Latest Likes For karnicurnc

karnicurnc, MSN, APRN, CNS 4,251 Views

Joined Oct 20, '09 - from 'Virginia'. karnicurnc is a Neonatal Clinical Nurse Specialist. She has '19' year(s) of experience and specializes in 'L/D 4 yrs & Level 3 NICU 15 yrs'. Posts: 173 (30% Liked) Likes: 81

Sorted By Last Like Received (Max 500)
  • Oct 27 '16

    I am a neonatal CNS who graduated in May of last year. My hospital paid for me to go to school as the state requires a CNS in a Level III or higher NICU. I am 1 of 11 CNS's in my hospital (a large teaching/tertiary regional facility) and we are well-utilized in the system. I have received offers from other centers looking for a neonatal CNS, so maybe it depends on what your focus is on. I am lucky to have quite a bit of autonomy in my role, and for that I am grateful. When I went to school I was 1 of 2 neonatal CNS students and our plan of study was a hybrid - taking classes with NNP students and adult CNS students. This year that school opened up a dedicated neonatal CNS track.

  • Oct 26 '16

    I am a neonatal CNS who graduated in May of last year. My hospital paid for me to go to school as the state requires a CNS in a Level III or higher NICU. I am 1 of 11 CNS's in my hospital (a large teaching/tertiary regional facility) and we are well-utilized in the system. I have received offers from other centers looking for a neonatal CNS, so maybe it depends on what your focus is on. I am lucky to have quite a bit of autonomy in my role, and for that I am grateful. When I went to school I was 1 of 2 neonatal CNS students and our plan of study was a hybrid - taking classes with NNP students and adult CNS students. This year that school opened up a dedicated neonatal CNS track.

  • Sep 17 '16

    The healthcare team should stop asking the parents if they want everything done to save their baby. The team should tell the parents that all that can be done is to provide comfort care and let the parents hold. Choices such as coding with chest compressions, bagging, and meds should not be offered. Until the team steps up and offers a humane and dignified scenario, we, the NICU nurses, will have to continue to fight this battle for the babies.

  • Jun 9 '16

    Research has established that the mother's dose of medication does not directly correlate with the severity of the infant's withdrawal symptoms. In other words, if the mother's dose is high, you can not expect that the infant will experience severe symptoms. Conversely, if the mother's dose is low you can not assume the infant will be fine and not experience severe symptoms. See research citation below.

    Pizarro, D., Habli, M., Grier, M., Bombrys, A., Sibai, B., & Livingston, J. (2011). Higher maternal doses of methadone does not increase neonatal abstinence syndrome. Journal of substance abuse treatment, 40(3), 295-298.

  • May 27 '16

    We do not check abd girths as they are useless as stated previously.
    Here are two articles that helped to provide evidence to change our practice from checking residuals to NOT checking them unless there are other signs of feeding intolerance (abd distention and emesis). Residuals alone are not a useful tool and actually lead to increased TPN days, increased central line days (and all inherent risks), increased LOS and costs.
    Dilemmas Surrounding Interpretation of Gastric Residuals in the NICU Setting
    The value of routine evaluation of gastric residuals in very low birth weight infants. - PubMed - NCBI
    I am happy to email the articles directly to you if you are not able to access them.



close