Any Neonatoal NP (NNP) at your units? - page 4
Hello everyone - Does any of you have have NNPs work in your unit? If so, what is their job like? Do they enjoy it? Do they get stuck with the night shift? I also heard that some NICUs have... Read More
Jul 23, '04Quote from erilynn17Most NICUs assign staff members to a "high risk delivery" team each shift, and when L&D is delivering a sick baby they page or call for the team to come running. We don't help out with the delivery at all (at least where I work) though. We stand around the baby warmer and make sure we have all our supplies ready. Once the OB pulls the baby out, it's handed right over to the team and we resuscitate the baby on the warmer. That, in itself, is an amazing experience. Sometimes the baby is pinking up and crying already...but other times there is no heart rate or breathing, and we do full CPR on those babies. The baby is so fresh, only seconds old, and we're the one saving it's life. It's dramatic and exhilerating, when things go well. It's devastating when they don't. But it's a high adrenaline situation, and many nurses love this challenge.This might be sort of random, but while working in a NICU I would want the oportunity to help with deliveries every now and then. I definitely don't want to do OB/GYN, but I think it would be kind of cool to deliver babies sometimes. I heard that NNPs sometimes help out w/difficult deliveries or C sections, and I was wondering if this is true, and also if the neo MD's help out at all. If anyone who works in a NICU can answer this, let me know. Thanks!
As for actually being the one to pull the baby out, that requires either an MD or a midwife. The these professionals pay is out of this world. There are so many things that can go wrong - I'd never want that responsibility personally! But if you're really interested in this field, I'd reccommend you get your RN and then work in L&D. Once you get some experience (and I'm talking a few years at least) you can go back to school and become a nurse midwife. But it would be a good idea to experience it all as a nurse first, so you can see what each job entails. (And you know, once in a while the doc doesn't make it into the delivery room on time and the nurse ends up delivering the baby...)
Jul 24, '04Thanks so much for the information! I think I'm really more into just caring for the babies, and not really L&D, so I would just rather work in the NICU. It does sound exciting to be around and care for the babies seconds after they are born. I know this seems like its so far away, but I'm just asking the questions as I think of them. But thanks for your advice, and I will just start as a nurse in the NICU and see where I want to go from there. How hard is it to get a job in a NICU fresh out of nursing school?
Jul 24, '04Our NNP's are not employed by the hospital at all. They work along with and part of the Neonatologist's practice, cover several hospitals, and take call on a rotation which is divided among the docs and NNP's. They don't get just weekends or nights. We call them to attend high-risk deliveries, but they are not in the house 24-7. We're just not a big enough unit for that. I'm sure they write RX's under the auspices of the MD's in their group, but the MD surely doesn't come behind and review or co-sign all their orders.