Q. thanks guys! i would really like a long, well written response!
A. Neonatal nursing is a specialized nursing practice of caring for newborn infants (neo meaning new, natal meaning birth) up to 28 days subsequent to birth. There are three different levels of working as a neonatal nurse: Level I consists of caring for healthy newborns, Level II caring for either premature or ill newborns, and Level III caring for newborns who cannot be treated in the other levels and are in need of high technology to survive. It is the neonatal nurse�s choice whether they wish to work in the Intensive Care Unit (ICU) with the healthy born babies or with the ill and/or premature babies.
Level I nurses are no longer in such great demand because the mother and newborn baby now commonly stay in the same room together. In addition, the mother's stay tends to be very short compared to the historical duration of the staymioh after giving birth. In the 1950s a stay consisted of 8 to 14 days. Nowadays, it is common for a mother to leave between 12 and 24 hours after giving birth, providing that the vaginal delivery had no complications.[2]
Level II nurses are more common than Level I because babies that are born prematurely or ill need constant attention. They are responsible for making sure the newborn receives the care it needs. It may include anything from giving supplemental oxygen to intravenous therapy to the newborn. [3]
Level III neonatal nurses specialize in the Neonatal Intensive Care Unit (NICU). Level III specialists provide direct patient care for the newborns. These nurses are in charge of monitoring the ventilators or incubators, making sure the baby is responding well, and checking for complications. The nurse must check on the infant every hour on the hour and record the information taken by the ventilators, blood pressure, etc. [4]
Neonatal nurses are required to be highly diligent because a failure in their duty of care can lead to dire consequences. Neonatal nurses also work under the eye and direction of neonatologists (specialists that have additional training in newborn intensive care for neonatology). The nurses also work with other NNPs (Neonatal Nurse Practitioners), so teamwork is critical. The majority of the neonatal nurse's working hours involve teamwork; therefore, it is critical that the nurse is able to cope with stressful situations and work irregular hours. NICUs are more commonly found in large hospitals and in children's hospitals, rather than basic family physician hospitals. It is the nurse's job to not only care for the infant, but also to have good communication skills with people, in particular with parents. The nurse's responsibility is to teach the parents how to care for their infant in the correct manner. The nurse's role is to explain how to watch for signs or symptoms indicating something is wrong with the infant. This allows the parents to assess whether their baby may be in need of hospital attention.
The entry-level requirements to become a neonatal nurse are different for each location. Most hospitals require that the nurse is a graduate of an accredited RN (Registered Nurse) program and also from an accredited school of nursing with a BSN (Bachelor of Science in Nursing) or MSN (Masters of Science in Nursing).[5] Many require a three year minimum of clinical experience in a hospital setting. It is required specifically for neonatal nurses that he or she has certification as a Neonatal Resuscitation Provider and/or certification in either Neonatal Intensive Care Nursing or Neonatal Nurse Practitioner. The NICU, for instance, requires a certification. For all of these qualifications, there must be a CNS (Clinical Nurse Specialist) or RN certification of the state in which the nurse wishes to work. Some hospitals insist that the nurse has shown clinical competence and leadership skills. The most important qualifications include the ability to administer medications, other knowledge needed for patient care, cardiopulmonary resuscitation, and math calculations, as well as demonstrating knowledge of the equipment and its use.
Info from wikipedia.com
Hope this helps!
Level I nurses are no longer in such great demand because the mother and newborn baby now commonly stay in the same room together. In addition, the mother's stay tends to be very short compared to the historical duration of the staymioh after giving birth. In the 1950s a stay consisted of 8 to 14 days. Nowadays, it is common for a mother to leave between 12 and 24 hours after giving birth, providing that the vaginal delivery had no complications.[2]
Level II nurses are more common than Level I because babies that are born prematurely or ill need constant attention. They are responsible for making sure the newborn receives the care it needs. It may include anything from giving supplemental oxygen to intravenous therapy to the newborn. [3]
Level III neonatal nurses specialize in the Neonatal Intensive Care Unit (NICU). Level III specialists provide direct patient care for the newborns. These nurses are in charge of monitoring the ventilators or incubators, making sure the baby is responding well, and checking for complications. The nurse must check on the infant every hour on the hour and record the information taken by the ventilators, blood pressure, etc. [4]
Neonatal nurses are required to be highly diligent because a failure in their duty of care can lead to dire consequences. Neonatal nurses also work under the eye and direction of neonatologists (specialists that have additional training in newborn intensive care for neonatology). The nurses also work with other NNPs (Neonatal Nurse Practitioners), so teamwork is critical. The majority of the neonatal nurse's working hours involve teamwork; therefore, it is critical that the nurse is able to cope with stressful situations and work irregular hours. NICUs are more commonly found in large hospitals and in children's hospitals, rather than basic family physician hospitals. It is the nurse's job to not only care for the infant, but also to have good communication skills with people, in particular with parents. The nurse's responsibility is to teach the parents how to care for their infant in the correct manner. The nurse's role is to explain how to watch for signs or symptoms indicating something is wrong with the infant. This allows the parents to assess whether their baby may be in need of hospital attention.
The entry-level requirements to become a neonatal nurse are different for each location. Most hospitals require that the nurse is a graduate of an accredited RN (Registered Nurse) program and also from an accredited school of nursing with a BSN (Bachelor of Science in Nursing) or MSN (Masters of Science in Nursing).[5] Many require a three year minimum of clinical experience in a hospital setting. It is required specifically for neonatal nurses that he or she has certification as a Neonatal Resuscitation Provider and/or certification in either Neonatal Intensive Care Nursing or Neonatal Nurse Practitioner. The NICU, for instance, requires a certification. For all of these qualifications, there must be a CNS (Clinical Nurse Specialist) or RN certification of the state in which the nurse wishes to work. Some hospitals insist that the nurse has shown clinical competence and leadership skills. The most important qualifications include the ability to administer medications, other knowledge needed for patient care, cardiopulmonary resuscitation, and math calculations, as well as demonstrating knowledge of the equipment and its use.
Info from wikipedia.com
Hope this helps!
What kind of jobs do you perform as a nicu nurse? what are the job qualifications?
Q.
A. neonatal intensive care unit (NICU) nurse cares for the newborns that need hospitalization. This is a difficult job that requires a great deal of knowledge and empathy. However, if you enjoy working with newborns and new families and want a challenging career in a health field, this may be the job for you. Read on to learn how to pursue this challenging and rewarding career.
Consider getting a Clinical Nurse Specialist degree (a master's in nursing) to help you take better care of your patients. In addition, the CNS degree may make you more marketable. Contact a local hospital's hiring department to find out if they prefer candidates a Clinical Nurse Specialist degree. Visit the website of the National Association of Clinical Nurse Specialists for more information.
The duties for a neonatal nurse may vary slightly at each hospital, but overall their care tasks are the same. A neonatal nurse is one of the primary caregivers of a baby in the intensive care unit, and often becomes the saving grace to worried parents who have plenty of questions and few answers about their situation. Below are just a few of the tasks on a nurse's daily to-do list when caring for the smallest and sickest of babies.
One of the main duties for a neonatal nurse is the general care of the infant. Babies, even tiny ones or those with physical ailments, need regular changes, feedings and cuddles. Customarily, the NICU will assign each baby "care times" throughout the day and night, usually about 3 or 4 hours apart from each other. At each care time, the nurse will change the baby's diaper, take his temperature, and feed him breast milk or formula. If a baby is receiving any medications, these may also be administered during these times.
Pros of Becoming a Neonatal Nurse
Excellent job growth (projected growth of 22% from 2008-2018)*
High earning potential ($69,000 mean annual salary for registered nurses in May 2011)*
Job advancement potential to advanced practice nursing positions*
Three education options to enter the field (diploma, associate degree or bachelor's degree)*
Cons of Becoming a Neonatal Nurse
State license required*
Job opportunities may be limited based on geographical location*
May require long working hours (up to 12-hour shifts)**
Can be emotionally draining**
NICU nurses can find work in a local hospital, children�s specialty hospital or hospital in a major city that has higher NICU levels. Smaller local hospitals usually stabilize the newborn in a Level 1 or Level 2 nursery and then send more critical babies out to hospitals with higher levels of care. You can even be a part of a hospital transport team that rides in the ground or air ambulance with the babies. These nurses travel to hospitals where preemies are born, stabilize them, give needed medications and/or hook them up to life support equipment and monitor their care during transport to a larger hospital.
Consider getting a Clinical Nurse Specialist degree (a master's in nursing) to help you take better care of your patients. In addition, the CNS degree may make you more marketable. Contact a local hospital's hiring department to find out if they prefer candidates a Clinical Nurse Specialist degree. Visit the website of the National Association of Clinical Nurse Specialists for more information.
The duties for a neonatal nurse may vary slightly at each hospital, but overall their care tasks are the same. A neonatal nurse is one of the primary caregivers of a baby in the intensive care unit, and often becomes the saving grace to worried parents who have plenty of questions and few answers about their situation. Below are just a few of the tasks on a nurse's daily to-do list when caring for the smallest and sickest of babies.
One of the main duties for a neonatal nurse is the general care of the infant. Babies, even tiny ones or those with physical ailments, need regular changes, feedings and cuddles. Customarily, the NICU will assign each baby "care times" throughout the day and night, usually about 3 or 4 hours apart from each other. At each care time, the nurse will change the baby's diaper, take his temperature, and feed him breast milk or formula. If a baby is receiving any medications, these may also be administered during these times.
Pros of Becoming a Neonatal Nurse
Excellent job growth (projected growth of 22% from 2008-2018)*
High earning potential ($69,000 mean annual salary for registered nurses in May 2011)*
Job advancement potential to advanced practice nursing positions*
Three education options to enter the field (diploma, associate degree or bachelor's degree)*
Cons of Becoming a Neonatal Nurse
State license required*
Job opportunities may be limited based on geographical location*
May require long working hours (up to 12-hour shifts)**
Can be emotionally draining**
NICU nurses can find work in a local hospital, children�s specialty hospital or hospital in a major city that has higher NICU levels. Smaller local hospitals usually stabilize the newborn in a Level 1 or Level 2 nursery and then send more critical babies out to hospitals with higher levels of care. You can even be a part of a hospital transport team that rides in the ground or air ambulance with the babies. These nurses travel to hospitals where preemies are born, stabilize them, give needed medications and/or hook them up to life support equipment and monitor their care during transport to a larger hospital.
Moms Who Experienced Complications In Your L&D?
Q. where did you labor (hospital, birthing center, home, etc)
What sort of complications did you face?
Thank you!!
I am debating between hospital or homebirth for baby #2. (birthing center isn't an option here)
I think I know ALL the possibilities and endless things that could go wrong with a homebirth. But what about a hospital??
It seems like things that go wrong there are unnecessary c sections, which I am equipped to dispute.
What sort of complications did you face?
Thank you!!
I am debating between hospital or homebirth for baby #2. (birthing center isn't an option here)
I think I know ALL the possibilities and endless things that could go wrong with a homebirth. But what about a hospital??
It seems like things that go wrong there are unnecessary c sections, which I am equipped to dispute.
A. After working in different L&D units. I can honestly say that a hospital is a safer place to have a baby. Alot of people don't realize that when a true emergency arises due to a mother/child situation, an emergency c-section MUST be performed within minutes.
Many people assume that living 5 minutes away will give them enough time, but they dont take into consideration traffic, parking, time it actually takes to get to the unit, and the time it takes to undress,put the patient/baby onto the monitors, and set-up time for vaginal delivery/c-section.
If your heart is set on a more intimate affair, discuss a birth plan with your dr. Many hospitals have midwifes and staff to accomodate and respect your wishes, but with the immediate availability of a dr in case of complications.
Not trying to scare you but trust me when situations do happen, they go down quickly, and you'll want all necessary staff/equipment readily available to keep you and baby safe.
Many people assume that living 5 minutes away will give them enough time, but they dont take into consideration traffic, parking, time it actually takes to get to the unit, and the time it takes to undress,put the patient/baby onto the monitors, and set-up time for vaginal delivery/c-section.
If your heart is set on a more intimate affair, discuss a birth plan with your dr. Many hospitals have midwifes and staff to accomodate and respect your wishes, but with the immediate availability of a dr in case of complications.
Not trying to scare you but trust me when situations do happen, they go down quickly, and you'll want all necessary staff/equipment readily available to keep you and baby safe.
What is a typical Emt or Paramedic day?
Q. What most of the calls is everyday
A. Here are two sample "A Day in the Life of" from Career Cruising - a career software program I use with my students:
DAN
6:00 am � 7:00 am
Check in: check out ambulance for medical supplies and equipment; check the ambulance�s mechanics.
7:00 am � 8:00 am
Drink coffee or sleep in lounge.
8:00 am � 9:30 am
Receive dispatch call for shortness of breath. Take ambulance to call: get report and medical condition and history from nursing home staff; evaluate and assess patient; put person on oxygen, cardiac monitor, and pulse oxygen (which measures oxygen in blood); take patient to ambulance on cot and start IV. Call hospital; initiate other treatments and transport patient to hospital. At hospital: transfer information and patient to staff. Write report; restock ambulance; clear for next call.
9:30 am � 11:00 am
Breakfast.
11:00 am � 1:00 pm
Transport heart attack patient from one hospital to another with cardiac catheterization lab. Transfer staff and equipment: IV, monitor, and medications. At hospital: transfer care to catheterization lab and return staff and equipment to original hospital.
1:00 pm � 3:00 pm
Receive call for a kid with asthma at school: get medical history and present condition from school�s nurse; place child on oxygen and give asthma treatment and transport to hospital; transfer care and medical history. Restock ambulance and clear for next call.
3:00 pm � 8:00 pm
Need to pick up premature baby. Get equipment and staff at Intensive Care Unit for babies; drive 1.5 hours to community hospital; pick up baby and transport to original hospital. Staff does work with baby; help if needed. Fill out transport forms.
8:00 pm � 9:00 pm
Receive a call for chest pain: get medical history and present problem; put on oxygen, monitor, and IV; administer drugs. Call hospital and transport to hospital�FAST.
9:00 pm � 10:00 pm
Dinner.
10:00 pm � 1:00 am
Chill out and sleep.
1:00 am � 2:00 am
Receive another shortness of breath call. Much like earlier in day.
2:00 am � 3:00 am
Receive a call from a nursing home: woman fell out of bed and broke a hip; get past and present medical histories; immobilize patient on backboard; assess further. Call hospital and transport patient to hospital. Restock and clear for next call.
3:00 am � 6:00 am
Sleep.
CINDY
7:00 am � 11:00 am
Check vehicle to make sure that everything is clean and in working order; make sure all the medical equipment inside is working properly and that all supplies are well stocked; check that there is enough gas and oil in the ambulance and fix anything that needs fixing.
11:00 am � 12:00 pm
The dispatcher calls and tells us about a car accident, where it is and how many people are hurt. We quickly jump in the ambulance, turn on the siren, and drive out there. When we arrive, we treat the person�s injuries to stabilize his condition so that he can be put in the ambulance and transported back to the hospital. We drive the patient to the hospital as quickly as possible and take him into the emergency department so that the doctors can take care of his injuries.
12:00 pm � 2:00 pm
Clean up and restock the ambulance.
2:00 pm � 4:00 pm
Write up a report detailing everything that happened, including the nature of the accident, the injuries the patient received, and how long it took us to get there, stabilize his condition, and transport him to the hospital.
3:00 pm � 5:00 pm
Have something to eat, rest, and prepare for next call.
5:00 pm � 7:00 pm
Receive another call: a man has had a heart attack. We drive out to his house, stabilize his condition and get him to a hospital as soon as possible and write out a report when we get back.
DAN
6:00 am � 7:00 am
Check in: check out ambulance for medical supplies and equipment; check the ambulance�s mechanics.
7:00 am � 8:00 am
Drink coffee or sleep in lounge.
8:00 am � 9:30 am
Receive dispatch call for shortness of breath. Take ambulance to call: get report and medical condition and history from nursing home staff; evaluate and assess patient; put person on oxygen, cardiac monitor, and pulse oxygen (which measures oxygen in blood); take patient to ambulance on cot and start IV. Call hospital; initiate other treatments and transport patient to hospital. At hospital: transfer information and patient to staff. Write report; restock ambulance; clear for next call.
9:30 am � 11:00 am
Breakfast.
11:00 am � 1:00 pm
Transport heart attack patient from one hospital to another with cardiac catheterization lab. Transfer staff and equipment: IV, monitor, and medications. At hospital: transfer care to catheterization lab and return staff and equipment to original hospital.
1:00 pm � 3:00 pm
Receive call for a kid with asthma at school: get medical history and present condition from school�s nurse; place child on oxygen and give asthma treatment and transport to hospital; transfer care and medical history. Restock ambulance and clear for next call.
3:00 pm � 8:00 pm
Need to pick up premature baby. Get equipment and staff at Intensive Care Unit for babies; drive 1.5 hours to community hospital; pick up baby and transport to original hospital. Staff does work with baby; help if needed. Fill out transport forms.
8:00 pm � 9:00 pm
Receive a call for chest pain: get medical history and present problem; put on oxygen, monitor, and IV; administer drugs. Call hospital and transport to hospital�FAST.
9:00 pm � 10:00 pm
Dinner.
10:00 pm � 1:00 am
Chill out and sleep.
1:00 am � 2:00 am
Receive another shortness of breath call. Much like earlier in day.
2:00 am � 3:00 am
Receive a call from a nursing home: woman fell out of bed and broke a hip; get past and present medical histories; immobilize patient on backboard; assess further. Call hospital and transport patient to hospital. Restock and clear for next call.
3:00 am � 6:00 am
Sleep.
CINDY
7:00 am � 11:00 am
Check vehicle to make sure that everything is clean and in working order; make sure all the medical equipment inside is working properly and that all supplies are well stocked; check that there is enough gas and oil in the ambulance and fix anything that needs fixing.
11:00 am � 12:00 pm
The dispatcher calls and tells us about a car accident, where it is and how many people are hurt. We quickly jump in the ambulance, turn on the siren, and drive out there. When we arrive, we treat the person�s injuries to stabilize his condition so that he can be put in the ambulance and transported back to the hospital. We drive the patient to the hospital as quickly as possible and take him into the emergency department so that the doctors can take care of his injuries.
12:00 pm � 2:00 pm
Clean up and restock the ambulance.
2:00 pm � 4:00 pm
Write up a report detailing everything that happened, including the nature of the accident, the injuries the patient received, and how long it took us to get there, stabilize his condition, and transport him to the hospital.
3:00 pm � 5:00 pm
Have something to eat, rest, and prepare for next call.
5:00 pm � 7:00 pm
Receive another call: a man has had a heart attack. We drive out to his house, stabilize his condition and get him to a hospital as soon as possible and write out a report when we get back.
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Title Post: please tell excatly what a neonatal nurse is?
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