tennp

It is on page 3 i believe, if this link to it does not work. HTH! https://allnurses.com/forums/showthread.php?t=108129

i recommend you research it as much as possible first. you can send me a pm if you want more info.

worst. it's pretty scary, actually. mehtadone is known to cause the most severe withdrawal in infants. withdrawal from methadone can be have the latest onset too, which is scary for moms taking these kids home when they were doing "fine." our closest methadone clinic is notorious for increasing mom's dosage because she is pregnant. one of our neos AND our perinatologist visited this clinic (an hour away) to plead with them. and yet they are still doing it. it is a horrible problem. seeing one of these babies suffer is one of the worst things i have had to witness in my entire life. so sad.

field, which is neonatology. each place will be different, and maybe each field is different. in the NICU, we have more of a team approach, and i like to work in this manner. as a neonatal nurse practitioner, i know many things very well, and i feel my knowledge is respected and i am allowed to be independent with these things. when i don't feel comfortable with something, it is nice to be able to talk it over with my attending. it works both ways like this in my experience. many times if one of my attendings is having trouble with something, say an LP or an intubation, line placement, whatever.....they have never had any problem saying so and asking me to do it. same goes for me. if they are doing a workup of some sort, and i think something else should be added, i just say so, and have always gotten *hey! thanks...i didn't think of that.* if i have to do a workup for some strange disease or feel i'm in over my head with a baby, i just call them up and ask them for their advice/expertise, even at 3 am. they tell me, and never make me feel inferior for asking. if i feel uncomfortable with a patient in the NICU at, say, 4 am, all i have to do is make a phone call, ask them to come, and they will be there right beside me in no time. if i think an attending is wrong about something, i just say so and i speak my mind and am listened to. My attendings tell me all the time that they are **so thankful** for NNPs in the NICU. We make their lives easier, and they work with us to make sure we are happy and taken care of. bottomline is that i am pretty independent and it is up to me to ask for help when needed. i never hesitate to do so....i usually think 2 heads are better than one, and the patient benefits from this. I don't find all the attitude and competition in my field so far, but i have heard some nightmares. I think it varies, but just wanted to share my positive experience with MDs.

We were using those, and we decided to leave in the ones already in place, since it was a voluntary recall, and it seemed random.....this is a potential complication of ANY PICC. Now we are using the old Bard Per-q-caths. Hate them. Looking forward to getting NeoPiccs back!

Congratulations! I did a "bridge" NNP program several years ago. The 2 year RN practice was not mandatory then. However, after I completed my program I worked for 2 years as a staff nurse anyway. It was just too scary for me otherwise. Some in my class did not do this, and I think they really struggled. How nice to have a break in the program to work, then get the master's level classes. They would have been more meaningful to me if I had experience when I took them. Good luck to you!!