SteveNNP MSN, NP

Neonatal ICU (Cardiothoracic)

Member

All Content by SteveNNP

  1. SteveNNP

    IV air bubbles

    SteveNNP replied to I'mANurse!'s topic in NICU, Neonatal

    IMHO, when your patient's heart is the size of a gumball, a "couple of inches" of air is all it takes to kill them..... With practice, you'll get faster. Being able to hang fluids quickly at the risk...
  2. SteveNNP

    blood gases and your standard of care regarding them

    SteveNNP replied to iyqyqr's topic in NICU, Neonatal

    I went from a unit that overdrew labs like crazy, to the one I am at now, where we are much more prudent. Admit labs remained the same. Babies who are on NCPAP for days, and are clinically stable...
  3. SteveNNP

    NICU duties

    SteveNNP replied to BlaineCM's topic in NICU, Neonatal

    When this happens to me, I put it in my hospital's medical event monitoring system. It gets sent to the unit manager, charge nurses, children's hospital administrators and medical director. Hopefully...
  4. SteveNNP

    Medical Assistant?? Or LPN

    SteveNNP replied to PadillaCMALPN's topic in New Jersey Nursing

    Um, what you are being asked to do is outside your scope of practice. Being "under" a medical license has nothing to do with YOUR legal scope of practice. If an MD asked you to put in a chest tube,...
  5. SteveNNP

    First time night-shifter who's a morning person

    SteveNNP replied to richwv's topic in Male Nursing Students

    After your last night shift, avoid caffeine after 2am. Go home and sleep until noon-ish. Get up, caffeinate yourself and stay busy. Go to bed around 10-11pm that night, and take a benadryl or...
  6. SteveNNP

    Greenville/Spartanburg

    SteveNNP replied to Stdy2BaNurse's topic in General Nursing

    FWIW, As far as being "outside the box," Greenville/Spartanburg is smack dab in the middle of the Bible Belt. I would not generalize that all of South Carolina is known for its lack of "broad...
  7. SteveNNP

    Need Advice about Carrying Gear

    SteveNNP replied to NewMexicoJohn's topic in Male Nursing Students

    Go for the Aviator Scrubs. I just got m first pair, and they're freakin
  8. SteveNNP

    Another ? about certification

    SteveNNP replied to Humbled_Nurse's topic in NICU, Neonatal

    There were not a lot of cardiac questions, as most Level IIIs do not do cardiac surgeries. Agree with using Verklan's Core curriculum with the study
  9. SteveNNP

    Food In The Nicu

    SteveNNP replied to NANSNURSE's topic in NICU, Neonatal

    No food in or around the patient care areas. We have a ADC 72, pod-style
  10. SteveNNP

    You Know You're a NICU Nurse When...

    SteveNNP posted a topic in NICU, Neonatal

    Saw this on a Facebook group.... funny, but SO true... You know you are a NICU nurse when... 1. You've eaten hamburger patties bigger than most of your patients 2. You define colors by the color of...
  11. SteveNNP

    Questions about managing NICU babies

    SteveNNP replied to platon20's topic in NICU, Neonatal

    Full feeds usually means that the baby is receiving full nutrition from enteral feeds. The kCal and volume depends on the baby. I am not familiar with SNAP10...I'll have to check it out Hyperal is TPN...
  12. SteveNNP

    Questions about managing NICU babies

    SteveNNP replied to platon20's topic in NICU, Neonatal

    1) For premies, when do you start feeding them? Day 2 or 3? I know that if you feed them starting day 1, they can get NEC. In the meantime, do you start TPN? Or is TPN only if the baby is going...
  13. SteveNNP

    2 Weeks and Counting

    SteveNNP replied to WildcatFanRN's topic in NICU, Neonatal

    Most units provide a stethoscope for each baby. I would buy a small calculator. Don't worry about shadowing... that's what orientation is for, you super-excited girl!! Enjoy your 2
  14. SteveNNP

    Do you use music therapy?

    SteveNNP replied to BittyBabyGrower's topic in NICU, Neonatal

    No kidding. I'm being conditioned for murder by having to listen to the same 3 Beethoven/Bach/Mozart tunes from the same mobile 12 hours a night x 4 shifts a
  15. SteveNNP

    Career Assistance-HELP

    SteveNNP replied to NYNPMAN's topic in Men in Nursing

    Many ER's hire nurse practitioners. I would suggest getting an ER nursing job after graduation, and seeing the NP/PA roles at work before choosing a completely different
  16. SteveNNP

    RN to PA

    SteveNNP replied to 2bJoshRN9788's topic in Men in Nursing

    Head on over to the Advance Practice Forum for more details/discussion of PA/NP
  17. SteveNNP

    Got The Job!!!!!!!

    SteveNNP replied to WildcatFanRN's topic in NICU, Neonatal

    I'm so excited for you!!!
  18. SteveNNP

    First Week In RN School

    SteveNNP replied to RCphiladelphia's topic in General Nursing

    Welcome to Allnurses Ryan! I hope you find this site helpful as you navigate nursing school... don't hesitate to ask us questions.... Good Luck! SteveRN21- Allnurses
  19. SteveNNP

    NG tube securement

    SteveNNP replied to FlutterbyNurse's topic in NICU, Neonatal

    My last unit used a device called "Cath-Lock" or something. It was a premade device made of a mustache shaped duoderm-type backing with a velcro tab on the top. You would place it on the chin, open...
  20. SteveNNP

    Trimming of Neonatal Fingernails

    SteveNNP replied to ldh's topic in NICU, Neonatal

    Most baby fingernails can just be "peeled" down during a bath. For the harder nails on older babies, parents usually bring in
  21. SteveNNP

    You Know You're a NICU Nurse When...

    SteveNNP replied to SteveNNP's topic in NICU, Neonatal

    Funny..... if we worked with any other pt population, we'd be posting threads like "OMG, got xxx in my mouth/eye/etc... will I get
  22. SteveNNP

    Concerning Neonatal NP -- I would love to hear your experience

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

    We have a very high census, between 65-80 babies. We are the regional cardiac center, and keep our cardiacs postop. We also are a regional ECMO center. I believe we have around 15 NNP/PA/House docs on...
  23. SteveNNP

    I actually have an NICU interview

    SteveNNP replied to WildcatFanRN's topic in NICU, Neonatal

    That's awesome! Just ask normal questions like orientation length, type of acuity, n/p ratio, floating policy, etc.... Some specific questions like: Do RNs attend high risk deliveries? What...
  24. SteveNNP

    You Know You're a NICU Nurse When...

    SteveNNP replied to SteveNNP's topic in NICU, Neonatal

    I had a little one the other day, on the vent, who I had covered with a blanket with the RW off.... whenever he needed to be suctioned, I'd see his little hand up in the air, waving back and forth, as...
  25. SteveNNP

    Weight Lifting RN's

    SteveNNP replied to Bo Shoi Ming's topic in Male Nursing Students

    Dude, I almost spit coke all over my macbook... that was