NicuGal MSN, RN

NICU, PICU, PACU

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All Content by NicuGal

  1. NicuGal

    ABG's

    NicuGal replied to CallaRN's topic in NICU, Neonatal

    Betadine, alcohol and then draw. Same for central line draws. I have a question NCIUJOE...do you prep your IIP's/HL's and IV ports before giving meds? Or do you not have a rubber stopper on the end...
  2. NicuGal

    Anyone sick of working weekends????

    NicuGal replied to IloveSnoopy's topic in General Nursing

    Okay....I have to laugh at people who go into nursing and not think about working weekends and holiday...I just have to ask...did you think that the facilities all close on those days? :roll After...
  3. NicuGal

    Medication checks

    NicuGal replied to TIGRESS99's topic in NICU, Neonatal

    We have med computation sheets that have to have 2 signatures on them for all meds, drips, IL, etc. The original order must be checked and double signed on all narc dripps, vasopressors, digoxin,...
  4. NicuGal

    Preceptor Problems... HELP!

    NicuGal replied to CallaRN's topic in NICU, Neonatal

    Wow....that was certainly a sucky day! I have to agree...be very careful in how you approach this subject with anyone....you probably should just tell your preceptor the facts( and make sure they...
  5. NicuGal

    sheepskins

    NicuGal replied to nurseiam's topic in NICU, Neonatal

    No sheepskin at our unit. The big SIDS thing lead to not using it in our unit anymore. We use eggcrate on the really sick kids, but as soon as they are better or grow some, that is taken away and we...
  6. NicuGal

    Nurse/Patient ratios

    NicuGal replied to TeenyBabyRN's topic in NICU, Neonatal

    We just had our ratios put on paper... 1:1 Unstable osc., nitric, any baby on multiple drips and fluid changes, etc. 1:2 Stable vent with one NICU or stepdown kid, 2 stable vents 1:3 3 NICU non...
  7. NicuGal

    geriatric patient

    NicuGal replied to nurseiam's topic in NICU, Neonatal

    That is what they call long-termers...the geriatric neonate
  8. NicuGal

    geriatric patient

    NicuGal replied to nurseiam's topic in NICU, Neonatal

    Yes...we even use it on the heels, but we sometimes have to warm them as the EMLA can cause heelsticks to not bleed so well. I hear you on how many lines some kids go thru...it is so sad! Have they...
  9. NicuGal

    geriatric patient

    NicuGal replied to nurseiam's topic in NICU, Neonatal

    Does she have a central line? We get an order to draw off the line when they are that old. We have done venous sticks on them too....we use EMLA
  10. NicuGal

    Altered and removed charting

    NicuGal replied to Xtreme1's topic in Patient Safety Issues

    That is totally wrong. I would call Jchaco and report this. They will come in and take a total look at everything. It is confidential. One of our practitioners, who is very seasoned and also into...
  11. NicuGal

    Do you or your team members attend deliveries?

    NicuGal replied to NICU_Nurse's topic in NICU, Neonatal

    We all attended a Code Pink class and have NRP. But, with the residents and the NP's we don't go unless they call over for extra help or if there is more than one delivery being called. Too many...
  12. NicuGal

    Sick Time for Nurses in NICU

    NicuGal replied to hmarandola's topic in NICU, Neonatal

    We have gotten into the habit of telling the parents why we are at work...and we ask them to complain to see if we can get the sick policy changed. Why be ashamed, it isn't your fault that the...
  13. NicuGal

    Sick Time for Nurses in NICU

    NicuGal replied to hmarandola's topic in NICU, Neonatal

    Hi! :) First, all hospitals sick policies are different. Basically, unless you have something like RSV or Roto, you go to work, at least in my hospital you do. We wear masks if we have colds....
  14. NicuGal

    neonatal follow up clinics

    NicuGal replied to nicudaynurse's topic in NICU, Neonatal

    We have a very well established Special Care Clinic. We have the main practice at our hospital in our peds area and then a satellite in another county. The kids are followed for up to 6...
  15. NicuGal

    Nurse Cuts Off Baby's Toe ?!

    NicuGal replied to Zee_RN's topic in General Nursing

    Well joe, probably because it wasn't a consented procedure. Nuff said there. I can see how that can happen....a few of us at work have snipped an earlobe when trimming OET tape...I can't even begin...
  16. NicuGal

    Charge nurse duties in your NICU?

    NicuGal replied to NICU_Nurse's topic in NICU, Neonatal

    Our charge nurses don't have an assignment either if we can help it. We make out the assignments, help out, delegate and redelegate, make sure the next shift is staffed, make sure the sign in sheet...
  17. NicuGal

    JCAHO visit

    NicuGal replied to tylerrose's topic in General Nursing

    Pain management and all the Do Not Use abbreviations...they scoured many of our charts for
  18. NicuGal

    How many of you are married to or date someone in the Medical Field?

    NicuGal replied to echo*echo's topic in General Nursing

    I met my DH at work :) He works in Radiology/special imaging
  19. NicuGal

    Floating

    NicuGal replied to shyviolet78's topic in NICU, Neonatal

    L/D is a closed unit in our hospital. We go to Normal nursery, detained nursery, peds floors and PICU. We don't do moms on the floor and we take young kids or babies. We keep a float book....it...
  20. NicuGal

    hyperal use in the NICU

    NicuGal replied to Deb Bobola's topic in NICU, Neonatal

    We have two attendings that will start HAL on day one if they can get the order in soon enough. No lipids. They are doing a big study at our hospital about this. We have double lumen UVC's so we...
  21. NicuGal

    "cpap Head"

    NicuGal replied to IttyBittyBabyRN's topic in NICU, Neonatal

    I hate CPAP head! I don't think there is a thing we can do about it...we use the same setup as you and they end up with this tall head and squashed in sides...not attractive at all. We duoderm the...
  22. NicuGal

    LPNs in the NICU??

    NicuGal replied to luvbug's topic in NICU, Neonatal

    We had LPN's when I first started there 17 years ago, but they reassigned them to the peds floors about 12 years ago. They were the best nurses I worked with! We can't even have an LPN float to us...
  23. NicuGal

    Are you allowed to wear your rings

    NicuGal replied to magRN's topic in NICU, Neonatal

    We are allowed to wear our wedding bands and watches. Our ID department did a big study on this and found that if you are washing the right way and just move the watch and ring then it is okay. No...
  24. NicuGal

    Development of NEC- questions for you!

    NicuGal replied to NICU_Nurse's topic in NICU, Neonatal

    That sounds like a nice case of NEC to me! Usually those kids start looking icky and then it is downhill from there. We have had alot of full termers lately with NEC....perfed NEC. And you can have...
  25. NicuGal

    Development of NEC- questions for you!

    NicuGal replied to NICU_Nurse's topic in NICU, Neonatal

    That sounds like a nice case of NEC to me! Usually those kids start looking icky and then it is downhill from there. We have had alot of full termers lately with NEC....perfed NEC. And you can have...