SteveNNP MSN, NP

Neonatal ICU (Cardiothoracic)

Member

All Content by SteveNNP

  1. SteveNNP

    Dealing with nurses childcare problems

    I'm with you.... for me, it's the "You should work Christmas since you don't have small kids at home..." Excuse me, but not all people my age go out and party New Years, and I happen to have many...
  2. SteveNNP

    Subutex withdraw

    What is
  3. SteveNNP

    Wound VAC in NICU?

    yes, once. It was on a baby with a large IV infiltrate
  4. SteveNNP

    Fluid Changing practices

    Like Elizabells said, our CLABSI rate is pretty good. We just went 196 days without a CLABSI in
  5. SteveNNP

    Whats a Neonatal NP day like?

    I am an NNP student, but I'll tell you what I do as an SNNP, and you'll get a decent idea of a "normal day." I come in and get a medical signout on anywhere from 8-12 pts, depending on staffing and...
  6. SteveNNP

    Ny Hospitals For Nj Commuter

    yes, they
  7. SteveNNP

    Policy/Practice with capped PICC

    We don't cap PICCs here. We run KVO 1.2cc/hr fluids. Otherwise we get a PIV for meds, and get that line the heck out of the
  8. SteveNNP

    What is the Highest Bilirubin you've ever seen?

    Immunoglobulin G. It's an immunoglobulin that can cross the placenta from mom and attack the
  9. SteveNNP

    HFOV vs Jet

    Exactly..... many places reserve it as a last resort... I came from a unit that used it as a first-line vent for preemies requiring ventilation, and saw a huge decrease in the number of BPD cases...
  10. SteveNNP

    Ny Hospitals For Nj Commuter

    Columbia Presbyterian is a stone's throw from the George Washington Bridge. They do hire new grads, though not always in every department.
  11. SteveNNP

    Antidepression meds

    I would say that about 30% of the nurses and RTs in my last unit told me they were on Lexapro. (note to self, buy stock in Forest
  12. SteveNNP

    You know you're a male RN when......

    ..... when you show up to work, and notice you've been assigned charge or the most critical patient on the unit.... and your coworkers reassure you with "Oh you're a guy... you like that kind of...
  13. SteveNNP

    Not Sure If Nursing Is For Me!

    Nope. Check out
  14. SteveNNP

    Starting school...

    Nursing school will teach you all you need to know. The "Real World" will teach you the rest. Just be prepared to work hard, sacrifice time, social life, and energy. There is a lot of info and...
  15. SteveNNP

    PAL's and BP Monitoring

    I generally check the cuff BP at the beginning of my shift to make sure they somewhat correlate. If they do, it's PAL BPs from then
  16. SteveNNP

    Fluid Changing practices

    Try running an AN search on this topic.... we've discussed it pretty recently, and a lot of people had some great
  17. SteveNNP

    LOW Census

    Wow. PM me your unit's address, and we'll mail you some patients. We have been hopping here in NYC. ECMOs, potential ECMOs, CDHs, postop cardiacs every day, multiple transports, twins out the...
  18. SteveNNP

    Question about soap.

    We only use J&J on babies old enough to be bathed, warm water on the little ones. I would imagine there are toxicity, as well as skin acid mantle disturbance issues with
  19. There are many exciting opportunities here in NYC for the type of nursing you are interested in. And you'd only be a 1 1/2 hour train ride from
  20. SteveNNP

    TX to NYC- How do I get there?

    New grads are finding it VERY difficult to land specialty positions, such as ICU, PICU, NICU, L&D etc....here at NYP. We just had a huge influx of new grads, after which HR has frozen the hire of...
  21. SteveNNP

    Duoderm as adhesive tape?

    Olivereindeer, I think you are right.... We use the Smith & Nephew brand which everyone calls "duoderm," but it is soft and rubbery, unlike the stiff, plasticky, body-heat-activated Duoderm I...
  22. SteveNNP

    Where do I buy male nursing shoes in Manhattan?

    Unless you have to wear specific shoes, just go find yourself a comfortable athletic shoe. The internet is the best place IMHO, if you know what you
  23. SteveNNP

    new grad float?

    I would NEVER accept a float pool type position as a new grad. You still have to learn the real-world side of nursing, which is next to impossible while bouncing from unfamiliar unit to unfamiliar...
  24. SteveNNP

    Kimball Medical Center

    Threads merged for
  25. 3 years as a NICU/PICU RN, still working FT while in grad