karnicurnc

karnicurnc MSN, APRN, CNS

L/D 4 yrs & Level 3 NICU 22 yrs

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All Content by karnicurnc

  1. NICU Nerd Attack!

    karnicurnc replied to prmenrs's topic in NICU, Neonatal

    I have all the newest editions of all the books. I don't highlight, though. I'm studying for my neonatal CNS certification

  2. Best way to get to NICU?

    karnicurnc replied to vintage_RN's topic in NICU, Neonatal

    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...

  3. Methadone babies

    karnicurnc replied to gyp253's topic in NICU, Neonatal

    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...

  4. NRP, PALS, or STABLE to help my resume?

    karnicurnc replied to cat1235's topic in NICU, Neonatal

    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...

  5. Which CNS certification?

    karnicurnc replied to mursej's topic in Clinical Nurse Specialists, CNS

    I will graduate in May and be eligible to sit for the neonatal CNS exam offered through AACN (the ACCNS-N

  6. central line changes

    karnicurnc replied to Bgwalth's topic in NICU, Neonatal

    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 that...

  7. Methadone babies

    karnicurnc replied to gyp253's topic in NICU, Neonatal

    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...

  8. Different Shift Hours

    karnicurnc replied to resqbug's topic in NICU, Neonatal

    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...

  9. clinical question for neonatal nurses

    karnicurnc replied to Lisa252's topic in NICU, Neonatal

    We also feed small amounts by gravity, very slowly, over a few minutes. Larger volumes are pumped in over 30 mins unless there is feeding

  10. RNC-NIC/CCRN

    karnicurnc replied to NICURNPAWV's topic in NICU, Neonatal

    I took the test several recert cycles ago. I used the book with all the review questions and went through each chapter. If I scored a 70% of better I felt like I knew most of the material well...

  11. picc teams

    karnicurnc replied to picc.is.an.art's topic in NICU, Neonatal

    We do have a PICC team for our 60 bed Level III NICU. Credentialed RNs and some NNPs are part of the team. They place lines and change dressings when

  12. "Down time" on your shift?

    karnicurnc replied to milkglass's topic in NICU, Neonatal

    Downtime? What's that? Downtime means I actually get to eat my

  13. Breast milk storage in NICU

    karnicurnc replied to catlover314's topic in NICU, Neonatal

    We are a 60 bed 5 pod unit. We have 4 huge freezers with bins that store milk. Each pod has a dorm fridge that stores milk for the patients in that room. Labeled bins are also used in these...

  14. NNP

    karnicurnc replied to aerorunner80's topic in NICU, Neonatal

    I would JUMP at the chance for free tuition and to be paid to go to school. I think a strong background as an NNP would help a PNP and clinic patients. Our NNPs work 3 12hr shifts a week, rotating...

  15. how to deal with loss in the NICU

    karnicurnc replied to leighTX's topic in NICU, Neonatal

    I have been a NICU nurse for 12 years. We are a 60 bed level 3, so we have a lot of patients. That means we also see our fair share of deaths. Some are expected and others are sudden and tragic (alive...

  16. Transport

    karnicurnc replied to babyRN0404's topic in NICU, Neonatal

    We have a dedicated Neonatal/Pediatric transport team made up of experienced bedside nurses. They do not do bedside care except to help with procedures, occasionally, such as umbilical line

  17. Is it difficult for men to get into NICU?

    karnicurnc replied to MattNurse's topic in NICU, Neonatal

    I think it's great to have male nurses in the

  18. NG tube placement

    karnicurnc replied to Animal3's topic in NICU, Neonatal

    We measure carefully as another poster described, note tube marking and auscultate and aspirate before every feeding and q4 hrs with continuous feedings. Tube placement is noted on X-rays taken for...

  19. 8 weeks for orientation

    karnicurnc replied to pocketpixie's topic in NICU, Neonatal

    I agree that 8 weeks is not long enough. I have been a preceptor on a level III NICU for almost 12 years. We allow an orientation period of about 11 weeks of hands on pt care. It never seems to be...

  20. New Grad NICU Support Thread

    karnicurnc replied to niculove's topic in NICU, Neonatal

    As a clinical preceptor with 12 years of level III NICU experience I can tell you that it will take a year or more to feel comfortable in the unit. There is no way to completely prepare yourself for...

  21. MRSA colonization

    karnicurnc replied to HarleyNrs's topic in NICU, Neonatal

    Our MRSA babies are on isolation until

  22. AMA Discharges

    karnicurnc replied to catlover314's topic in NICU, Neonatal

    Isn't a shame they have to pay for something out of pocket that is completely unnecessary?! *eye roll* I have never seen them go through with it

  23. Basic roles of a nurse in the NICU

    karnicurnc replied to jbreite's topic in NICU, Neonatal

    I suggest you do a job shadow and see exactly what we do day to day. Telling you what the job entails is nothing like seeing it and doing it in person. Good

  24. A Question for NICU Nurses (especially ones who have been for awhile)

    karnicurnc replied to blondy2061h's topic in NICU, Neonatal

    We use Methadone in the NICU, and occasionally phenobarbital. We dose until captured and SS has made their assessment of the home situation. The baby goes home on Methadone, usually with the mother...

  25. AMA Discharges

    karnicurnc replied to catlover314's topic in NICU, Neonatal

    Wow, no. That is