SteveNNP MSN, NP

Neonatal ICU (Cardiothoracic)

Member

All Content by SteveNNP

  1. SteveNNP

    NNP Board Certification

    SteveNNP replied to Casey101's topic in Student Nurse Practitioner

    Congratulations!
  2. SteveNNP

    Neonatal dialysis?!

    SteveNNP replied to Ack_RN's topic in NICU, Neonatal

    ^Yeah we do too... we had our very first neonatal CVVHDF/CRRT via ECMO circuit patient recently. Very interesting case, as we had to learn very quickly how to manage one more machine at the
  3. SteveNNP

    NICU patients with gastroesophageal reflux disease

    SteveNNP replied to ChristyRN123's topic in NICU, Neonatal

    For our babies who we believe are actually refluxing above what we'd expect for 1- a normal neonate and 2- floppy preterm LE sphincter, our SLP will do a video esophagram which can assess reflux. We...
  4. SteveNNP

    Probiotics

    SteveNNP replied to chownykRN13's topic in NICU, Neonatal

    Our view is that breastmilk is the best source of probiotics and immunoglobulins for our preemies and term babies. We encourage breastmilk use, and haven't introduced any probiotics
  5. SteveNNP

    Light Cycling for ROP

    SteveNNP replied to tkrahn's topic in NICU, Neonatal

    Light cycling has no effect on progression of ROP. Targeted oxygen saturation and avoidance of preterm delivery
  6. SteveNNP

    Cleaning Isolettes

    SteveNNP replied to danielle.smith0219's topic in NICU, Neonatal

    My first unit used to have the nurses clean isolettes - then they hired unit assistants whose job description included that. Now that I'm a few years older and wiser, it is absolutely ridiculous to me...
  7. SteveNNP

    Neonatal project?

    SteveNNP replied to fuyuojo's topic in NICU, Neonatal

    Maybe focus on cost saving measures, or waste reduction? Such as researching and changing your tubing change guidelines? Tracking supplies or creating "admission packs" to reduce the typical armload...
  8. SteveNNP

    Timing of antibiotics

    SteveNNP replied to asher315's topic in NICU, Neonatal

    Ampicillin is safe to give slow push, then flushed and gent is placed on a syringe pump. They are incompatible if mixed in the same syringe or given at a Y-site together. Giving them back to back is...
  9. SteveNNP

    Trouble understanding PPHN...

    SteveNNP replied to LucyRn4's topic in NICU, Neonatal

    Ooh Jan that's a new one for me! I've never used it before, I wonder if it's approved for
  10. SteveNNP

    Neonatal NP??

    SteveNNP replied to Road2CNO's topic in Student Nurse Practitioner

    There is no longer an experience requirement for neonatal NCC certification or admission to most programs. IMHO this is an unfortunate change. My advice would be that if you want to be an NNP, don't...
  11. SteveNNP

    Trouble understanding PPHN...

    SteveNNP replied to LucyRn4's topic in NICU, Neonatal

    Typically which is why it's so difficult to treat, often requiring serious drugs like Flolan, Remodulin, Bosentan in additional to sildenafil or continuous Iloprost nebs. These kids are VERY tough to...
  12. SteveNNP

    hypothermia therapy

    SteveNNP replied to nocturnalnurse's topic in NICU, Neonatal

    What did cord gases look like? For us criteria include weight, cord
  13. SteveNNP

    How much do Ny nurses make?

    SteveNNP replied to Becca014's topic in New York Nursing

    Well for starters, an LPN *is* a nurse, and it's not something you should fall back on. LPNs are a valued part of the healthcare team, and a dying breed of skilled nurses. To get to your question, it...
  14. SteveNNP

    NP's working on their old units

    SteveNNP replied to twinmommy+2's topic in Nurse Practitioners, NP

    I worked as an RN on my unit for 3 years before graduating with my NP and transitioning to a NNP job in my same unit. I've had no issues. I think if you're competent and get along reasonably well with...
  15. SteveNNP

    Do male nurses wear scrub jackets???

    SteveNNP replied to Nolander's topic in Men in Nursing

    Hoodie or fleece jacket
  16. SteveNNP

    Charge and Resus --How does your facility do it?

    SteveNNP replied to HopefulRN2010's topic in NICU, Neonatal

    I work at a Level IIIc ECMO/cardiac unit with an ADC of 65-75. Our charge nurses do not take assignments. We also do not have a "first admit, second admit" setup either. We have a dedicated 4 bed...
  17. SteveNNP

    Trouble understanding PPHN...

    SteveNNP replied to LucyRn4's topic in NICU, Neonatal

    The above posters have done a good job explaining, but I just wanted to add a few things. I know I'm nitpicking, but when using the term "PPHN" which stands for "persistent pulmonary hypertension of...
  18. SteveNNP

    D25 infusion through a UAC

    SteveNNP replied to APL&D's topic in NICU, Neonatal

    Here's one- I couldn't find the one I saw the other night when I first replied. Do a google scholar search and see what you come up with Sign
  19. SteveNNP

    High frequency vents on your unit

    SteveNNP replied to katierobin23's topic in NICU, Neonatal

    We use both. Mostly oscillator when advanced ventilation is needed. Really the only situation the jet is used where I work is for bad PIE and when we want to do single lung ventilation, also in the...
  20. SteveNNP

    IV insertion issues

    SteveNNP replied to champagnesupeRNova's topic in NICU, Neonatal

    Think about it this way: Look at the end of your angiocath. The tip/bevel of the needle juts out past the end of the actual plastic cannula. When you see a flash, just the metal part is in the vein,...
  21. SteveNNP

    D25 infusion through a UAC

    SteveNNP replied to APL&D's topic in NICU, Neonatal

    Our policy is that nothing greater than 10% dextrose run through a UAC. This is NEVER deviated from. The rationale is that infusing high dextrose concentrations can result in streaming of glucose out...
  22. SteveNNP

    Good to see you back Steve!!

    SteveNNP replied to NicuGal's topic in NICU, Neonatal

    Hey all! Yeah! It's been a long time since I've been around AllNurses, and it looks like a lot has changed! Life is good, reached the 8 year mark as a NICU RN with now 3 years of them as an...
  23. SteveNNP

    Anybody want to help me plan my career??

    SteveNNP replied to kerussll's topic in NICU, Neonatal

    Don't let the fact that the NNPs you know work 24-48 hr shifts dissuade you. By and large the vast majority of NNPs work straight up 12 hour shifts. That being said, most rotate shifts and they'll...
  24. SteveNNP

    Male Neonatal Nurse

    SteveNNP replied to KamarulFitri's topic in Men in Nursing

    I've been a NICU nurse for 8 years, 3 of those as a neonatal
  25. SteveNNP

    men in pediatrics:) thoughts?

    SteveNNP replied to hrawlins's topic in Men in Nursing

    I've been an RN for 8 years, and an NNP for almost 3. I've worked everywhere from PICU, Peds ER, general Peds, but the vast majority of my job life has been in NICU. I love