karnicurnc

karnicurnc MSN, APRN, CNS

L/D 4 yrs & Level 3 NICU 22 yrs

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All Content by karnicurnc

  1. RN duties in the NICU

    karnicurnc replied to BrayaRN's topic in NICU, Neonatal

    Our Neo/Peds transport team consists of an RN and RRT, either of whom can intubate in the field. Vent settings are ordered by the MD. The team is in constant contact with the MD. Lines are placed by...

  2. RN duties in the NICU

    karnicurnc replied to BrayaRN's topic in NICU, Neonatal

    Agree with Jolie. Pretty much the same in my facility - 60 beds. Exception is that the NNP attends deliveries as described above, not a NICU nurses. Our census is usually too high to spare

  3. Starting NICU in 2 weeks, any fast facts/cheat sheets?

    karnicurnc replied to NurseDevonL's topic in NICU, Neonatal

    It is OK to be nervous. I don't recommend reading that entire book from cover to cover before you start. I do like that book and use it myself. What I suggest you do is to pick out a patient or 2 each...

  4. Any suggestions for props for a presentation?

    karnicurnc replied to futureflrn's topic in NICU, Neonatal

    I put a pic of a micropreemie in my presentation (with parent's permission) and brought in items seen in the photo to show scale. People were stunned to see the huge syringe in the pic that was bigger...

  5. Measuring urine output

    karnicurnc replied to 3yrDiploma's topic in NICU, Neonatal

    We measure urine output for the first 24 hours on all admissions. After that we just do diaper checks, unless there is a renal issue. We also do strict I/O when we start certain meds like dopamine,...

  6. Some people should have a sign that says "stupid"... props to the NICU nurses

    karnicurnc replied to ky_grl82's topic in NICU, Neonatal

    Wow! People are crazy! At least once a week I catch someone "window shopping" and when I call them on it, explaining that it is a violation of privacy and HIPPA, they become very offended! As if they...

  7. NICU NURSES....labeling breast milk???

    karnicurnc replied to schoolnurseadmin's topic in NICU, Neonatal

    I work in a 60 bed unit. We treat breastmilk as a med. The baby's admission band is scanned and then the label on the bottle is scanned. If the barcode won't scan, it is verified with another RN. We...

  8. What would make a nurse desireable in a NICU?

    karnicurnc replied to TreehuggerRN's topic in NICU, Neonatal

    You have some good qualities: a BSN, experience as a nurse, even in the adult world is a plus. I train and precept a lot of people and would take an experienced nurse over a new grad any day. Also,...

  9. Any NICUs hiring..anywhere??

    karnicurnc replied to NurseDevonL's topic in NICU, Neonatal

    Hiring in southwestern VA - level 3

  10. Switch to NICU/Neonatology

    karnicurnc replied to CollaborateRN's topic in NICU, Neonatal

    The hospital system where I work will hire new grads, as well as RNs with experience in other fields of nursing. Orientation is 12 weeks. Keep looking! They are out

  11. Tape use in Neonates

    karnicurnc replied to cagedbear's topic in NICU, Neonatal

    We use tegaderm and silk tape for PIVs. After the catheter is inserted and patency is assured, we place the tegaderm over the site and around the hub of the catheter. Then we use silk tape to make a...

  12. Switch to NICU/Neonatology

    karnicurnc replied to CollaborateRN's topic in NICU, Neonatal

    I found a quote from somebody else explaining this. Basically Level 1 is wellborn nursery, level 2 is like progressive care and level 3 is intensive care. It is confusing because trauma centers are...

  13. Switch to NICU/Neonatology

    karnicurnc replied to CollaborateRN's topic in NICU, Neonatal

    We hire nurses from different backgrounds all the time as well as new grads. I don't think you should have a problem. Be sure to highlight organizational skills, work well under pressure, being a team...

  14. Maternal Newborn vs Low Risk Neonatal

    karnicurnc replied to rags's topic in NICU, Neonatal

    Unfortunately there isn't a concise study guide for this certification like there is for the high risk cert. I would suggest reviewing the outline in the candidate guide on the NCC website and...

  15. drinks at nurses station - NICU/NCCC UNC

    karnicurnc posted a topic in North Carolina Nursing

    Interested in finding out if you can have a covered drink container at the nurse's station in each pod of the NICU, or NCCC at UNC Children's hospital.

  16. when to stop humidity in the isolette

    karnicurnc replied to denicu's topic in NICU, Neonatal

    We turn off humidity after 28 weeks because the skin is mature. All O2 is humidified - even down to 0.1 or 0.2 LPM. Your O2 should be humidified

  17. nicus with high hiring rates/preceptor burnout?

    karnicurnc replied to nicu4me's topic in NICU, Neonatal

    Kudos to you for wanting to give back instead of sitting in the corner reading People magazine or texting your boyfriend! I have been in a 60-bed level III unit for 8 years and always welcome help...

  18. nurse hydration

    karnicurnc replied to karnicurnc's topic in NICU, Neonatal

    Indeed that is very frustrating. Several nurses have developed UTIs since our policy changed to no drinks in the pods. I have been lucky. I did read somewhere that it was suggested that the...

  19. nurse hydration

    karnicurnc posted a topic in NICU, Neonatal

    Question: Are you permitted to have a covered beverage at the nurse's station, or must you go to the breakroom for a

  20. Pregnant NICU nurse

    karnicurnc replied to wensday's topic in NICU, Neonatal

    A frank and honest discussion with your provider is in order. Explain your fears and concerns and come up with a plan together. Perhaps induction at 40 weeks instead of waiting until 42. I am sure...

  21. Maternal Newborn vs Low Risk Neonatal

    karnicurnc replied to rags's topic in NICU, Neonatal

    http://www.nccwebsite.org has a candidate guide with an outline of the content on the exam. Check it

  22. Maternal Newborn vs Low Risk Neonatal

    karnicurnc replied to rags's topic in NICU, Neonatal

    I totally agree with low-risk NOT being the same as normal newborn. I work in a large level 3 and we also have level 2 babies. I have the RNC-NIC cert and would strongly recommend that you test within...

  23. nurse hydration

    karnicurnc replied to karnicurnc's topic in NICU, Neonatal

    The OSHA guideline is very vague and states: "Eating, drinking, smoking (!!!), applying cosmetics or lip balm, and handling contact lenses are prohibited in work areas where there is a REASONABLE...

  24. nurse hydration

    karnicurnc replied to karnicurnc's topic in NICU, Neonatal

    Thanks for the schematic drawing! It does help to see how your unit is set up. Our policy is vague - based on OSHA, which is even MORE vague: There will be no food or drink in patient care areas. So...

  25. nurse hydration

    karnicurnc replied to karnicurnc's topic in NICU, Neonatal

    So each bedspace has a counter with a computer and you are allowed to have a drink on that counter within a few feet of the baby? Just trying to understand and get a mental picture in my head. Thank...