Quote from CapeMaui
Does your NNPs work both day and night shift or do you see that they tend to work more nights than days b/c days went to residents?
The way my unit works, we have NNPs, residents, fellows, and neonatalogists during day shift. At night, we just have a resident and fellow on the unit with a neonatalogist on call at home.
Residents and NNPs split the population of the NICU, each team taking a certain percentage of patients upon admission, and oversee those patients through discharge. NICU fellows and neonatalogists oversee both teams. They do similar jobs, but that doesn't mean they're interchangable. At least not on my unit, since they each have their own team of babies. It's actually the residents who have more of a crap job, if you ask me. They have to work 32 hour calls 2-3 times a week, plus be on the unit M-F 8am-4pm if they're not on call and there anyways.
Our NNPs work full or part time, but are never scheduled for more than 12 hour shifts. We used to have enough NNPs to cover both days and nights, and that was great because the one on nights would only be working a 12 hour shift like the rest of us, so she wasn't supposed to sleep like the docs - as a result, we got tons done on the night shift as far as procedures and educational opportunities. Now that we only have a few, they just work day shift and the fellows cover their babies at night. The residents cover their own kids at night with the supervision of the fellows.
Just how we work.