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

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  1. Hello Mr Steve, 

    I am a nursing student (junior year) I have always wanted to be a NICU nurse and I am from NYC I wanted advice to know how to go about being in NICU or would you advice to work while in nursing school?

  2. SteveNNP

    Level 4 NICU suggestions

    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 my average shift, I have a few preop cardiac, a po...
  3. SteveNNP

    30 weeker with PDA

    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 still probably not getting too long ...
  4. SteveNNP

    Daily Weights?

    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 be weighed at least every other day. As a NNP pro...
  5. SteveNNP

    What are your call requirements??

    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 would break loose if management tried to mandate ex...
  6. 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 also likely need some solid newborn experience befo...
  7. SteveNNP

    GIR calculator for iOS

    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 luck!
  8. SteveNNP

    Which Milk Warmer Do You Use?

    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 at every bedside. I believe at the time it was a ri...
  9. SteveNNP

    Advice about last night

    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 properly assessed pain, and found that the infant didn'...
  10. SteveNNP


    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. If the theory were true, neonatal chest wall compl...
  11. SteveNNP

    PNPs with Neonatals

    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 here on the island of Manhattan, and even in NJ an...
  12. SteveNNP

    types of patients

    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 myocarditis Gastroschisis Omphalocele PPHN/pulmonar...
  13. SteveNNP

    Medicinal Honey

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

    How does your NICU unit run?

    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 0400.
  15. SteveNNP


    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 postops. That being said we are a huge bubble cpap cente...