  7. NicuGal

    Problem physician

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

    Our HR takes it pretty seriously and yes my "girls" on the floor filed a complaint. You knowwhy I said girls...because we have docs of certain cultures that do not work well with women, especially...
  8. NicuGal

    Problem physician

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

    I'd go to HR and file a complaint. Take all documentation with you. This type of behavior is not tolerated by Joint Commission. We had a doc similar to this and several girls filed a complaint....
  9. NicuGal

    Any confirmation on this doozy?

    NicuGal replied to BuckyBadgerRN's topic in General Nursing

    Haven't heard that one yet. But I'm sure it is coming down the
  10. NicuGal

    A few questions on medicines management

    NicuGal replied to tinkerbell419's topic in NICU, Neonatal

    We use a Pyxis system and pharmacy keeps it stocked. Most things that are pre-packaged are over the counter things, Vit K injections, eye ointments/drops, really anything that doesn't need mixed or...
  11. NicuGal

    Temperature methods in preterm babies

    NicuGal replied to PAjama_Mama's topic in NICU, Neonatal

    An initial rectal temp doesn't even guarantee patency since you can have a defect higher up. Only passage of meconium is a sure thing í
  12. NicuGal

    When is the appropriate time to bring up a planned vacation?

    NicuGal replied to IHeartPeds87's topic in Job Search, Interview, Resume

    It depends on how they do their holidays. We don't allow vacation over Christmas and New Years and holidays go by seniority. I would ask HR what their policy is regarding this, but I wouldn't make...
  13. NicuGal

    Temperature methods in preterm babies

    NicuGal replied to PAjama_Mama's topic in NICU, Neonatal

    We never do rectal either, unless it is a big chronic baby who is well past term. Axillary is pretty reliable for fevers. There are articles supporting evidence based practice that an axillary temp...
  14. NicuGal

    NICU, which way to go?

    NicuGal replied to smp2016's topic in General Students

    I'd go OB or nursery if you can't get into NICU. This gives a ground on normal kids and some that are sick at delivery or act up in the nursery. Try to get into a hospital with a NICU, you can move...
  15. NicuGal

    Too many recommendation letters?

    NicuGal replied to fery's topic in Pre-Nursing Students

    Some colleges won't accept the letters unless they are sealed and mailed or emailed from the person writing them. I would only have the number they ask
  16. NicuGal

    Medicinal Honey

    NicuGal posted a topic in NICU, Neonatal

    Anyone else using it? We just started using it a few months ago on surgical wounds and bad infiltrates...it works so well! Our wound nurses were excited to get the okay from our docs to try it....
  17. NicuGal

    Any thoughts of USA infant mortality rate

    NicuGal replied to nursingaround1's topic in General Nursing

    I don't think it made it drop that far, but it plays into it more than people think. Many other countries don't save micro-preemies whether it is on their ethics or just lack of
  18. NicuGal

    Newborn care plan

    NicuGal replied to hlnorrn's topic in General Nursing

    Parent education of infant safety ie: workers badges, no co-sleeping, don't leave infant unattended, infant security
  19. NicuGal

    Any thoughts of USA infant mortality rate

    NicuGal replied to nursingaround1's topic in General Nursing

    As a NICU nurse, I can tell you we push that envelope and are saving more preemies who are barely viable. These kids live for a short time. Many other countries will not resuscitate a 22 weeker,...
  20. NicuGal

    Are care plans valuable?

    NicuGal replied to Nurse Beth's topic in General Nursing

    I use and document on care plans, I helped develop them for our EPIC maternal child. I will tell you that the two times I went to court, nursing care plans were on the big screen for all to see. At...
  21. NicuGal

    RN diagnosis VS Medical diagnosis

    NicuGal replied to mer10s's topic in Nursing Student Assistance

    If you are ever called to court, it is important to know the difference, we can not diagnosis the
  22. NicuGal

    Deaf and pregnant: Live sign language interpreter or video conference for childbirth?

    NicuGal replied to Donna Maheady's topic in Ob/Gyn

    If the hospital made efforts to meet her needs, she really doesn't have any
  23. NicuGal

    Why is it inappropriate to stand up for yourself?

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

    I see nothing wrong with the nurse answering the patient's question. This what rounds with a team are about and what JCH wants. How a patient is being transferred is part of the care plan and...
  24. NicuGal

    New grads in specialties without the basics

    NicuGal replied to Emergent's topic in General Nursing

    We were just talking about this at work. Many of us believe that maybe, eventually, nursing may become a 5 year program like so many other degrees. This allows internships to take place and...
  25. NicuGal

    Deaf and pregnant: Live sign language interpreter or video conference for childbirth?

    NicuGal replied to Donna Maheady's topic in Ob/Gyn

    Does she not have family with her? We do allow family to interpret but the mom would have to sign a waiver that she doesn't want the tele-