karnicurnc

karnicurnc MSN, APRN, CNS

L/D 4 yrs & Level 3 NICU 22 yrs

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All Content by karnicurnc

  1. What it means to be a NICU nurse

    karnicurnc replied to RNSC's topic in NICU, Neonatal

    Hadn't seen it, but liked it.

  2. the best ETT securing methods and devices

    karnicurnc replied to ligucis21's topic in NICU, Neonatal

    We are trialing the Neo-Bar. Try googling that and see what you get. I bet that tape alone is the most common

  3. tub bathing in the NICU

    karnicurnc replied to Cindy Lee's topic in NICU, Neonatal

    We teach parents a swaddled tub bath for babies over 1800g and stable resp status with healed umbis and circ (if done). They are bathed under a radiant warmer and have to be at least 98.0 before a...

  4. Babies discharged on caffeine

    karnicurnc replied to nicunana's topic in NICU, Neonatal

    We also do not discharge on caffeine. We do send babies home on monitors and O2 if absolutely

  5. Visitation Policies in NICU-Info wanted!

    karnicurnc replied to Cbailey08's topic in NICU, Neonatal

    Our visitation policy is pretty relaxed. No children less than 2 years old, and 4 people may visit a baby at the same time. Children other than siblings must be at least 12 years old. Visitation is...

  6. Nasal trauma from bubble cpap

    karnicurnc replied to Julie Basilio's topic in NICU, Neonatal

    Since prevention is key, we apply a barrier to the nose from the bridge to the upper lip. It is skin-friendly and made specifically for this purpose. We love

  7. RNC Review

    karnicurnc replied to nicumom's topic in NICU, Neonatal

    I agree with Love2Learn about everything, but especially the aprt about reading booms about the patients you are caring for. I precept/orient new employees and one of the first things I tell them is...

  8. RNC Review

    karnicurnc replied to nicumom's topic in NICU, Neonatal

    I took my exam about 14 mos ago. I used the review books and a few other resources. I went through each chapter and answered questions. If I scored a 70% or greater I felt like I knew most of the...

  9. Frustrated post NICU RN

    karnicurnc replied to swimmomof2's topic in NICU, Neonatal

    Wow! Those people are idiots! Look at all that great experience you have! How short-sighted those managers are to not even take a chance on you! You are mature, grounded, experienced, and trainable....

  10. Does your unit routinely provide pain or sedative drugs to intubated patients?

    karnicurnc replied to iyqyqr's topic in NICU, Neonatal

    We don't have a policy per se, but all intubated babies have PRN fentanyl/versed and many have fent drips. One would hope that the only EBP you would need is that neonates feel pain and being...

  11. intubation threshold

    karnicurnc replied to lvnurs9's topic in NICU, Neonatal

    Wow! We do not do CPAP beyond 7. I would be interested to see what the literature supports. We try to limit vent days, but sometimes it is inevitable. We intubate for A/B episodes, evidence of severe...

  12. Breaking into NICU-Advice please

    karnicurnc replied to Goldenhare's topic in NICU, Neonatal

    I admire your dedication and perseverance. Sounds like the job market in your area is pretty tight! We hire new grads and non-NICU RNs all the time. Have you considered a job in newborn nursery or...

  13. Neonatal gangrene

    karnicurnc posted a topic in NICU, Neonatal

    I am interested to know if anyone has dealt with gangrene in the NICU. We have a baby in our unit who suffered severe vascular compromise of his leg during surgery to remove a very large teratoma. In...

  14. Books for the new NICU nurse

    karnicurnc replied to Preemie2RN's topic in NICU, Neonatal

    I myself love S Gardner's Handbook of Neonatal Intensive

  15. What do you use for pain control for PICC insertions?

    karnicurnc replied to ICN_RN's topic in NICU, Neonatal

    Sucrose, swaddling, Fentanyl,

  16. POC Testing in the NICU

    karnicurnc replied to brysmit's topic in NICU, Neonatal

    We also send all tests to the lab except glucoses and blood gases. Results are immediate and then in the computer after

  17. NICU in my future?

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

    1) It is untrue that millions of nurses graduate every month. 2) We are in the midst of a nursing

  18. Hospital Rejects Birth Plans

    karnicurnc replied to FocusRN's topic in Ob/Gyn

    Wow! Sounds like 1952, not 2009! Narrowminded and backwards... Very

  19. Low Census

    karnicurnc replied to NicuRN73's topic in NICU, Neonatal

    We have been waaaay down the past 3 mos. We are at 50-60% capacity and the "oldtimers" haven't seen it this low in 15-20 years! We do expect it to turn around soon,

  20. nicu questions. so confused!

    karnicurnc replied to sabby09's topic in NICU, Neonatal

    I agree with previous post about shadowing. Many hospitals have shadow experiences or adopt a student nurse programs. Good

  21. nicu questions. so confused!

    karnicurnc replied to sabby09's topic in NICU, Neonatal

    Sabrina, You will graduate and take the NCLEX-RN just like everybody else in your class. You should apply for a job in the early spring. The unit where you go to work will train you, on the job....

  22. Cocaine in breastmilk?

    karnicurnc replied to NICU_Nurse's topic in NICU, Neonatal

    Same here, pos drug screen means no breastmilk until mom provides proof of neg screen post

  23. Your NICU's protocol for cleansing IV ports

    karnicurnc replied to minky84's topic in NICU, Neonatal

    We do a vigorous scrub with chlorhexadine (chloraprep) with line changes and use alcohol on PIVs before accessing a port. We use betadine on central lines before accessing, although all are supposed...

  24. Switch to NICU/Neonatology

    karnicurnc replied to CollaborateRN's topic in NICU, Neonatal

    I am in southwestern

  25. Any suggestions for props for a presentation?

    karnicurnc replied to futureflrn's topic in NICU, Neonatal

    Let us know what you decide to do and how it