karnicurnc

karnicurnc MSN, APRN, CNS

L/D 4 yrs & Level 3 NICU 22 yrs

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All Content by karnicurnc

  1. Low resting heart rate

    karnicurnc replied to PEDSOBRN's topic in NICU, Neonatal

    Our policy is 34 weeks low HR limit set at 80. We have to get an order for a term quiet baby who keeps dipping just below 80. And then the order would probably be to 75, especially if baby is pink...

  2. What experience needed for NICU

    karnicurnc replied to emmie9905's topic in NICU, Neonatal

    *job Silly

  3. What experience needed for NICU

    karnicurnc replied to emmie9905's topic in NICU, Neonatal

    While nothing can totally prepare you for NICU nursing, PICU or newborn nursery experience may be helpful in eventually landing a taking care of sick

  4. Is the nicu and nursery easy?

    karnicurnc replied to almostmadeit's topic in NICU, Neonatal

    No part of nursing is easy. It is all difficult. It is the world we live

  5. Orientation

    karnicurnc posted a topic in NICU, Neonatal

    I am trying to get a feel for how long orientation is in a level III NICU. We used to break ours up into 2 6-week blocks about 6 mos apart. Now we do 12 weeks, although 1 week is dedicated to hospital...

  6. Calling all current cns students

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

    Hi NICU_babyRN, where are you going to school? Will you be taking a cert exam specific to NICU? Good luck with you capstone

  7. Calling all current cns students

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

    Hello everyone, I am not currently a CNS student, but I have researched programs and will hopefully be applying this fall. I was quite surprised to find that there are very few programs in the...

  8. TPN

    karnicurnc replied to NICUR's topic in NICU, Neonatal

    We do not protect TPN from light and I am very curious and interested to find out why one should and if this is best

  9. What becomes of them?

    karnicurnc replied to Penelope_Pitstop's topic in NICU, Neonatal

    We do total body cooling for HIE. Some of them live and some of them die, but for those that live, the outcome is quite

  10. IV starts - anyone get better?

    karnicurnc replied to krenee's topic in NICU, Neonatal

    Have you tried advancing the catheter while gently flushing? It kind if floats in that way. I tell all my orientees to watch other people start IVs. Take every opportunity to observe technique,...

  11. NNP vs. PA Advice?

    karnicurnc replied to dcorynn's topic in NICU, Neonatal

    I work in a Level III NICU teaching hospital and we do not use PAs. We only use NNPs. I think the NNP route is your best choice. You will be more marketable as an NNP than a PA. Good

  12. Endotracheal Intubation Protocols vs guidelines

    karnicurnc replied to KristineRN,NICU's topic in NICU, Neonatal

    We use an RSI policy. It works

  13. ECPI LPN PROGRAM Manassas, VA

    karnicurnc replied to wzelleke's topic in Virginia Nursing

    I can not recommend getting your RN strongly enough. You will be MUCH more employable. Good

  14. carilion roanoke memorial hospital,

    karnicurnc replied to takeatrip's topic in Virginia Nursing

    CRMH is hiring experienced nurses and new grads. Check their

  15. Bracelets in the NICU

    karnicurnc replied to kandrien's topic in NICU, Neonatal

    We also strive to have 3 bands on at all times expect for the micro preemies. The birth bands are placed in plastic sleeves once they are cut off, either for an IV or because the baby grows. We use...

  16. ECU online CNS program

    karnicurnc posted a topic in North Carolina Nursing

    Has anybody been admitted, is currently attending, or has graduated from ECU's CNS program? I just wanted some feedback about the program. Thank

  17. When to start CPAP vs. blow by 02 vs. PPV?

    karnicurnc replied to LRC_RN's topic in NICU, Neonatal

    It's as if you can read my mind because that is one of the things I tell my orientees to be aware

  18. When to start CPAP vs. blow by 02 vs. PPV?

    karnicurnc replied to LRC_RN's topic in NICU, Neonatal

    Almost ALL babies in the NICU require very close monitoring and supervision when bottle feeding. You have to watch them constantly. Learn to pace them appropriately. Use the correct nipple and be...

  19. New NICU nurse, feeling very disheartened ;( Question to Preceptors

    karnicurnc replied to NewNicuNurse1336's topic in NICU, Neonatal

    Bortaz hit the nail on the head. It is grossly inappropriate for the preceptor to be out of the room for hours at a time, period!! The amount of time the orientee has been working there is irrelevent....

  20. NICU Resource Books

    karnicurnc replied to NICU<3RN's topic in NICU, Neonatal

    As a clinical preceptor, let me offer you a piece of advice. Don't try to read the books from cover to cover. As you come across patients with specific medical problems, read the corresponding section...

  21. SIDS prevention and Back to Sleep education for NICU parents

    karnicurnc replied to scrabblern's topic in NICU, Neonatal

    We start weaning from the incubator at 32 weeks adjusted until the bed temp is 26. Then infant is dressed in shirt, sleeper (if available) Halo Sleepsack and hat and put in open crib with HOB flat. If...

  22. Communication with parents in nicu

    karnicurnc replied to Michelle Jackman's topic in NICU, Neonatal

    It is great that you have gained so much knowledge and experience! I work in a facility with a Level III NICU and a Level I trauma center. Feel free to send me a PM and I can fill you in on

  23. Communication with parents in nicu

    karnicurnc replied to Michelle Jackman's topic in NICU, Neonatal

    Bortaz Wow, that makes me wonder about where you work. I would encourage you to move and find a better NICU to work in, if that is what you want to do. Never settle for something less. We are hiring,...

  24. Anyone apply to the Rush University online CNS program?

    karnicurnc replied to NavyNICUnurse's topic in NICU, Neonatal

    I sent you a PM. Let me know if you did not get

  25. Communication with parents in nicu

    karnicurnc replied to Michelle Jackman's topic in NICU, Neonatal

    We use a variety of tactics, but one of the most effective ways is the Plan of the Day Sheet. It is filled out by the doc/NNP and posted at the bedside for the parents. It includes the names of the...