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babyNP. APRN

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babyNP. has 13 years experience as a APRN and specializes in NICU.

babyNP.'s Latest Activity

  1. babyNP.

    Designated NICU staff or all float staff ?

    The devil's advocate in me thinks this sounds like a small community Level 2 nursery. What is your average daily census? Most Level 2 NICUs are not able to stay open unless they can float to other units as needed due to low census issues. At several of the Level 2 places where I work, the nurses are trained to 2 areas out of L&D, post-partum, and nursery. It's hard to staff with just dedicated NICU nurses when you only have 1-2 babies or 0 babies at a time. Is this a critical access hospital? There is also the issue that it's great you have 20+ year veteran nurses, but with such a small number of staff, if a few of them go out on LOA or retire, then the hospital will be up a creek if they didn't train any of the younger generation. Running a Level 3 would be different but as you get a higher census, this will become more apparent to have a dedicated NICU staff. I doubt you will go straight to 22-24 weekers though- what is gestational age limit now and then plans for what? Most "new" Level 3 units will go down to 28-30 weekers first. What gestational age do you currently take and do you do CPAP and short term ventilators? At the end of the day, you can bring your concerns to your manager. If you have a union, I would recommend bringing it up to them. But if it feels really unsafe then it sounds like your options are to look for another facility.
  2. babyNP.

    Should I be concerned?

    What is the clinical setting?
  3. babyNP.

    NCC-LRN and new NCC-NIC. Do I let my LRN certification go?

    Sorry for the late response. I almost RNC-NIC go but then decided to give it one more 3 year cycle and since then my employer has paid for it as part of our CME $$ we get so I figured why not keep it? The maintenance is almost identical. I keep it now also since I run a small online business that helps nurses review for the RNC-NIC, LRN (low risk), ELBW, NNIC (neuro), and NNP exams. If I didn't have either factor going on and had to pay, I might consider dropping it. If you're unsure, I would recommend keeping it one more cycle and then considering when you get to it again in 3 years. But if you have LRN and NIC I would probably drop the LRN one.
  4. babyNP.

    UK nurses overseas - maintaining NMC registration

    Where did you do your original nurse training?
  5. babyNP.

    Acute Peds NP vs Neonatal NP

    Do you have NICU RN experience? This is virtually required by all schools
  6. babyNP.

    Acute Peds NP vs Neonatal NP

    There are many hospital PNPs, this just may not be a thing in your area. I would say that most metropolitan area children’s hospitals employ PNPs, so it just depends on...are you willing to move? What do you want to do, take care of babies or kids? Some people do both but it’s hard to practice both as most jobs aren’t split. There are some PNPs that see newborns in a hospital and see kids on the side in a clinic that I know of...
  7. babyNP.

    Is going back to school worth it?

    Depends on what type of NP you want to do and if you’re willing to move at least at first. I work about 6x24s a month and make $160k so lifestyle is good for me. But I also work in neonatology, which is pretty niche. I also didn’t get to love exactly where I wanted to out of school but a few years later I was able to move where I wanted.
  8. babyNP.

    American Nurses in U.K

    Glad to help. Go ahead and post what you find out- if accelerated BSNs/2nd degree students can get licensed. Allnurses has a good visibility on search engines and your answers could help others 🙂
  9. babyNP.

    American Nurses in U.K

    I haven't read anything on this forum although you can see above that others have said it is possible now. I would recommend contacting Continental Travel Nurses (https://continentalnurse.com) and asking them as they specialize in helping overseas applicants get licensed and have probably dealt with other people in similar situations.
  10. babyNP.

    American Nurses in U.K

    That's great because just a few years ago an ADN was not accepted. I wonder if they will accept accelerated BSN students now too.
  11. If you want to do out patient and in patient with adults then best to get your ACNP and FNP. With the consensus model being implemented in more and more states, NPs are being restricted to their actual trained scope of practice. ACNP is not trained in primary care and FNP is not trained in acute care. Anyone (including RNs) can do research
  12. babyNP.

    Hired as a PNP, forced to work as an RN

    I'm really happy that you are not taking it from them and are actively looking for another job. Good for you for standing up for yourself- this also has a side benefit of standing up for our profession. Best of luck to you in finding a new job.
  13. babyNP.

    Hired as a PNP, forced to work as an RN

    If the clinic comes first, I would ask if the doctors are expected to act as medical assistants as well...
  14. Both are great organizations and provide CE which is good if you end up getting your RNC or CCRN certification (which you can only do once you've been a NICU nurse for 1-2 years depending on the certification). If you are "competing" between the 3 units to get an offer on the unit, I definitely recommend getting NRP and STABLE if you can, but only so long as it doesn't affect how you are doing on the unit- prioritize shining on the unit versus getting the certifications.
  15. babyNP.

    Normal new grad feelings or not feeling NICU?

    Loved this post llg! #1, 2, & 3 reasons for me to be in the NICU are that I love babies! OP, this doesn't mean that you shouldn't work in the NICU of course, but maybe just do some soul searching to see if it's what you truly want. Really liked the adult ICU comparison, hadn't thought about it that way but yeah we seem to have more "lifers" than the average nursing field and maybe that is partially why.
  16. babyNP.

    Balancing Going to School for NNP and Work

    Most NNP schools are online these days, but there are a handful of true brick and mortar ones (I developed a spreadsheet that looks at this kind of thing). If you want a comprehensive list of programs, NANN lists them here: (http://nann.org/professional-development/graduate-programs). As for me, I went to a brick and mortar school on the east coast. I commuted about 2 hours each way for 2 years, going to school part time. I was able to work all the way up until my final practicum, where I was doing 50-60 hours of clinical per week and just couldn't do my RN job at the same time. For the first year with just theory classes, I worked full time. For the second year when I started clinical, I took one vacation day most weeks. I had one full day of theory classes, 2-3 days of clinical, and then 2 days of work. It was exhausting! I remember when we got to December for Winter break that I felt like I was on vacation "just" working my regular 36 hours. I was able to do a good portion of my clinical write ups during clinical (again, had to be disciplined when all you want to do is chill out) and I spent my "day off" doing regular studying and completing projects. Would I recommend it? It was nice not to have to take out loans for living expenses and I certainly was able to put things together well about NICU patho, pharm, & management since I was literally living and breathing NICU day after day, but I admit I wasn't always Miss Sunshine, LOL.