NicuGal MSN, RN

NICU, PICU, PACU

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All Content by NicuGal

  1. NicuGal

    giving morphine to neonate without CR monitoring

    The dose you start with is different than what would be used for pain control or sedation. Our nursery does not routinely monitor these kiddos. Once you reach the upper limit and Ned to add other meds, my guess is that they would be transferred to...
  2. NicuGal

    Doulble lumen UAC v/s double lumen UVC

    Dbl lumen UAC's also sometimes don't give a good BP reading. We have had a few fellows accid ntly put them in (we aren't at the bedside to check stuff, bad docs!). Also, you can't put pressers and many meds thru arterial lines. I'd ask what there ...
  3. NicuGal

    Tips on makeup during clinicals?

    We weren't allowed make up back in the day. Don't worry about it, go as yourself, the patients really won't care.
  4. They floors I have been a patient on at one hospital would make a little announcement. They would offer headphones, earplugs and sleep masks.
  5. NicuGal

    IV securement

    The stat locks are good on the big term kids but not so much for the little ones, it makes the hub sit at a funny angle.
  6. NicuGal

    Does anyone else ever envy their patients?

    No. And I say that pretty loudly. As someone who just did a 2.5 week stint in an ICU bed and another 2 weeks in the floor after 2 surgeries and having overwhelming sepsis, you've got to be kidding. Sure, laying in bed for a month sounds fabulous, ...
  7. NicuGal

    Doctors Say the Darnedest Things

    Mom delivering in bed on our old Antepartum which wasn't connected to our L/D at the time: OB resident: Hurry hurry, she's delivering in bed and there is something wrong with the baby's head! It has a hole maybe an encephalocele!!!!!!" NNP and my...
  8. We had a lot of our new girls get a year under their belt then travel.
  9. NicuGal

    Ethical Dilemma

    We are not trying to be mean, but some of those questions are not one line answers. And yes, you do get internet trolls who can answer questions....they love google. Homework such as this is meant for face to face interview or at least a phone cal...
  10. My husband and I both do not have access to our work email and we work at different hospitals. Accessing and reading email is considered on the clock by both institutions and they legally would have to pay us each and every time we did so, hence no ...
  11. NicuGal

    Ethical Dilemma

    You can read thru previous threads also, but you are much better off to find a "live" person to interview...this is the internet and you really can't be sure who you are talking with.
  12. NicuGal

    Facility not allowing us patient contact

    It is the school's responsibility to find a suitable site. Why is the director even allowing this? I don't mean to sound harsh, but it isn't the schools responsibility to make sure people don't have transportation issues. If this is the reason the...
  13. NicuGal

    Injection Gone Wrong: Part 2

    It is how you are positioned on the coil in the machine, a good tech knows how to do that!
  14. You can't avoid all the gross stuff for sure. And you can't walk all over the floors wearing gloves. You should see a therapist and address this because I think you will be under a lot of stress.
  15. NicuGal

    I want to be a NICU nurse + research question

    Honestly, getting NRP prior is a bit of a waste of time and money. Most places have it built into their orientation.
  16. NicuGal

    NICU New Grad

    Since most NICU jobs are hard to come you will most likely work rotation or straight nights.
  17. I just had a lengthy surgery and not one nurse checked for a blood return on any of the three PIVs I had. And guess what, they were all fine, until they burned when they flushed them. I am an extremely hard stick, and yes I had an IJ for a few days,...
  18. NicuGal

    Central lines and CLABSI

    Don't your umbilicus sites get goooy with tegsdermon them? We have zero umbilical infections, for about 10 years now. We leave ours open to air, and just loop it to the side. Lines are changed every 96 hours. For CVL and PICCs, sterile dressing ch...
  19. NicuGal

    Allnurses needs nurses

    I agree with everyone. I am kind of tired of the "everyone is mean" "how do I know I passed my boards" "I hate night shift " "Is nursing for me" etc threads. Kids, get iver it, this is the real world, you have to adapt to it, it doesn't adapt to y...
  20. It isn't in our policy either. Best thing to do is follow your hospital protocol.
  21. After going thru a pre-op for a big surgery, my blood work was done 5 days prior, I wish they could just draw a test then. After being NPO for hours, it was like squeezing a rock for liquid lol �� But a urine from home, probably not. Although...
  22. NicuGal

    Will I get kicked out of nursing school?

    I take it that this place also doesn't use an electronic MAR. If they do, then was the med scanned prior to administration. yes, it is your responsibility to check the vial yourself and draw it yourself. There is nothing wrong with saying, " Oh, I...
  23. NicuGal

    Bedside Reporting?

    We have always done bedside, even before it was the new big thing. If there are parents there and there is sensitive info they don't know yet, we will point to the info in SBAR and that means we will discuss it further later. We also let the parent...
  24. NicuGal

    Classmate Spilled Coffee On My Laptop - Broken

    That is good news. Still take it see if they can retrieve your info. And buy a warranty and extended warranty. Also look to have it covered on your homeowners or rental insurance.
  25. NicuGal

    Don't do the physicians work!

    I take it you don't work in a large teaching facility. We do this all the time, we usually find the fellow and tell them to go teach.