babyNP.

babyNP. APRN

NICU

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All Content by babyNP.

  1. First Intubation!!

    lol on the tongue- I do babies in the NICU and that tongue is the devil especially when the baby is fighting me on it and trying to bite me- no teeth at
  2. Follow up after annual physical

    Depending on what state you live, you can go ahead and private pay for the labs yourself. There are quite a few websites that let you pay for it and then you usually take it to a Quest Diagnostic...
  3. PNPs with Neonatals

    Well, I also went to an Ivy League school for my MSN and was told the opposite of what you've been told and what's more- my DNP program in the mid-west director told me that she has not heard about...
  4. Vent: parents

    Yes, mad respect for all the work the bedside RNs do with the parents. It's much less stressful as a NNP not being at the bedside for my entire shift. I still have my own stress from time to time, but...
  5. PNPs with Neonatals

    It is possible for a PNP to work in the NICU, but it's extremely rare. I can't think that a hospital would hire a FNP now- that wouldn't fit in the Consensus Model by the ANA; primary care PNPs can't...
  6. Not cut out for NICU

    If you want to do newborn nursery, there are many that are staffed by PNPs, but NNPs generally don't work there. Keep in mind that no school I know of will allow entry without at least 1-2 years of...
  7. Newborn Nanny, Should I Return to School for Nursing at 48??

    Yeah, there really isn't such a thing (that I've experienced or heard of) as physical therapy assistants in the NICU. It's extremely specialized and only physical therapists are there- and most...
  8. IV infilitrate- ugghh

    It can infiltrate even within one hour of you checking it, which is horrendous, but happens. This is something that you'll pick up on over time, getting a feel for IVs that you need to check on more...
  9. Nicu references

    The basics won't change and the finer points you probably won't need to understand for the first few years anyway, so I think the old edition is perfectly fine. I actually didn't like Merenstein book,...
  10. Neonatal Nurse vs Neonatal Nurse Practitioner

    ^^ I would respectfully disagree and this AANP: Call us 'Nurse Practitioners' not 'physician extenders' - The Clinical Advisor and this Nurse Practitioners Are Not ‘Physician Extenders' | Off...
  11. Unplanned extubation while on orientation

    What I'll add is that the large majority of people don't have "natural" ICU instincts. Learning the warning signs and how one takes care of a patient in emergent situations is a learned skill. In my...
  12. Neonatal Nurse vs Neonatal Nurse Practitioner

    No worries, I did not have any bad impression at all from you or anyone else- just merely pointing out the phrasing maybe not the best of choices. I also don't think it's right to find a dirty bum...
  13. Neonatal Nurse vs Neonatal Nurse Practitioner

    I don't really like the term "junior doctor"- almost as bad as the term, "physician extender." Words do matter and to be completely honest, it feels a little belittling to be called a "junior doctor"...
  14. RNC NICU question

    My understanding is that they may audit some people by actually calling the manager, but they don't call every single application's manager in order to verify, from what I've
  15. Men in Neonatal nursing

    ^^ I guess it depends on how much you want what you want. I wanted a NICU job as a new grad RN and moved to the other side of the country for it. Right now I'm a new NNP and I've been known to stay...
  16. What brands/type of milk do you have in your units?

    The brands, "Enfamil" and "Simlac" are the most popular formulas in the US, although there are many others including "Good Start" and some store brands. They are essentially the same composition and...
  17. Sedation/Intubation

    The truth is that we don't know (like most of neonatology). We do know signs/symptoms of pain. Excessive light and noise which are "painful" & stressful stimuli to a baby usually manifest in a...
  18. Sedation/Intubation

    We don't give any pain medicine unless it's necessary from a different point of view- like a patient is intubated because they are post-op from a surgery. It's not painful to be intubated. It may be...
  19. 4 months in as a new FNP

    I'll add in my experience- have been practicing as a neonatal NP for approximately 6 months now at a Level 4 regional NICU. I love it. There is so much learning opportunity for where I am at and I...
  20. I made a mistake and feel awful

    No, it sounds like it was a chaotic admission that you should've been given extra support. It's easy to fall into the trap of thinking that you can do everything yourself and it's often perpetuated...
  21. You'll find a lot of this information in threads over the years in the archives. Good luck
  22. Baby RN's running ICU?!!

    Didn't read the read, but wanted to comment that I lol'd at the title, as my title used to be "babyRN" - meaning that I took care of babies, not my lack of experience, lol. Now it's "babyNP" and while...
  23. DNP Vs. Masters-prepared NP

    I got my MSN because I really wanted to go to the school that I did, which did not offer a DNP. I'm in my late 20s and figured with a 30 year career ahead of me, might as well get the DNP. But now...
  24. NP vs RN workload

    I work in the NICU and I've found the amount of work to be different, but generally not more than a RN. The thing that I really noticed was that my emotional health has improved dramatically- because...
  25. NEOFAX, where art thou?!!!

    My guess is that they are worried about people using an out-dated NeoFax since neonatal medicine is always changing. Plus it's cheaper and makes more money to use an app that you have to subscribe