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babyNP.

babyNP. APRN

NICU
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babyNP. has 12 years experience as a APRN and specializes in NICU.

babyNP.'s Latest Activity

  1. 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...
  2. 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.
  3. 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.
  4. 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.
  5. babyNP.

    Normal new grad feelings or not feeling NICU?

    How long have you been doing the Level 2 care? It's too bad that you have to wait a whole year to do the Level 3/4 babies because if you don't like bottle feeding, then you probably won't grow to really like Level 2 care- that's a significant portion of the daily job. Level 3/4 babies can be busier and keep you on your feet running around the shift which a lot of NICU nurses like. Hard to say what to do in your case, again it's too bad that you can't get a taste of what the sick babies are like to see if you like doing that more. For me, I thought I liked taking care of adults okay (was on a trauma surgery floor as a tech in nursing school) until I got to the NICU and it was night and day for me, like seeing color after having lived in shades of gray, I didn't know what I was missing. So it would be an easy decision for me, but sounds like it might be different for you.
  6. babyNP.

    RN experience before WHNP Career

    Do you mean that you need L&D or post partum RN experience to become a successful WHNP? I don't think that's necessarily true. I know a few WHNPs who did a direct entry program and were able to secure jobs without much difficulty after graduation.
  7. babyNP.

    New-ish US RN trying to find a job in Manchester UK

    That’s great to hear, I had to take the IELTS before the process changed (American trained) and it was definitely awkward during the speaking portion LOL.
  8. babyNP.

    Student Elective Nursing Placements

    Which country do you reside in now? Does your school have contracts with hospitals in Australia?
  9. babyNP.

    Calling all UPenn NNP Students/Graduates

    What do you mean by "exclusive NNP" programs? There are about 38 NNP programs right now in the US.
  10. babyNP.

    Rapid Sequence Intubation/Nasal intubation

    I don't know the details, I did find this "guide" (link below) but unfortunately my hospital doesn't have access to this journal so I wasn't able to read it. Apparently hospitals use NG and IV catheters to do it. Doing some more digging, I found references to it as far back as 2013. Not sure why it's not widely adopted as it seems to not only reduce time on the ventilator, but reduces the BPD rate. Could be something I'm missing that makes the data not good or something like the threshold it would take to teach providers how to do it/inertia to make such a huge practice change. If you guys are game, ask your docs about it and see if they've heard about it/what they think. https://pubmed.ncbi.nlm.nih.gov/31461712/
  11. babyNP.

    Rapid Sequence Intubation/Nasal intubation

    RSI is the way to go, it helps improve first time intubation rates dramatically. This puts the infant at less risk of complications from intubation. If only fentanyl could be pushed! It's also something to consider that we (the royal we) providers are getting less proficient at intubating than in decades past because we are keeping more babies off the ventilator and we used to intubate all meconiums, then just the non-vigorous ones, now not unless indicated after initial resuscitation. But we can't intubate babies that don't need it just for the practice. Similar to I guess in years past a ton of babies got chest tubes before surfactant. Now chest tubes are on the rare side and proficiency has gone down. But you wouldn't wish a chest tube on a baby, of course. I was reading an abstract about giving surfactant via nasogastric tube which would preclude the need to intubate those babies- game changer.
  12. babyNP.

    Need help- got into NP school

    Depends on the factors that are important to you- for finances, you should research the local job market (and whether there is one available as some places are saturated). If not, are you willing to move? How far? Then also consider lifestyle. Are you doing floor nursing? Night shift? If you can't get the salary you want and you want to stay local, is it worth it to make the same for a few years for better perks like no nights, weekends, holidays, no lifting heavy patients or having to deal with nursing bureaucracy? Just some food for thought.
  13. babyNP.

    NP

    It would also depend on what type of program you want to do, some schools have stronger reputations for some programs than others.
  14. babyNP.

    Boston Area NP Salary

    It sounds like you’re being robbed. If they don’t budge then you need to look elsewhere. I once had a potential employer tell me that it was an honor to work at their institution which is why they paid so much less. Uh huh.
  15. babyNP.

    NP

    True. There's only 38 schools +/- each year. There was a period a few years back when a bunch shut down but we've had some new ones open since.
  16. babyNP.

    NP

    Thanks for sharing. I guess my field is the lone holdout? Although the board exams don't require NICU experience, all of the schools that offer neonatal NP programs do and nearly all require at least 2 years experience (I have a spreadsheet that I created looking at this).
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