SteveNNP MSN, NP

Neonatal ICU (Cardiothoracic)

Member

All Content by SteveNNP

  1. SteveNNP

    MRSA question

    The stats show that 40% of us are colonized with staph in our noses, but not necessarily MRSA. We had an outbreak last year of MRSA, and over 200 RNs, MDs, RTs and other staff in our unit were...
  2. SteveNNP

    venous stick for PKU????

    If my baby needs a full set of labs, and already has venous access somewhere, I'll usually do a venous stick. It gives you the most blood, along with more accurate electrolyte levels. CBCs clot less...
  3. SteveNNP

    So I have a huge size 13 problem help!!!

    Nike SHOX. Designed 'em myself at nike.com after figuring out my size at the
  4. SteveNNP

    Do regular "newborn nurseries" still exist?

    Geez. I wish our WBN did ABX and phototherapy. Then we'd actually be at capacity instead of 20 over all the
  5. SteveNNP

    Just being sad and venting a little bit.

    (((Kate))) I hear you. I hate how it happens all the time. Sometimes it seems like there is no justice in the
  6. SteveNNP

    How are you paying for your MSN?

    I am taking my MSN/NNP part-time (6-8 cr/sem), and paying for it myself, with the help of tuition reimbursement and working FT. Since that is not your situation, I would recommend looking into getting...
  7. My first semester was very difficult. I believe it's a time when the "weak" get weeded out. Those of us who made it through survived the rest of school no problem. Hang in there. It sounds like you...
  8. SteveNNP

    Struggling with elective terminations of pregnancy

    Most hospitals allow you to sign a statement outlining which procedures you cannot ethically be involved in as a nurse before starting work. Then it is up to management to make sure you are not...
  9. SteveNNP

    NYSNA or 1199 Which do you prefer any why?

    I've only ever dealt with NYSNA. I have no problem with it. Although our 1199 counterparts here do get retirement healthcare, (NYSNO doesn't offer it) which would be a major selling point as I...
  10. SteveNNP

    What do use to mix IM injections?

    The only thing we give IM are immunizations, vitamin K, and the occasional Amp/gent. Pharmacy always mixed those. I used to mix IM meds in lidocaine when I worked peds ER, but that would be too much...
  11. SteveNNP

    E.Coli in sputum aspirate cx

    Changing a diaper, then suctioning the kid without washing your hands can do
  12. SteveNNP

    My RN venture ended today.

    (((Hopefull2009))) Hoping change comes your way.... I know you'll find a way. Now might not seem like the right time to continue, but I know you'll reach your dream
  13. SteveNNP

    overtime pay for christmas???

    Where I used to work, on nights, Thanksgiving Eve, Christmas Eve and NY Eve were all considered the holiday, and paid as holiday pay, not overtime. The day shifters got TG day, Xmas day and NY day as...
  14. SteveNNP

    I got the job ... and then let it go

    You haven't started yet. If NICU is what you want.... go for it. Ask them if you can start ASAP. No sense wallowing in a job you don't want, only waiting to get into a NICU.
  15. SteveNNP

    Do regular "newborn nurseries" still exist?

    They certainly do exist, although most progressive hospitals are leaning toward couplet care. The WBN admits, bathes, assesses, etc...then off to mom. They do have the option of leaving the baby in...
  16. You can find day shifts to work as a new grad.... They may not be in your first choice unit, but they are out there.... Many doctors offices, schools, clinics and outpatient arenas have days...
  17. SteveNNP

    New GRAD Asking someone to Help Me Help Myself

    Sounds like you need to retake and pass the NCLEX
  18. SteveNNP

    RN job w/out NJ license

    If you want to work in NY, get licensed in NY. Don't bother with the added expense and CEU requirements of a license you won't use. I took my NCLEX in NJ where I was living, and had my results sent to...
  19. I am in the Neonatal NP program at Columbia... PM me if you have any specific questions about the
  20. SteveNNP

    Policy/Practice with capped PICC

    Wow. The second a kid reaches a high enough PO intake, out that line
  21. SteveNNP

    HFOV vs Jet

    Nope.... we actually developed an IVH prevention protocol, involving minimal stim, appropriate pain management, among other things, and saw our IVH drop from 18% in We weaned from HFOV to...
  22. SteveNNP

    How big is your facility?

    My hospital system (3 facilities) has around 3,500 beds. We have 1,200 here at my particular site. My NICU has "58" beds, with the highest we've had around 85, and an ADC of
  23. SteveNNP

    Questions about Pediatrics...

    The NRP (Neonatal Resuscitation Provider) takes one day to get. Along with BLS, that's all you need certification wise to do NICU. It takes a special breed to work NICU. Those of us who do, rarely...
  24. SteveNNP

    Hospitals Job Experience in Northern NJ

    Please keep recruiter names limited to PM communication. Thanks. Stevern21- Allnurses
  25. SteveNNP

    Ny Hospitals For Nj Commuter

    I think they hire new grads into critical care areas all the time. If they are anytning like my unit, you'll get anywhere from 18-28 weeks of solid orientation. Methinks they rolled critical care and...