NicuGal MSN, RN

NICU, PICU, PACU

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All Content by NicuGal

  1. NicuGal

    Question for those who did watch ER?

    Absolutely not!!! That was a horrible,horrible show on a
  2. NicuGal

    IV site checks

    My other question is..you aren't going to read the IV"s every hour? Now that is asking for big trouble...I have seen pumps set wrong or malfunction and the only reason it was caught was because the...
  3. NicuGal

    Cute things manager's say

    As we say where I work.. BOHICA (Bow-hee-cah) Bend over here it comes again :roll
  4. NicuGal

    IV site checks

    I believe it is standard of care nationally to check the site q1hr. I've seen some nasty IV infiltrates that have happened in an hour, esp with vasopressors and bicarb. IMHO...not a good idea to...
  5. NicuGal

    NEC and feeding routines...

    It seems that NEC goes in spurts with us. We will go many months without any and then boom, we have 3 or more. The formula really doesn't have anything to do with it. NEC is usually caused by some...
  6. Oh yeah, we've done this ! One summer we had over 60 kids in our 50 bed unit (2 of those are isolation pod). What a pain in the behind...we had to rent monitors and vents. Each of our bedspaces has...
  7. NicuGal

    Unit Dose

    Is the unit dose system used? Yes, we went completely to unit dose about a year ago. Are all medications prepared in the pharmacy using the unit dose system? Yes, all our meds are prepared there....
  8. NicuGal

    Our unit is a big ole mess~

    We have had a huge influx of just 22 weeks or just 23 weeks...including twins! And guess what,,,they have all had PDA ligations, and are just a mess! We have 8 of these kids...what the heck are we...
  9. NicuGal

    BF and maternal temp

    That would be a big yes
  10. NicuGal

    Preparing TPN

    1. Do you dress sterile when changing TPN sets ? (robe, gloves, mask etc.) No we don't. 2. Do you change sets alone or does it require 2 nurses ? We change it by ourselves, just like any other...
  11. NicuGal

    what is mandatory overtime exactly?

    When we refuse we have to fill out a paper with the reason. As many of our DH's have said...why should they be late to work because our unit can't staff itself? Not their problem! And I always put...
  12. NicuGal

    Marijuana and Breast Feeding ????

    Any illicit drug=no breastfeeding in our hospital. If mom tests positive no go. I have to disagree...tainted breastmilk ain't better than formula. Would you drink anything that you knew had some...
  13. I got report on a 17 year old in with ulcers on his feet...went in and said...so, how is the pain in your feet...what number would you give it...he looked at me and said, "Lady, I'm a myleo...I can't...
  14. NicuGal

    I hate it when people say this...

    Oh, what a nice job it must be to sit and feed babies all evening. Oh, man, sure, especially when they each take 45 minutes to eat LOL And...what do you mean you don't know about this med or how...
  15. Are the babies allowed to stay in mom's room even if she is not within eyeball shot of the baby, say for a shower? We have a strict policy that no baby is to be unattended for a minute...instant...
  16. NicuGal

    Premie vs. "Miscarriage"

    That seems silly to me to go home and come back every few days...sure, save some money in the long run, but that is a lot to do! And steroids do work wonders! Many of our 32-35 weekers aren't even...
  17. NicuGal

    Premie vs. "Miscarriage"

    Wow...33 weeks stay in our unit...our nursery won't touch them. And then your baby would have had at least 2-3 days of antibiotics if there were any risk factors. We wait for all cultures to come...
  18. NicuGal

    Premie vs. "Miscarriage"

    I hate to be the cynical one, but those little 22 week miracles most likely have some problems down the line. We have had a huge influx of just barely 22 weeks.....they are all pretty much a mess at...
  19. NicuGal

    Paxil

    We have had several kids in the past year that had withdrawl from Paxil...they all had seizures and required intubation for a few days. Our neos said that there are no clear studies on how it...
  20. NicuGal

    UA/UV Placement

    I have seen our NNP's get them in kids that were 5-6 days old! They chop off the cord , practically dig it out and then place the lines and pack it with gel foam. Three days should be okay, it...
  21. NicuGal

    moms and babies staying together

    I have a question about moms and babies staying together...do you all have a nursery open at all times...we have to have an RN in the nursery 24/7 because when the moms shower the babies have to go to...
  22. We are dropping like flies! Our census has been down so we are being sent up to peds...and most of the time it is to the dirty side! :eek: Now, we aren't allowed to come back to the unit, but gee,...
  23. Anyone who has received this should not be coming into your unit for 3 weeks as it is shed for that long. We just had a mom and dad who got that and now they can't come in for 3 weeks! The mom told...
  24. NicuGal

    Input for newborn with Downs Syndrome

    May I suggest looking for a support group also? With a newborn with Down's some need intensive care, others don't. As you have most likely read, there can be other things wrong besides the Down's,...
  25. NicuGal

    :( sad and in need of advice

    Oh, I am soo sorry... Usually we end up going to PICU and caring for these kids when we float...they are sick for a long time and sometimes they are on the vent for a while. It is a long recovery and...