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Search Results Type: Posts; User: karnicurnc

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  1. NAS, How do you score?
    Inter-rater reliability training can improve the accuracy of scoring and boost the confidence the providers have in the nursing staff related to scoring. I have read several research articles that...
    Sep 21, '15
    Forum: NICU Nursing / Neonatal
  2. COMPUTER CHARTING
    We use EPIC also, but don't let them sell you the adult ICU version and tell you they can modify it for NICU. Buy the NICU module to begin with.
    Sep 21, '15
    Forum: NICU Nursing / Neonatal
  3. 8 weeks of orientation
    I agree that is not enough time for orientation. Request more time, if you can. Talk with other newbies to see how they handled it. Ask for a buddy when off orientation - a person you can go to...
    Sep 10, '15
    Forum: NICU Nursing / Neonatal
  4. New job!
    The NICU is an intimidating place. The patients are often very sick, and families are extremely stressed. So it is good to heave a little bit of healthy fear. It will keep you on your toes. Make...
    Sep 1, '15
    Forum: NICU Nursing / Neonatal
  5. Nicu in need
    I am quite concerned about how your unit is handling this escalation in level of care. The "blind leading the blind" puts everyone's license in jeopardy. You can't just start running a Level III...
    Aug 26, '15
    Forum: NICU Nursing / Neonatal
  6. Nicu/peds float - becoming competent
    Agree with the above comments. Our float pool receives about 3-4 days of training and take the feeder/growers. The most experienced floats can take slightly more complicated kids, but that takes...
    Aug 20, '15
    Forum: NICU Nursing / Neonatal
  7. Parent Support Groups
    A support group made up of former parents who mentor current NICU parents? Or a support group where you as a nurse offer support to current NICU families?
    Aug 20, '15
    Forum: NICU Nursing / Neonatal
  8. Looking for some support on how to keep focused in the face of short staffing and pressure
    Several things I want to comment on: Rotating shifts within the same week is a problem. Can you ask to be on days or night totally, and not rotate around? Your nurse to patient ratios (5-8 ...
    Aug 17, '15
    Forum: NICU Nursing / Neonatal
  9. Looking for some hand hygeine policy input...
    Same as babybums, above, no rings with stones and no artificial nails. Plain wedding band is allowed.
    Aug 17, '15
    Forum: NICU Nursing / Neonatal
  10. CNA in the NICU
    Hi, Just curious if your NICU employs nursing or patient care assistants and what some of their responsibilities might be, such as PO feeding stable infants, taking vitals, NG/OG feedings after...
    Aug 13, '15
    Forum: NICU Nursing / Neonatal
  11. Penguin refrigerators
    We are considering purchasing the mini Penguin refrigerators for each bedspace (60 beds) in the NICU. They would be used for breast milk and formula storage and take the place of the "apartment"...
    Jun 23, '15
    Forum: NICU Nursing / Neonatal
  12. neonatal CNS exam
    Hi everyone, I am studying for the neonatal CNS exam offered by AACN. It is a new test, and according to their website, 5 people took it in 2014, and all 5 passed, but there isn't really a lot of...
    May 18, '15
    Forum: Clinical Nurse Specialists (CNS)
  13. Maximum bedside visitors
    4 per bedspace, so that means 8 swarming visitors for twins and 12 for triplets. It's a zoo.
    May 18, '15
    Forum: NICU Nursing / Neonatal
  14. Neonatal Admission Meds and bedside barcode scanning...How do you all do it?
    I agree, standard ordersets and submitting incident reports will help. Be thorough, objective, and polite.
    May 18, '15
    Forum: NICU Nursing / Neonatal
  15. I made a mistake and feel awful
    I agree with the above posts: the transport nurse put the lines in - he/she should know exactly where they are. Nothing in your care contributed to the IVH. Being born early, in an outlying...
    May 18, '15
    Forum: NICU Nursing / Neonatal
  16. Calling NICU nurses!!
    Hi! Yes, sometimes the babies cry nonstop, some are sedated, the families can be challenging, and we do titrate drips. Spending a day shadowing a NICU nurse will provide invaluable insight into the...
    May 18, '15
    Forum: NICU Nursing / Neonatal
  17. Methadone and NAS- from a mom's perspective
    We encourage consistent breastfeeding if the mother can produce a UDS that is negative for street drugs. Most of these mothers are not able to maintain a supply because they do not visit and...
    May 18, '15
    Forum: NICU Nursing / Neonatal
  18. NICU Nerd Attack!
    I have all the newest editions of all the books. I don't highlight, though. I'm studying for my neonatal CNS certification exam. :woot:
    May 17, '15
    Forum: NICU Nursing / Neonatal
  19. Best way to get to NICU?
    The skills you have learned as a nurse working with adults (time management, prioritizing, teamwork, working with difficult patients, etc) will translate nicely to a NICU position. The rest of your...
    Jan 6, '15
    Forum: NICU Nursing / Neonatal
  20. Methadone babies
    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...
    Jan 6, '15
    Forum: NICU Nursing / Neonatal
  21. NRP, PALS, or STABLE to help my resume?
    You won't need PALS in the NICU sinc it is for older children. STABLE is a longer class, usually comprised of several days. I would agree with post above that recommends NRP. That is the 1st class...
    Jan 6, '15
    Forum: NICU Nursing / Neonatal
  22. Which CNS certification?
    I will graduate in May and be eligible to sit for the neonatal CNS exam offered through AACN (the ACCNS-N exam).
    Jan 2, '15
    Forum: Clinical Nurse Specialists (CNS)
  23. central line changes
    Before we implemented a very comprehensive IV tubing change policy our CLABSI rate was quite high, higher than the national average. Since then, 6 years later, our CLABSI rate has fallen to less...
    Jan 1, '15
    Forum: NICU Nursing / Neonatal
  24. Methadone babies
    People (doctors and nurses) who care for infants with NAS should have a basic knowledge of what NAS is and how it affects infants. A strong foundation is necessary to help educate families, provide...
    Jan 1, '15
    Forum: NICU Nursing / Neonatal
  25. Different Shift Hours
    All new hires work 12-hour shifts and that started before I was hired 14 years ago. We still have some 8-hour people and it makes staffing extremely difficult, especially at 1500. Lots of call...
    Dec 24, '14
    Forum: NICU Nursing / Neonatal


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