NicuGal MSN, RN

NICU, PICU, PACU

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All Content by NicuGal

  1. NicuGal

    Can a doctor ask a nurse to write the order when she is standing right there??

    NicuGal replied to Parul's topic in General Nursing

    if you consider that a verbal order...then no you should not write it. We aren't allowed to take verbal orders unless it is an emergency. Moot point now that we have computerized
  2. NicuGal

    Labeling IV lines

    NicuGal replied to moonshadeau's topic in MICU, SICU

    All lines are labeled with different colored stickers that have the drug name printed on them. We label the pump, and again on the line right before the connector to the PICC, AL, Broviac, IV, etc....
  3. NicuGal

    TPN - Peripheral vs Central

    NicuGal replied to EricJRN's topic in NICU, Neonatal

    anything over D12.5 goes central, and we do look at osmol. of the
  4. NicuGal

    Some questions about gentamicin...

    NicuGal replied to summerlove2's topic in NICU, Neonatal

    We also use the Neofax. Gent is given according to post conceptual age and weight. We will push the first dose and then give on a syringe pump over 1/2 hours for subsequent doses. I haven't...
  5. NicuGal

    Infant vaccinations..do you give this?

    NicuGal replied to CoffeeRTC's topic in General Nursing

    Sucrose works on the pain receptors in the brain...there is a lot of research and data to back it up, it isn't only a "diversion". Several companies sell the heelsticker packaged with the sucrose....
  6. NicuGal

    Do you let gastroschisis babies with silos be held?

    NicuGal replied to heymama1plus1's topic in NICU, Neonatal

    Absolutley not. Too much risk for that silo ring to pop out and the bowel to move back out thru that defect. Somethings are beyond our control and some kids just can't be held by mama right
  7. NicuGal

    primary care teams

    NicuGal replied to soprano3's topic in NICU, Neonatal

    We use the dry erase board method also...it is divided into our pods with each bedspace lined out. Babies can have 2 primaries, one on days, one on nights and one associate for each shift. We do not...
  8. NicuGal

    Negative Pressure Wound Therapy - does it really help ??

    NicuGal replied to i.care's topic in General Nursing

    We have used them on difficult closures of open gut defects....they work wonderfully! We ended up keeping the one kid because the insurance wouldn't pay for it for home care...that is...
  9. NicuGal

    malpractice/liability insurance for NICU RN's

    NicuGal replied to nicu4me's topic in NICU, Neonatal

    Boy, a lot of people have their facts wrong. You should carry insurance. The hospital isn't going to cover you if you do not follow policy and procedure to the hilt. As for the IV, IV infiltrates...
  10. NicuGal

    Surgery Bags

    NicuGal replied to 3yrDiploma's topic in NICU, Neonatal

    We have two "tackle" boxes that we use. Our pharmacy keeps a med bag in there that has the standard resuc. meds, the bag has a pharmacy tag on it and pharmacy keeps tabs on when things need replaced...
  11. NicuGal

    Holding with UAC/UVC lines

    NicuGal replied to HurleyRN's topic in NICU, Neonatal

    Not with an arterial line...too risky and our population tend not to be too careful and only think that they know what is best for their baby. I've seen them play pass the baby when the nurse turns...
  12. NicuGal

    heparin 2 units flush

    NicuGal replied to smilesrn22's topic in NICU, Neonatal

    check your policies. We only use saline on peripherals, and prefilled hep flushes for our
  13. NicuGal

    Low census anyone?

    NicuGal replied to Humbled_Nurse's topic in NICU, Neonatal

    I'll send you some...we got hit by the department of health during their visit for being over
  14. NicuGal

    Safe Sleep NICU practices

    NicuGal replied to Hannahrn's topic in NICU, Neonatal

    Do you mean back to sleep? Usually, once they get close to going home, we start to transition them to back, blankets bundled under the arms, no rolls. When they are scheduled for a sleep study...
  15. NicuGal

    Any extra precautions for visitors due to swine flu?

    NicuGal replied to BittyBabyGrower's topic in Disaster Preparation

    We just got a memo that we are limiting visitors to parents and grandparents only for all peds inpatient areas. The adult ICU's are probably moving this way too. We have had a few cases here too, so...
  16. NicuGal

    Schedule issues

    NicuGal replied to qt2168's topic in General Nursing

    I would first ask about it. As someone who did the schedule for 2 years, you wouldn't believe how many people want days lumped together, everyother day, no Weds, etc. It gets to where you can't tell...
  17. NicuGal

    Ventilator alarms

    NicuGal replied to I'mANurse!'s topic in NICU, Neonatal

    Good Advice from all :) We just completed a mechanical ventilation competency pack that everyone has to complete. This was done with the help of our RT's. We use 4 different types of vents and I...
  18. NicuGal

    Couple of questions...

    NicuGal replied to NICURN29's topic in NICU, Neonatal

    Gloves for diapers, isolated kids, body fluids (ie universal precautions), breastmilk, but they need "human" touch, not gloves :) Tube feedings, we change our tubes every 5 days and clean the ends...
  19. NicuGal

    Oxycodone for a Premie??

    NicuGal replied to Florida NICU RN's topic in NICU, Neonatal

    wow...is she sure that is what it is and not methadone? In almost 25 years, I have never, ever seen that
  20. NicuGal

    Is looking at your own health info a HIPPA violation?

    NicuGal replied to nkochrn's topic in HIPAA Challenges

    HIPAA, HIPPA, it doesn't matter, but most hospitals do have a policy in place regarding accessing your or your family members chart. Where I work we have a mychart on line that we can access and see...
  21. NicuGal

    Scrubs in NICU

    NicuGal replied to s.maire.2126's topic in NICU, Neonatal

    Try ACOG (I think that is the abbreviation). We wear our own scrubs, only plastic gowns with isolated kids, no long sleeves with patient care. Number one defense against infection is good hand...
  22. NicuGal

    UAC line question

    NicuGal replied to Cassideca's topic in NICU, Neonatal

    wow...in my opinion, that nurse was negligent. You can't tell me that she didn't know she flushed that whole big syringe into the kid..that is operator error, it has nothing to do with the product...
  23. NicuGal

    UAC line question

    NicuGal replied to Cassideca's topic in NICU, Neonatal

    We havent' had any problems with the biosensors, and I don't see how you could accidently bolus a kid, it can't free flow because of how the stop cock is set up. And we have had no line sepsis since...
  24. NicuGal

    Do you give meds through your UAC....

    NicuGal replied to 2curlygirls's topic in NICU, Neonatal

    no pressors, meds and blood products with an order to do
  25. NicuGal

    UAC line question

    NicuGal replied to Cassideca's topic in NICU, Neonatal

    We recently went to the Biosensors also...they aren't too bad and are a closed system, which is nice. When we had syringes, if they had blood in them, you had to change them out...blood is a great...