SteveNNP MSN, NP

SteveNNP has 9 years experience as a MSN, NP and specializes in Neonatal ICU (Cardiothoracic).

Latest Activity

1. 

   Level 4 NICU suggestions

   SteveNNP replied to RNtoNNP's topic in NICU, Neonatal

   I agree with the others... try looking for the major academic center in your area. I work as an NNP in a large RPC Level IV+ECMO+open heart NICU, and we are constantly overloaded with acuity haha. On...
2. 

   30 weeker with PDA

   SteveNNP replied to Pajefferson16's topic in NICU, Neonatal

   How old is this baby? The nice thing about fetal hemoglobin is that it holds onto a LOT more oxygen at lower saturations than our blood. So you can rest assured that even if sats are in the 70s, she's...
3. 

   Daily Weights?

   SteveNNP replied to whelanja's topic in NICU, Neonatal

   This is why any warmer or isolette manufactured in the past 5 or so years has a built in scale. Unless a child is on ECMO (and sometimes we weigh those kids too...) or is a comfort care, babies should...
4. 

   What are your call requirements??

   SteveNNP replied to slp080477's topic in NICU, Neonatal

   We do not do call shifts in my unit. IMHO, call shifts are an excuse by management to not hire or adequately staff a unit. Part of it here is that we are unionized, and have set patient ratios. Hell...
5. 

   The nurse that assesses the newborn immediately after delivery??

   SteveNNP replied to BSNSt3ph's topic in NICU, Neonatal

   The role you are describing can be done by several different nurses, including L&D, Newborn Nursery, and NICU. It's typically an assigned role for the day, not a "hired-into" position. You would...
6. 

   GIR calculator for iOS

   SteveNNP replied to SteveNNP's topic in NICU, Neonatal

   Hi RN.amour- my recommendation would be to sift through the threads on this forum. All those questions have been asked and answered many times. Good
7. 

   Which Milk Warmer Do You Use?

   SteveNNP replied to mgturtle's topic in NICU, Neonatal

   When I was a bedside RN, we used pink water jugs with warm water. The unit then used the Penguin for awhile, and then in a push to avoid contact with tap water, we now have a Medela waterless warmer...
8. 

   Advice about last night

   SteveNNP replied to Kaligirl02's topic in NICU, Neonatal

   Albuterol ABSOLUTELY causes tachycardia, especially when given frequently and in higher doses. This is why a lot of units used to (and some still do) give Xopenex instead. Sounds to me like you...
9. 

   HFOV

   SteveNNP replied to NJNICUCCRN's topic in NICU, Neonatal

   Absorb the bounce? This is the most ridiculous thing I've ever heard The chest wiggle that is seen with HFOV use is from the lungs expanding and contracting using tiny tidal volumes at a steady MAP....
10. 

    PNPs with Neonatals

    SteveNNP replied to loveflowers's topic in NICU, Neonatal

    I am from the NYC area, and it's true that the number of schools offering NNP degrees have decreased recently, including Columbia University, my own grad school. The NNP market is a bit oversaturated...
11. 

    types of patients

    SteveNNP replied to kelseykelsey4's topic in NICU, Neonatal

    Well, this is what we have today: Prematurity Transient Tachypnea of the Newborn Presumed sepsis r/t maternal chorioamnionitis Sepsis Congenital heart disease (pre/post/periop) Congenital autoimmune...
12. 

    Medicinal Honey

    SteveNNP replied to NicuGal's topic in NICU, Neonatal

    Can I ask how there is any antibacterial activity left if it's been irradiated? Isn't it just then a topical sugar
13. 

    How does your NICU unit run?

    SteveNNP replied to LucyRn4's topic in NICU, Neonatal

    In my unit (Level IV) routine VS and cares/feeds are at 8-11-2-5. Fluids are done by day shift, and routine labs are done at
14. 

    Sedation/Intubation

    SteveNNP replied to kjk47's topic in NICU, Neonatal

    We don't sedate or give pain meds for simply being intubated, EXCEPT if they are pulmonary hypertension patients who are having spells, our cardiacs who can't tolerate increased SVR, and/or our...
15. 

    Men in Neonatal nursing

    SteveNNP replied to guest904524's topic in NICU, Neonatal

    I'd recommend applying to every hospital with a NICU position in NYC and the burbs. We hire several new grads here in our NICU. Most managers I feel actually prefer new grads over seasoned nurses from...