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babyNP.

babyNP. APRN

NICU
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babyNP. has 11 years experience as a APRN and specializes in NICU.

babyNP.'s Latest Activity

  1. While in grad school, we got a lecture from a pediatric endocrine NP. She put forward that if you're not doing an exam on all the body systems, why can't we just skip cardiac or respiratory? The systems are all important for overall health. I don't know the answer for specifics on what to do in your situation, but she told us of many cases where there was an issue but the child and parent didn't have the medical knowledge to recognize that it was an issue. Certainly the annual well child visit should include an exam I would think. The child may not see a medical provider for another full year.
  2. babyNP.

    New-York-licensed-NP practicing as RN

    This has been discussed ad nauseam. I don’t know NY law but I do know that as a RN without hospital provider privileges, you can’t override a provider’s orders. All you can do is go through the chain of command (charge RN, nurse manager) if you disagree with the plan of care- but any prudent nurse should be doing that anyway.
  3. babyNP.

    NP Salary

    This is off topic, but I think that NPs being unwilling to move for their careers when starting out hurts their and NPs overall salary potential. Doctors just out of residency are often similar ages to new NPs (similar life stages) and it’s just a known fact that they have a high chance of needing to move for the first attending job and will need to make moving/housing/daycare plans- until they can get experience/wait for a job in their desired location. I think that many NPs have this idea in their head that all they need to do is get the degree and then they will easily get the job they want at the salary they want in the location they want- which is very often the case not true. This isn’t directed at you specifically Kimmy, but just an example of what we see here on allnurses frequently and I wish schools did a better job of relating this to their students. In any case, I wish you the best of luck getting a job where you want to be. Keep us posted on how the job search goes.
  4. babyNP.

    NP Salary

    Texas is a big stage. Are you open to working anywhere there? If so it shouldn’t be too hard.
  5. babyNP.

    FNP vs. Acute Care Job Demand & Responsibilities

    A big question here is where do you live and are you willing to move. Location is one of the biggest factors.
  6. Hi BabyNP!

     I saw in one of your replies that you have created a spreadsheet for NNP program in the US. I would love to purchase this spreadsheet as I am in the process of doing my research of NNP schools.  This would be incredibly beneficial. 

     

    Thanks in advance!

    1. babyNP.

      babyNP., APRN

      Thanks for asking! It is allnnpschools.com

      let me know if you are having any troubles- there is a contact form on the website

  7. babyNP.

    Should I let my nursing license expire in medical school

    Not everyone passes med school or step 3 to get their license- and not everyone finishes due to unexpected life circumstances. I would keep it at least until you get your first attending job- at that point you should be secure in your field. best of luck!
  8. babyNP.

    PMHNP compensation and benefits Southeast

    1 week? That’s terrible! Most RNs get at least 2 weeks. Definitively negotiate more. I work in patient on the west coast and get 5 weeks vacation (admittedly 1.5 weeks of that is holiday) and 2 weeks sick
  9. babyNP.

    WHNP relocating to Georgia

    Why are you going to Atlanta if you don’t think you can get a job? I don’t know the market but it’s provably better to at least interview for jobs before you go so you don’t end up having to take a non NP position.
  10. babyNP.

    Transferring NP license

    Yeah that’s hilarious. I got my first NP license in November the year I graduated and got my second state license by January. Easier to get actually bc I didn’t have to show any clinical or pharm hours since I was still a new grad Either your teacher has no clue or is trying to scaremonger you into staying in Maryland. Reminds of me the “gospel truth” that you had to do take NCLEX in the state where you went to nursing school...I took NCLEX in a different state and the initial license was for a third state.
  11. babyNP.

    RN in Medical School -Should I keep this to myself?

    NP, not a doc, but I would say it’s variable on where you work. I literally heard nurses tell other nurses who mentioned that they were going to school “what, you don’t think we’re as good as you?” and didn’t treat them well. When I went to school, I kept it under wraps and it came out organically and went over better.
  12. babyNP.

    American Nurses in U.K

    If you aren't married, what's your basis for legally staying in the UK? Are you a UK or EU national? If you don't have a visa, you can only stay for 6 months as a visitor from the US and are not legally allowed to work anyway.
  13. babyNP.

    FNP in Hospital Setting

    I agree- it sounds like you don’t know what you don’t know about hospital care. Tread lightly- ignorance is not a defense in healthcare. A regular pediatrician would have no business rounding in a PICU...I don’t see how this is different unless you have an attending ultimately responsible for the care of the patient. How long of an orientation are they giving you?
  14. babyNP.

    NICU new grad help with assessment/time management

    I don't have any specific tips (hard to assess if I don't see you in person) but I will tell you that what you are experiencing is 100% normal. Be kind to yourself. Although is it required to get an apical heart rate and manually count their respirations and do a head circumference every single care time? I would clarify that with your preceptor because that seems unnecessary and excessive. As a new grad in Level IV, you are in a highly niche unit taking care of very sick babies. It is hard (I cried a few times). It will take time. Eventually I went from not being able to remember a single thing about my kids and constantly looking at my report sheet throughout the shift to not writing anything down and just listening to report because I had my own mental plan in place and was comfortable with the electronic medical record guiding me if my brain had questions (just the way my brain worked, nothing wrong with writing things down on a report sheet for anyone regardless of experience). Nowadays, I don't have that luxury of doing that with sometimes 25 babies on my service as a NNP, lol, as there is only so much my brain can process.
  15. babyNP.

    Liability issues

    Yeah I mean...like if I disagreed to a NNP’s plan of care, what can I do as a RN? I can’t order drugs or xrays or make a patient NPO. I would let my concerns be known up the chain of command (nurse manager, neo maybe). But any good RN would do that anyway...
  16. babyNP.

    American Nurses in U.K

    Nurses in the UK used to have something called "bursaries" where their tuition was (mostly if not all) paid for, some even got stipends, so there was little to no student loan debt unlike the US. If you have a lot of debt, it might be difficult, depending on your lifestyle. Certainly it's doable, but for example, space is much more limited. My in-laws (DH is English) were middle class and they had what looked like a college style small fridge and apartment style small washer. Their bedrooms could fit a bed and not much else. They lived in a suburb in northern England, so not like a high cost of living area comparatively. Fresh food is cheaper in the UK on average, because the farmers get subsidies to encourage this. But sales tax (called VAT) is otherwise 20% (generally not applied to regular groceries). National tax is starts at 20% (after a personal allowance, similar to a standard deduction). Despite this- I would argue that the average person in the UK is much better off than the average person in the US. But one might quibble when you compare nurses in the countries when looking at finances. However, there's a lot of other factors at play like free healthcare, the fact that guns are basically outlawed (and very few criminals have them anymore), worker protections, and vacation (usually at least 5 weeks, sometimes more), plus the EU freedom of movement. Oh wait...lol.
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