My unit has NPs. They work similar to our residents,as in, they answer to the fellows, certain orders need to be cosigned, etc. But we as nurses absolutely love having an NP assigned to our pt. Residents rotate through every month, and most don't want to go into PICU anyway, whereas our NPs are with us for the long haul so they really learn what's going on and how to deal with PICU issues.
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