SteveNNP MSN, NP

Neonatal ICU (Cardiothoracic)

Member

All Content by SteveNNP

  1. SteveNNP

    Heparin Locks/Flushes

    SteveNNP replied to salaw's topic in NICU, Neonatal

    My first unit used heparin to flush PIVs. My current unit uses saline prefilled flushes and they last just as long. All our central and PICC lines get 1:1 or 0.5:1 heparin in fluids. We never cap or...
  2. SteveNNP

    ECMO

    SteveNNP replied to littlepeopleRNICU's topic in NICU, Neonatal

    Perfusionists at my unit handle all standard and cardiac ECMOs from priming to running the
  3. SteveNNP

    NNP 24 hour coverage

    SteveNNP replied to mybooboo's topic in NICU, Neonatal

    For us, it's not about the union at all. My union only stipulates that we cannot be mandated to work longer than 16 hours at a time without at least a 4hr sleep break. So at my unit, our 23 NNPs all...
  4. SteveNNP

    O2 flow...

    SteveNNP replied to deadrn's topic in NICU, Neonatal

    For every liter of oxygen you deliver via cannula, you increase your delivered fiO2 by roughly 4% - so on 1L/100% you're essentially giving
  5. SteveNNP

    what is GIR in TPN

    SteveNNP replied to al.ghada68's topic in NICU, Neonatal

    This is very odd...there's no way you could be delivering a GIR of 11 unless your baby weighed like, 100 grams...haha. The glucose infusion rate is a calculation of the infusion of mg/kg/min of...
  6. SteveNNP

    use of diapers during phototherapy

    SteveNNP replied to al.ghada68's topic in NICU, Neonatal

    Everywhere I've worked we leave the diaper on, just pull it down so as much skin is exposed as possible. IMHO if bilis are meant to come down they will, with or without diapers on. Those kids who get...
  7. SteveNNP

    Baby Jesus as a NICU admission

    SteveNNP posted a topic in NICU, Neonatal

    I had a thought about this today.... Could you imagine what it would be like if Jesus were a NICU admission today? I could hear us nurses whisper: "Another virgin birth? How could she NOT know she...
  8. SteveNNP

    Test Your Neonatal Critical Care Knowledge

    SteveNNP posted a topic in NICU, Neonatal

    So, by popular demand..... here is a thread dedicated to questions posed to help increase one's knowledge base in regards to the acute care NICU population. If anyone desperately wants a separate...
  9. SteveNNP

    Bilirubin levels ?

    SteveNNP replied to samiam4's topic in NICU, Neonatal

    I would also be interested in the mom and baby's type and coombs results. An ABO reaction will cause the bili to rise more quickly, and higher, and will probably require lights. I would check one more...
  10. SteveNNP

    NYP housing

    SteveNNP replied to i.am.a.nurse's topic in New York Nursing

    I have several friends who live in Columbia housing. Their studios start at around $1200 and up, depending on whether there's an elevator or laundry in the building. They do allow pets (certain...
  11. SteveNNP

    diluted Na in Blood

    SteveNNP replied to acenab4jc's topic in NICU, Neonatal

    Plus, you don't want to add sodium (which can cause fluid retention) into an already 3rd spacing baby. Did you guys do urine electrolytes, to see if she was losing vast amounts of sodium in her...
  12. SteveNNP

    Polymixin via ETT

    SteveNNP replied to umcRN's topic in NICU, Neonatal

    While we usually have very few intubated babies on our unit (most are aggressively placed on NCPAP), we have a very low incidence of VAP. Usually only on our older vent/trach babies. We do not use...
  13. SteveNNP

    Annoyed

    SteveNNP replied to umcRN's topic in NICU, Neonatal

    I wasn't aware of nutrition issues giving EBM via a kangaroo pump. I know some of the fats stick to the inside of the bag...is that it? Here, the nurses only add 4hr worth of EBM at a time, and from...
  14. SteveNNP

    Securing ET Tube

    SteveNNP replied to MedEngineer's topic in NICU, Neonatal

    My old unit used the Portex X-shaped ETT holders, and I like those a lot better than the neobars. Neobars tend to get gross, and never quite look like your tube is being held
  15. SteveNNP

    Adult NP would like to switch to babies.

    SteveNNP replied to puttinontheritz's topic in NICU, Neonatal

    Hi! Resident NNP here :) Just wanted to wish you well in your new endeavor! As others have said, it'll be like being a new grad all over again, except you probably have your time management and...
  16. SteveNNP

    Research for NICU Tourniquet

    SteveNNP replied to alex.IPI's topic in NICU, Neonatal

    We use rubber bands too. Our PICC insertion trays have a prefab tourniquet in them, but they suck compared to the plain old rubber bands we use for regular IV sticks. Invent a motorized hand that...
  17. SteveNNP

    I didn't get the NICU job...what do I do now?

    SteveNNP replied to obprof's topic in NICU, Neonatal

    I would try other units in the area. Or look into a volunteer program in the unit you want to work in. At least it's a foot in the door! I wouldn't recommend getting a DNP with a neonatal specialty,...
  18. SteveNNP

    Perinatal NP

    SteveNNP replied to klg2011's topic in Nurse Practitioners, NP

    I've never heard of a Perinatal NP. You can pursue a Women's Health NP track, -or- a neonatal NP track, but they limit you to entirely different patient populations. You may be able to get your FNP,...
  19. SteveNNP

    Now what?!

    SteveNNP replied to babiesRmylife's topic in NICU, Neonatal

    Wow. I definitely feel ya. I suffered TERRIBLY from "Second-Unit-Syndrome" when I moved to NYC. I HATED the new way we did everything. Part of it was personal comfort, partly the fact that I had to...
  20. SteveNNP

    Curious...any of you guys considering Peds/PICU/NICU?

    SteveNNP posted a topic in Male Nursing Students

    I am a NICU/PICU/Peds RN, and have been out of school for almost 2 years in the legendary "real world." I have had the chance to precept several guys in nursing school over the last year in PICU and...
  21. SteveNNP

    How can I get a degree in Neonatal care?

    SteveNNP replied to SarahP'13's topic in NICU, Neonatal

    Hi Sarah, In order to become a neonatal nurse, you need to attend a general nursing program (either an associate's degree or bachelor's program), then seek a job in a neonatal area once you graduate....
  22. SteveNNP

    Benchmarking Level III NICU nurse/pt ratios....please help

    SteveNNP posted a topic in NICU, Neonatal

    Hello friends.... I recently volunteered at a showdown staff meeting [don't you love those?] to benchmark our staffing ratios and acuity tool with those use by other hospitals. We have recently...
  23. SteveNNP

    Liquid Glycerin Administration in Neonates

    SteveNNP replied to ICNClinicalRN's topic in NICU, Neonatal

    In my first unit we used 0.2cc of liquid glycerin in a 1cc slip-tip syringe with lubricant on the end. Here we use 1/4 of a glycerin
  24. SteveNNP

    Transcutaneous bilirubinometry

    SteveNNP replied to karnicurnc's topic in NICU, Neonatal

    My unit doesn't use TcB. My last unit tried it briefly, but discontinued it, as it proved inaccurate, and tough to implement, especially once phototherapy had been
  25. SteveNNP

    opinions on contemporary forums conferences

    SteveNNP replied to ymm123's topic in NICU, Neonatal

    If anyone's looking for a slightly more advanced neonatal conference, check out the Florida Association of NNP's annual conference in Florida every October. I went as a third year NNP student and...