NICUmiiki DNP, NP

Neonatal Nurse Practitioner

Newly graduated!

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All Content by NICUmiiki

  1. NICUmiiki

    RN to NNP BRIDGE programs

    A bridge will likely take the same amount of time overall, maybe 1 semester less. It will however probably cost significantly more. You can get your BSN for about $10k or less these days. Then all NNP programs will be open to you instead of the handf...
  2. NICUmiiki

    What is Life Like as a Neonatal Nurse Practitioner?

    Work/life balance is good for me. I have soooo much time off, I've actually just picked up a PRN position. I'm extremely happy I made the transition. Pay is more than double what the nurses make generally. I work for a physician group and am sa...
  3. NICUmiiki

    NG tube placement and aspiration

    Getting stuck against gastric lining is probably why you aren't getting anything. Aspirating is right below auscultating the bubble on the list of non-evidence based (and fairly useless) practice. X-ray is gold standard (but we aren't gonna do that)....
  4. NICUmiiki

    NNP PROGRAM

    I graduated as an NNP last year. If you want to be an NNP, a DNP or MSN program is required. It's hard to recommend a school, because not all schools are available in all states.
  5. Probably, but why would you want to leave LOL?
  6. It's not really. Beyond the normal stresses of standing, walking, and sitting (which any could cause problems when not done properly or when not properly supported), it's nowhere close to the amount of strain incurred with adults. The majority of you...
  7. NICUmiiki

    Challenges of working in the NICU?

    I never thought fussy babies to be that big of a challenge. There are swings, pacifiers, etc. Plus, between feeds you can usually hold them. They also tend to find friends (other RNs, techs, cuddlers, hopefully family, etc.), so they don't usually cr...
  8. NICUmiiki

    How does your hospital do this? Newborn Assessment Nurse

    Our hospital actually doesn't have a problem keeping it staffed. It's got a waiting list of M/B nurses who'd like to train into the role.
  9. NICUmiiki

    Blood Pressure Assessments

    Sorry. Infants classified as Level 2 (intermediate care) or Level 3 (intensive care).
  10. NICUmiiki

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

    I’m not familiar enough with LRN to answer. It may be preferred in a lower risk nursery IDK. I really was interested in babyNP’s decision because NNP-BC really does encompass RNC-NIC.
  11. 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. ...
  12. 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.
  13. 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 obser...
  14. 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.
  15. 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 w...
  16. NICUmiiki

    RNC-NIC results

    I got a print out right after the test, but I've heard that they've stopped doing that now. Not official news, just what others have told me.
  17. NICUmiiki

    FNP no longer allowed to practice inpatient

    The state board of nursing probably has wording in one of the laws pertaining to NPs regarding practicing within your scope. If you have no formal education in the acute care setting, you aren't really practicing within your scope. My state is strict...
  18. 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 t...
  19. 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.
  20. NICUmiiki

    Please...please...Help

    If you were accepted you're at least the average nursing student. They didn't accept a bunch of people way smarter and you. You guys are all at the same level You (and all of the others accepted) are incompetent because you should be. You aren't a nu...
  21. 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.
  22. NICUmiiki

    Non-invasive NAVA and PPV *New Grad*

    For time's sake, we will often leave the prongs and place the mask over it as long as you can get a good seal. If the prongs are interfering with the seal too much, then take them off. I wouldn't try to bag using the prongs itself.
  23. NICUmiiki

    Do NNPs on Rotating Shifts Get to Sleep on Night Shift?

    This makes me feel better about possibly working night shifts again. I hate them! Moved to days as quick as I could. The NNPs where I work either work call (24 hours) or come in for an 8 hour day shift, and I'm ok with that. I think I'd prefer 24 hou...
  24. 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.
  25. 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 ...