SteveNNP MSN, NP

Neonatal ICU (Cardiothoracic)

Member

All Content by SteveNNP

  1. I have never worked in a NICU in NJ. I work in the NICU at NYP-MSCHONY in Manhattan. I commuted from NJ for almost 2
  2. I think Monmouth Medical Center is hiring FT NICU Rns..
  3. SteveNNP

    Neonatal NP

    Most hospitals will hire new grads into a NICU. Or at least those with some well-baby or OB experience. The learning curve in NICU is so steep, adult experience won't get you very
  4. Columbia University offers several post-masters certificates....
  5. SteveNNP

    Burn out?

    When I got to that point, I took a per diem position in PICU and the ED. Gave me enough agita to squash what little dissatisfaction I had with NICU. I also added a lot of useful knowledge by...
  6. SteveNNP

    Carseats for premies less than 5 pounds

    We usually just use blanket rolls to secure them. Or some of them have bumper inserts that help hold the baby in more
  7. SteveNNP

    How to get rid of the plumber's crack?

    Maybe a belted scrub pant? I know Aviator sells
  8. SteveNNP

    Infant feeding question

    You could add a little blue food coloring to the milk, then check her respiratory secretions for color staining.... Unless you feed EBM/+ RC right away, the EBM's amylase starts digesting the rice...
  9. SteveNNP

    Obama on Males in Nursing

    And now back to our previous discussion regarding President Obama's comments on men in nursing....
  10. That's odd... NYP is recruiting like crazy now for the new critical care cardiac tower they are building.... I saw a lot of jobs for CTICU, CCU, C-stepdown,
  11. I work at a large academic center in NYC, the "hotbed" of H1N1. We are encouraged to use sanitizer before and after patient care, and wash hands only when visibly soiled. UNLESS the patient is Cdiff...
  12. SteveNNP

    Infant feeding question

    Makes me wonder about
  13. SteveNNP

    technician ?s

    My last hospital used the NICU tech to clean incubators, stock/inventory, and order supplies. No patient care was involved. Here our NICU tech stocks, checks fridge/freezer temps, and helps the NNP...
  14. SteveNNP

    Dual UVC catherter

    One place I worked clamped the line and simply flushed with 0.5cc 1u/ml heparin every few hours. Not the most aseptic practice, but it kept the lines from clotting. Where I am now, we don't use double...
  15. SteveNNP

    New NICU Nurse....have a weird question

    Also, depending on the size and gestational age of the baby, he may just have a low resting heart rate, which the monitor recognizes as brady and alarms. Some full-term babies have resting heart rates...
  16. SteveNNP

    thank you, nurses!

    Oh wow! What a great tribute to the nurses who cared for
  17. SteveNNP

    Any CHD experts in the house?

    haha. Ok, thanks for clearing that up. I am used to working with a device called a TCoM, which measures transcutaneous Co2 levels. We don't have equipment to measure transcutaneous O2 levels here in...
  18. SteveNNP

    Holding with UAC/UVC lines

    FWIW, nurses use the excuse of "the baby is too unstable" when the real issue is that it takes time and energy to get that baby out for parents to hold. I can't tell you how many times I've been the...
  19. SteveNNP

    Floating

    We can float only to a few units in our "care cluster" such as PICU, NBN, general peds, etc. Full timers RARELY if ever get floated, since we are always at/above census, and per diems float
  20. SteveNNP

    Any CHD experts in the house?

    Well, let's look at it this way: B: VSD = mixing acyanotic lesion. You wouldn't see different sats. Wrong. C: ASD = mixing acyanotic lesion. Same as above. Wrong. D. CDH = I guess you "could" argue...
  21. SteveNNP

    heparin 2 units flush

    This flush order you mentioned sounds extremely complicated and dangerous. The potential for overdosing your patient is enormous! I would speak to your nurse educator or manager about reviewing the...
  22. Guys, thanks so much.... I got a lump in my throat reading this! It really means a lot to hear that I make a [albeit small] difference in this huge community of nurses.... BTW: the signature line you...
  23. SteveNNP

    Low census anyone?

    We have had a comfortable census of 57-64 for the past few weeks after riding near 75-76 for awhile. We hold 58.... Unfortunately for the nurses who enjoy and built their lifestyle around our constant...
  24. Forgive me if this has been posted already, but my professor mentioned this in class today. She said that by 2012, DNP graduates will be required to sit for an exam developed by the same board and...
  25. SteveNNP

    getting back slowly- any suggestions?

    I've worked for NY Presbyterian for 2 years now. Good benefits, and best pay in the city from what I've heard of. Our contract was ratified Jan 2008, and is good for 3 years... NYP-Columbia is right...