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NICUmiiki BSN, RN

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Excited NNP student!

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  1. NICUmiiki

    How did your program teach physical assessment?

    I've taken a heath assessment course (lifespan) and I'm currently in a neonatal assessment course. The health assessment course was part of FNP program at a state school. Most course work was online. This course had clinical hours and was a combination of a simulation program online and in person lab days at the school and we were checked off in person. In my NNP program, the neonatal assessment course has true clinical hours that we spend in a hospital with a preceptor assessing babies.
  2. NICUmiiki

    Integrative Medicine - is it legal?

    I recommend seeking clarification from your BON.
  3. NICUmiiki

    Oversupply of Nurse Practitioners

    I pretty specifically listed the qualifiers for my opinion. If you generate the same charge, you should be paid the same. Medicare pays 85%, but not all insurers do. There are plenty of cases where NPs and MDs generate the same charges, but I also mentioned that if collaboration/supervision is involved then the physician should be reimbursed for that which will lower NP profit. I understand that physician spends a lot more time training, but at the end of the day if an NP and an MD see the same patient, do the same exam, order the same treatment, and bill the same, then they should be paid the same for that. There are a lot of convoluted if/ands/buts in there, but I think that's where it should start.
  4. NICUmiiki

    Oversupply of Nurse Practitioners

    I don’t fully agree. If the work you do generates the same charge, you should be paid the same. If you collaborate or need help from a physician, then they should be compensated for that, and that will probably decrease your profitability. I do think that most of us agree that NP education doesn’t really prepare NPs to practice independently, but after 4-5 years, you should have enough practice hours to advocate for full pay.
  5. NICUmiiki

    What is your procedure for passing ice water?

    I think it's a no no to bring the pitchers out of the room in adult land in my facility. Probably an infection control issue. I've seen the techs and nurses bring ziploc bags of ice water to the rooms.
  6. NICUmiiki

    NP specialty similar to postpartum nursing?

    This doesn't mean that new specialties can't be created. They need specific educational standards, a certifying body, and state recognition. Emergency is a specialty that's starting its path towards this. There is a certifying body, but most states don't recognized ENP as an individual specialty and schooling is currently either FNP + experience or FNP + AGACNP. There are also unregulated sub-specialty courses that usually add on to FNP or AGNP like palliative care or oncology. Currently, CNM in a birth center is all I can think of that would meet your goals (plus some). In most hospitals, the OBGYN/midwife cares for the mother and pediatrics cares for the baby.
  7. NICUmiiki

    NP specialty similar to postpartum nursing?

    Copy and pasted from my notes: A nurse practitioner is a type of APRN. There are quite a few specialties. Think of them like medical residencies. Yes, you have to choose before you start. There is a good bit of overlap but none can do everything that any of the other can. It's becoming more and more common for NPs to be dual ceritified to expand their scope of practice (FNP/PMHNP, FNP/AGNP-AC -> emergency, PNP-PC/PNP-AC). As more and more states implement the consensus model, NPs become restricted to the role they went to school for. It’s not a bad thing. NPs looks bad when, for example, an FNP gets a job in an ICU and needs total on-the-job training because they didn’t learn any of it in school. The most common is FNP - trained in PRIMARY CARE of people across the lifespan. This includes uncomplicated maternity care, but not delivery. FNPs are not generalists and aren't trained for acute care. States following the consensus model do not allow them to work in acute care settings. WHNP (Women's Health) - primary care of women across the lifespan. More emphasis on OBGYN than FNP (Only CNMs deliver babies) AGNP-PC (Adult/Gerontology-Primary Care) Emphasis on primary care from about 13 yo to old age. PNP-PC (Pediatric Primary Care) Primary care from birth to about 21 yo. (Why would you choose this instead of FNP? Pediatricians around me are hiring PNPs more often because they do all of their clinicals in peds instead of just 1 semester.) AGNP-AC (Adult/Geri Acute Care) - Acute care of adults. May work in hospital or specialty clinics PNP-AC (Pediatric Acute Care) Acute care of children NNP (Neonatal) Acute and primary care of infants up to 2 years old. Most NNPs work in NICUs with premature and critically sick infants. (Obviously the best specialty ) PMHNP (Psychiatric Mental Health) - psych and mental health care across the lifespan
  8. NICUmiiki

    Working as a Neonatal NP in other states

    States following the consensus model (like mine and Texas) won't allow it. My state has actually made an NP go back to school to get her NNP if she wanted to continue working in the NICU as she had for like 10 years. NANN has a list of NNP programs. I know that UT Arlington is not on the list, so other programs may also be missing. http://nann.org/professional-development/graduate-programs I've looked at a couple of schools and it looks like New York must be especially hard for out-of-state schools to get permission in. I've looked at USA and Vanderbilt so far, but neither are available in NY.
  9. NICUmiiki

    What is your procedure for passing ice water?

    I work in an NICU. We tell parents to get their own water and consume it in the waiting room.
  10. NICUmiiki

    What is your procedure for passing ice water?

    Wow, humor.... that’s strictly regulated and requires scanning several barcodes and EMR verification in my facility.
  11. Any specialty certification that a new grad could earn quickly and easily would be rather worthless, imo.
  12. NICUmiiki

    Canadian RN to work in the USA

    It just depends on the state. You would endorse in my state. If you haven’t already taken the NCLEX, you’d still have to take it. There really isn’t much difference in “initial application” vs endorsement except that you already have a nursing liscense.
  13. NICUmiiki

    Nursing School Accreditation Question

    ACEN and CCNE accreditation is pretty much interchangeable. As long as your school has one of them, you should be fine. You can look at the admission requirements of different grads schools to see this. For undergraduate, CCNE only accredits bachelor’s programs, while ACEN accredits diploma, ASN, or BSN.
  14. NICUmiiki

    Simmons online fnp, will I regret it?

    I would wait until he is placed in residency. Not all states allow clinicals for all schools. It would suck to get 3/4 done then move and can’t do clinicals there.
  15. NICUmiiki

    Understanding the Power of Nursing Specialty Certifications

    I’m RNC-NIC certified. I did it to show myself that I do know a lil something. It really has helped settle the feelings of imposter syndrome in my NNP program. My employer paid for the cert and gave me a little bonus. It can help with career ladder, but it doesn’t automatically give you extra pay.
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