SteveNNP MSN, NP

Neonatal ICU (Cardiothoracic)

Member

All Content by SteveNNP

  1. SteveNNP

    Weight checking

    We are supposed to weigh our preemies every night, but we can defer if we feel the baby's unstable. All our isolettes are Giraffes, and try to put the micros in Omnibeds. IMHO, it's dangerous and...
  2. SteveNNP

    post-discharge visiting

    Yeah.... I convinced her to shadow me for a night shift while she was in NS. She brought 2 friends with her. After that, she never wanted to do adults again. She came to work in my unit, and we worked...
  3. SteveNNP

    Male Nurse Insert a Foley

    I was referring to male nurses doing their best to have a female staff member present while placing a female foley....for our own protection. ESPECIALLY with combative or unconscious
  4. SteveNNP

    Perineal anxiety

    No one likes doing it. Just take a deep breath and think of something else.... It'll be over before you know it. It doesn't require THAT much
  5. SteveNNP

    Salem Community College Nursing Program!

    Ouch.... good luck in
  6. SteveNNP

    Male Nurse Insert a Foley

    Inserting a foley for medically necessary reasons is no more rape than you bending over for a digital rectal exam and calling it rape. If possible, I would make sure I had a female staff member there...
  7. SteveNNP

    Acuity and Ratio

    I know, right?? It seems like all you do for your entire shift is keep that airway clear, and coax them to breathe.... It's amazing though when you have a micro who was never intubated, and went home...
  8. SteveNNP

    Maybe a strange question...

    No big deal. Just be prepared to protect your patients when you do have an outbreak. A lot of people I know had great luck with Abreva. You are more likely to give a baby a cold than HSV
  9. SteveNNP

    post-discharge visiting

    We don't have a policy about it.... My sister (also a NICU nurse) babysits one of her old primaries occasionally. The parents just needed to get out once in a while, and she offered. She took care of...
  10. SteveNNP

    NPs/DNPs moving into specialties?

    NNPs are basically ACNPs trained specifically to neonates. (chest tubes, lines, intubations, etc...) NNPs can practice independent from physicians like the rest of APNs.... the problem is that our...
  11. SteveNNP

    Acuity and Ratio

    24 weekers on NCPAP here, too... You don't get a vent until you fail IMV CPAP with a CO2
  12. SteveNNP

    Acuity and Ratio

    That's why I'm here. I love the high-acuity and complexity of it. We're the only hospital in the area that keeps its cardiacs postop. We're pretty top notch when it comes to cardiacs.... we could do...
  13. SteveNNP

    Acuity and Ratio

    In my present unit, I usually end up with a fresh postop Norwood-Sano or Arterial Switch who's a 1:1 for the course of my 3-4 shifts in a row. It's nice to be able to focus on only one patient, even...
  14. SteveNNP

    New York Presbyterian PHARM EXAM!

    I would say you'd be considered a valuable additiion to any unit... however it's all gonna depend on open positions. Internal employees get preference, especially with more facility seniority. At NYP...
  15. This is for all NYS RNs, right? Not just 1199
  16. SteveNNP

    Per Diem Question....

    As a per diem employee, you are the first to get canceled and first to float. If you depend on a steady paycheck, per diem is not good for you. There may be times you don't get to work a shift for...
  17. SteveNNP

    Would you marry a female MD?

    :DHe heh.... this has become quite a pointless
  18. SteveNNP

    Acuity and Ratio

    Holy Crap. I need to work where you
  19. Keep in mind that in CRNA school, you, as the primary breadwinner with several mouths to feed in this crappy economy, will not be able to work at ALL during most of your schooling. I moved to attend...
  20. SteveNNP

    Would you marry a female MD?

    No.... he meant live on his salary to invest her salary in order to allow for retirement by 40... 4yrs undergrad + 4 years med school + 3 year residency making jack squat + 1-3 year fellowship...
  21. SteveNNP

    Nnp

    Check out this thread...
  22. Quite an interesting take on the subject! I never considered if a MD practicing within the scope of an NP would provide better or equal care. I would imagine that in the grand scheme of things, the MD...
  23. SteveNNP

    Buying a Littmann?

    I would wait and see how the unit stethescopes work out for you before buying one. Plus the unit may not even let you use a stethescope from baby to baby. Depends on the infection control policies in...
  24. SteveNNP

    Would you marry a female MD?

    You forgot about the $300,000 worth of med school
  25. SteveNNP

    Funny/happy NICU moments needed

    I know.... even if you got it on snug, they manage to wriggle out of it so it's around their knees, and your nice, clean bed has a nice wet spot on it. And the baby's finally asleep when you discover...