SteveNNP MSN, NP

Neonatal ICU (Cardiothoracic)

Member

All Content by SteveNNP

  1. SteveNNP

    Where are all the jobs???

    SteveNNP replied to RNnightingale12's topic in New Jersey Nursing

    I commuted from Monmouth County for a year to NYC. It wasn't too bad, since I lived relatively near the GSP. You do have to pay state income taxes in both NY and NJ, but you get a credit toward your...
  2. SteveNNP

    NJ vs. NY Salaries....

    SteveNNP replied to RNnightingale12's topic in New Jersey Nursing

    Yes..... they typically get overloaded with new grads in January and June. Otherwise, the PICU and NICU are always hiring new grads it seems. I had to take a meds test after getting hired. Obviously...
  3. SteveNNP

    Trach Question

    SteveNNP replied to RN4Little1s's topic in NICU, Neonatal

    I believe the answer I remember is to occlude the stoma and BVM ventilate via the mouth and
  4. SteveNNP

    Expertise wanted!!

    SteveNNP replied to Nurse Man-ingitis's topic in NICU, Neonatal

    Sounds like a PNP working on a pediatric cardiology service would fit the bill for
  5. SteveNNP

    Neonatal NP

    SteveNNP replied to mommymakingchange626's topic in Nurse Practitioners, NP

    I don't have my NNP yet.... but I will soon, since I graduate next year.... IMHO, you need to go back to school for your NNP Post-Masters Certificate. Should only take you a year or so. In fact, you...
  6. SteveNNP

    Feeling a little out of place, and liking it....

    SteveNNP posted a topic in Nurse Practitioners, NP

    So I just started my NNP clinicals this week, and boy is it different. I am at a different unit than the one I work in, and it's a much different pace. It felt EXTREMELY weird taking a medical...
  7. SteveNNP

    Feeling a little out of place, and liking it....

    SteveNNP replied to SteveNNP's topic in Nurse Practitioners, NP

    Yes. My school required a full year of Level III NICU experience for admission, and I was required to get at least another year while in school. You need 2 years to graduate from any NNP program. I...
  8. SteveNNP

    Career Change Advice

    SteveNNP replied to MichiganChris's topic in Men in Nursing

    There are many nursing positions in radiology departments. Interventional radiology, MRI and CT departments hire RNs. Check out the Radiology Nursing forum for more details, as this is not my area of...
  9. SteveNNP

    NJ vs. NY Salaries....

    SteveNNP replied to RNnightingale12's topic in New Jersey Nursing

    It depends. I lived in Monmouth County and commuted to NYC. I make about $12/hr more at a unionized hospital than I would have in NJ. You do need to figure in income tax in both NJ/NYC, as well as...
  10. SteveNNP

    Harlequin sign

    SteveNNP replied to prmenrs's topic in NICU, Neonatal

    It's one of the most freakishly benign conditions I've ever
  11. SteveNNP

    Adjusting

    SteveNNP replied to courthousenette's topic in NICU, Neonatal

    I would recommend bringing these issues up to your clinical unit educator, or whoever in management is in charge of your orientation process. There may be some options for buddying with an experienced...
  12. SteveNNP

    How do you mark the length of the feeding tube

    SteveNNP replied to chescat58, RNC-NIC's topic in NICU, Neonatal

    We use a tiny piece of pink tape to mark it. Most people here clean the skin, then place a strip of duoderm on the cheek, then the tubing, then cover it with a strip of
  13. SteveNNP

    ACNP and NNP/WHNP

    SteveNNP replied to Nurse Man-ingitis's topic in Nurse Practitioners, NP

    it really depends on where you work. the nicu i first worked at was awesome at caring for premature infants and their associated respiratory, infection and nutritional issues. we had to ship out our...
  14. SteveNNP

    NNP v. PNP in follow up clinics

    SteveNNP replied to bijou214's topic in NICU, Neonatal

    Legally, as an NNP, your scope of practice is limited to ages 0-2. So if you want to practice outpatient in a followup clinic that cares for children past 2 years of age, than yes, go for the
  15. SteveNNP

    ACNP and NNP/WHNP

    SteveNNP replied to Nurse Man-ingitis's topic in Nurse Practitioners, NP

    My short answer (I'll add more later) is that at least in my limited experience in the NNP arena, NNPs are in HUGE demand. It's once specialty that cannot fill slots fast enough. I receive around 50...
  16. SteveNNP

    Scholarships for men interested in nursing?

    SteveNNP replied to Blackman's topic in Men in Nursing

    We do not have programs of nursing specialty here in the US. You would need to take the NCLEX and go through immigration. Please check out our International Nursing forum as well for more
  17. SteveNNP

    What is the Highest Bilirubin you've ever seen?

    SteveNNP replied to dawngloves's topic in NICU, Neonatal

    I'm also a big fan of nurses understanding and recognizing ABO incompatibility. Not every resident is going to pick up on it, and we find out later when the kid turns into a pumpkin and has no cord...
  18. SteveNNP

    Enteral Feeding equipment

    SteveNNP replied to NICU_babyRN's topic in NICU, Neonatal

    We use regular luer-type syringes. Most of our NGTs are long, so we plug the syringe directly into them. Otherwise we use microbore tubing with a "christmas tree" tip at the end on our G/JTs. We just...
  19. SteveNNP

    NICU considering new grads?

    SteveNNP replied to I<3NICU's topic in NICU, Neonatal

    Morgan Stanley Children's Hospital of NY Presbyterian hires new grads into our NICU all the time. And you get a 18-28 week orientation.
  20. SteveNNP

    Clumpsy

    SteveNNP replied to gottaBRN's topic in Male Nursing Students

    haha... sometimes when my patient is on inhaled nitric oxide (iNOtherapy) I'll accidentally step on the tubing, causing the machine to go wild, and my heart to skip a few beats.... then I realize that...
  21. SteveNNP

    How Can I Start Thinking Like An NP?

    SteveNNP replied to BlessedOne's topic in Nurse Practitioners, NP

    I am just now discovering this mode of thinking as a 2nd year NNP student. Instead of seeing random lab values that may demand a single intervention, you start seeing patterns... red flags go up in...
  22. SteveNNP

    VENT.....this really sucks

    SteveNNP replied to WildcatFanRN's topic in NICU, Neonatal

    I'm still confused how, at only 4 weeks into your NICU career you are let go for not being up to par.... were any of us up to par a month into our NICU experience? Go into work, ask to speak to the...
  23. SteveNNP

    Do you use Mylicon in your older gassy babies?

    SteveNNP replied to BoonersmomRN's topic in NICU, Neonatal

    I agree with the above.... Mylicon occasionally works, which can be a sanity-saver for the nurse caring for an uncomfortable chronic baby. Baths, videos and playtime all help,
  24. SteveNNP

    What to use on the nares to prevent breakdown of skin

    SteveNNP replied to wrighty's topic in NICU, Neonatal

    IMHO, if staff is using NCPAP prongs properly, (size, securement, placement) septal/nasal damage shouldn't be happening. Sometimes dilated nares are inevitable, but usually happen when someone gets...
  25. SteveNNP

    Certification Differential

    SteveNNP replied to xxJohnnyTxx's topic in New York Nursing

    Most CCRN/RNC certifications require between 1-2 years of full-time experience before applying to take the