NicuGal MSN, RN

NICU, PICU, PACU

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All Content by NicuGal

  1. NicuGal

    unfair floating!!

    NicuGal replied to Pamelita's topic in General Nursing

    Our nursing senate finally set some guidelines on floating for us. 1. All OT and ET is to be cancelled before floating. The person on OT and ET will be offered the opportunity to float first before...
  2. NicuGal

    Staffing and acuity

    NicuGal replied to BBnurse34's topic in NICU, Neonatal

    Wow! I work level III and the most we have is a 4:1 and that is only gainers and growers. We rae usually 3:1. It sounds like you all need to sit down with legal and set guidelines up for
  3. NicuGal

    L&D/NICU hostility!!!!

    NicuGal replied to at your cervix's topic in Ob/Gyn

    wow...I am sooo glad we don't butt heads with L/D where I work...sure we have the usual grumbles about things not documented or called for a tachypneic baby that is being fried under the warmer or for...
  4. NicuGal

    Far-out JCAHO questions

    NicuGal replied to MQ Edna's topic in General Nursing

    I think my favorite thing was the time they stopped by my bedside and I had a super duper sick kiddo, ventilated, paralyzed, and every drip I have ever hung was running, getting push after push after...
  5. NicuGal

    ideas for special projects

    NicuGal replied to nell's topic in NICU, Neonatal

    We get little gift packs from some local businesses (BonneBell for one) and we give them to the moms :) We got the cutest little boxes last year, they had heart shaped openings on the top of them and...
  6. NicuGal

    CNA's in the NICU

    NicuGal replied to daisy16's topic in NICU, Neonatal

    We don't use them anymore. It came to be that the CNA would have 3 babies and they couldn't do the assessment, place an ng, give meds or anything really except PO feed we decided to do away with them...
  7. NicuGal

    first day of orientation

    NicuGal replied to Nicunurse_RN's topic in NICU, Neonatal

    I am so sorry you had a bad day We don't do any formal classes anymore...just NALS . We have a folder we have to follow when we orient and it is set by weeks. You would start working on day one,...
  8. NicuGal

    LVNs and NICU

    NicuGal replied to NJS's topic in NICU, Neonatal

    Our L/D, NICU and PICU are all RN staff. We had LPN's before this rule and they were the best! :) It depends on the hospital. We aren't even allowed to accept them for
  9. NicuGal

    Iv+po

    NicuGal replied to Teshiee's topic in NICU, Neonatal

    Some meds convert over without any change, others need to be a percentage, such as Theo to Aminoph. But, all meds have to be rewritten, not just...change to PO, they have to be a new
  10. NicuGal

    Paperclips for eye exam????

    NicuGal replied to nell's topic in NICU, Neonatal

    They did this on our unit until we got a new opthamologist! He said to never ever do that...a paperclip can have small metal shavings that can imbed in the eye! But they did use those years ago...
  11. NicuGal

    "Floating" rears its ugly head again

    NicuGal replied to Nurse Ratched's topic in General Nursing

    We have a book that we write down the date the person floated...and it goes by that, not who has more experience or where they have worked. I would have been ticked if someone told me I had to go to...
  12. NicuGal

    Night shift nurses are lazy and NICU isn't real nursing!

    NicuGal replied to NICU_Nurse's topic in General Nursing

    Oh, been there, heard that! That is why we get people that transfer in to us and then transfer back out after being off orientation for about 2 weeks. Sure, there are nights when we are laid back...
  13. NicuGal

    Getting stuck

    NicuGal replied to AmyRN1227's topic in General Nursing

    I agree...you need to fill out that report, you may think it is a PIA, but 5 years from now if something comes from it you will be
  14. NicuGal

    ob to med surg

    NicuGal replied to tmf1202's topic in General Nursing

    We don't float to OB...no one does...they are closed. But that is a double edged sword...they get no floats when they are swamped also The rest of maternal-child and pediatrics float to each other....
  15. NicuGal

    Vecuronium question

    NicuGal replied to VickyRN's topic in General Nursing

    We have used vec gtt with MSO4 and either Fentanyl and Versed! We have also used Pavulon with all the above for kids on Nitric treatment and high frequency ventilation. It is the morphine giving...
  16. NicuGal

    How Are Summer Vacations Decided?

    NicuGal replied to susanmary's topic in General Nursing

    May 15th to September 15th. And it goes by seniority. We only are able to take 2 weeks during the above summer months. We sign up for our time from May 15 to the week before Christmas. No...
  17. NicuGal

    Jcaho

    NicuGal replied to KRVRN's topic in NICU, Neonatal

    The crib cards were not a problem...but the charts and clipboards being out on the counters were! We have to put them in the cupboards or under the beds as these are confidential files! Also...make...
  18. NicuGal

    Surgical consent forms- using layman terms

    NicuGal replied to SRainny9's topic in General Nursing

    I didn't realize that nurses were able to get consent...in our hospital, only docs and nurse practioners can get consent. We have a standard consent and then they write in the chart what they told...
  19. NicuGal

    Incident report happy nurse

    NicuGal replied to ohbet's topic in General Nursing

    Incident reports and writing someone up are two totally different things! An incident report does not name names...it only documents what was found, no blaming. If you write someone up, it is about...
  20. NicuGal

    Dopamine and Dobutamine

    NicuGal replied to Teshiee's topic in NICU, Neonatal

    Dopamine drip (1cc/hr=10mcg/kg/min) 60 x kg = # mg to add to a total of 100cc For double concentration 60 x kg =#mg to add to a total of 50cc This will give you 20mcg/kg/min Do the same for...
  21. NicuGal

    who fills out the incident report?

    NicuGal replied to Michelle_nurse's topic in General Nursing

    You should fill out an incident report on anything that you did, or you found. But the Tylenol one could be bad...especially if that patient really received 2000mg! First, did you call the doc on...
  22. NicuGal

    IV Starts

    NicuGal replied to Mofe'ny's topic in NICU, Neonatal

    I love them too~LOL.....some of the attendings will let us do it under the table...not smart, but I love to know I can still hit it on the first stick! :) They are trying to get them to turn it...
  23. NicuGal

    IV Starts

    NicuGal replied to Mofe'ny's topic in NICU, Neonatal

    I used to love doing septic w/u's until the hospital decided we can't do art sticks anymore... to them! But I love to start IV's....I can usually get most kids on the first stick, but sometimes I...
  24. NicuGal

    Suctioning vent patients

    NicuGal replied to willie2001's topic in General Nursing

    In our unit, and thru most of the other units now, we have adopted an as needed protocal...and then the careplans reflect how often the patient usually needs it. Routine suctioning isn't a great...
  25. NicuGal

    IV Starts

    NicuGal replied to Mofe'ny's topic in NICU, Neonatal

    Sometimes it isn't skill...it is luck! Some kids are notoriously horrible sticks! We love scalp veins...and if a kid has a reputation as a bad stick...I go there first. I know parents wig out about...