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NICUmiiki DNP, NP

Neonatal Nurse Practitioner

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NICUmiiki has 6 years experience as a DNP, NP and specializes in Neonatal Nurse Practitioner.

I graduated high school in 2008. I started college, had my son in Oct. 2008, and was a non-stop college student until I graduated nursing school. I decided to work towards becoming a nurse in January 2012 by enrolling in an LPN program. Then, I transferred because I already knew I was going to be an RN and doing LPN first would slow my journey by 2 or more years. I began an RN program and a new job as an ER Tech in Spring 2013, graduated in May 2015, and began working in an NICU. I started my Neonatal Nurse Practitioner program Summer 2018 and graduated in May 2021.

NICUmiiki's Latest Activity

  1. NICUmiiki

    Pre-Boards Title

    You aren’t an NNP yet so you can’t use that title. But now that you graduated, you’re free to use the DNP in place of BSN (your degrees). You can’t replace your RN licensure until you’re actually licensed as an APRN. Im in the same situation. I’m still working as an RN, but now I sign my name miiki, DNP, RN instead of miiki, BSN, RN. (Cause I worked for that dang degree).
  2. NICUmiiki

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

    What makes you keep both? I wasn’t planning on renewing the RNC-NIC since it expires after I’ll obtain the NNP-BC. I figured that if I maintain the NNP-BC forever, even if I for some reason work as an RN, it’s still a magnet certification in itself.
  3. NICUmiiki

    How does your hospital do this? Newborn Assessment Nurse

    So our (high volume, it’s normal to have 20-30 births per day) hospital has a transition nursery. There is a physical location, but it’s more of a home base for the transition nurses. Occasionally, well-babies who are teetering the line will be observed here for up to 6 hours and then either return to mom or go to the NICU. There are a handful of transition nurses on each shift (4-5). The transition nurses are called to all non-NICU births. They attend the birth, and assume care of the infant until the couplet is transferred to M/B. The transition nurse gives report directly to the M/B nurse. If all of the nurses are assigned to a baby, then the one with the oldest baby goes and will have 2 babies at the same time for a short period. The transition nursery is run by and staffed by the M/B department. They have dedicated nurses who were MB nurses for at least 2 years, applied (competitive), and received additional training.
  4. NICUmiiki

    Blood Pressure Assessments

    Ideally in an upper extremity.... L2: once daily L3: twice daily Anything beyond that is ordered by the provider for cause.
  5. NICUmiiki

    How did you decide?

    I started a FNP program. Realized I hated clinics, and adults, so.... I switched to NNP before I was too far in because I was having negative emotions about leaving the NICU also. I have no regrets yet. And much better paying job offers than I would have gotten as an FNP in my area.
  6. NICUmiiki

    Typhon to find clinical sites?

    Typhon’s purpose really isn’t for finding preceptors. That’s more of a side effect. The previous students input their preceptors and once you have access you can see a list of previously used preceptors. You still have to contact them, determine if they are still willing & have an opening, convince them to precept you, and arrange everything.
  7. NICUmiiki

    NP clinical experience disrupted by COVID-19?

    Have the accrediting boards announced any exceptions? If they let you graduate without the minimum number of hours, I'd think that you wouldn't be able to get certified and licensed in most states.
  8. NICUmiiki

    English Requirement (LA/OC Area)

    Most nursing schools list the specific courses that are required. English I & II are fairly basic and common. If you took them during your bachelor degree then they should count. Otherwise, generally the degree itself won’t count for the individual prereqs you need.
  9. NICUmiiki

    What's the least saturated specialty in APRN?

    IMO, working 6 24-hour shifts per month isn't so bad for quality of life. That's why many still prefer it and are reluctant to switch to a more nurse-like schedule.
  10. NICUmiiki

    Surgical NP, is this a thing?

    In states that are strict with the consensus model (like mine), the BON requires any nurse including APRNs to have RNFA to assist. Just throwing that out there. It doesn't apply in all states.
  11. NICUmiiki

    HIPAA and court orders and custody oh my!

    My understanding is that as long as dad is legally dad (on birth certificate or established by court) and there is no court order taking away his rights to his child, then he has the EXACT same rights to health information as mom. Mom doesn't get to take away his rights by filling out a form. He could actually fill out his own HIPAA form since he's just as entitled to the child as the mom. Most custody orders provide joint custody with a domiciliary parent and visitation for the non-domiciliary. The non-domiciliary still retains the right to make decisions for the child.
  12. The schools I’m familiar with would be satisfied as long as you start the sequence. They’d follow up to make you finish it and get tigers after, but they wouldn’t make you delay class.
  13. NICUmiiki

    RN-BS-MN-FNP?

    Yes. Go look at other grad schools. Vanderbilt or University of South Alabama. This should give you a better idea of how admissions and programs are usually set up.
  14. NICUmiiki

    RN-BS-MN-FNP?

    I think most do RN to BSN then a BSN to MSN/DNP program with a concentration in FNP. Some may do a RN to MSN-FNP program, but I personally don't recommend those unless the actually grant a BSN in the middle where you can change schools or drop out at that point if you need to. I'd figure up costs closely. It's very possible to get your BSN for $10k, and then FNP for $25-30k. If the program you are looking at costs more than that, I'd do more research on your options.
  15. I didn't do an RN-BSN, but I'm in grad school. Anecdotally, I've attended 2 different schools and noticed a huge difference in how students are assessed. The first school was an online FNP program. Lots of papers. That's how they prove that they presented/you learned the material. The second in an in-person NNP (they have many other tracks). We write significantly less papers. We more likely to be quizzed and tested for grades with a couple of papers (about one per class with the more theory classes having maybe two and the content courses having none). They know they taught it because they taught it in class. Most programs try to follow the Essentials of (whatever type program it is). The Essentials of Baccalaureate Education for Professional Nursing Practice is here http://www.aacnnursing.org/portals/42/publications/baccessentials08.pdf I'm not sure how you'd meet Essential III (Scholarship for Evidence­ Based Practice) without any paper writing. At some point, you need the student to articulate that they can do it.
  16. NICUmiiki

    Travel Nursing

    Our unit would never hire a traveler that had no experience (yes, the managers get a say in this). The point of using travelers is that they can take an assignment after a short orientation for charting essentially. It takes a couple of years to be comfortable enough to just walk into a unit and start working. If you have to precept a new grad, you're better off hiring your own. Idk... I hope there aren't any companies that hire new grads, but there are always those sleazy ones that push safe limits.