SteveNNP MSN, NP

Neonatal ICU (Cardiothoracic)

Member

All Content by SteveNNP

  1. SteveNNP

    CPAP positioning

    SteveNNP replied to SmileyGirl :o)'s topic in NICU, Neonatal

    It depends on the type of device. We use the Hudson prongs here, which is a bar that sits below the nose. I find that if I angle the prongs down and back as I insert them, i get a better seal without...
  2. SteveNNP

    Shoes

    SteveNNP replied to Lilloman's topic in Men in Nursing

    Nike
  3. SteveNNP

    Top Tens

    SteveNNP replied to minky84's topic in NICU, Neonatal

    I'll swipe the easy one: Top 5 diagnostic tests: Chest Xray Basic Metabolic Panel Complete Blood Count Arterial blood gas Total/direct bilirubin
  4. SteveNNP

    Pressure limits on infusion pumps

    SteveNNP replied to corks's topic in NICU, Neonatal

    Yeah, and like I said, since the pump was upside down, there was no mistaking what was
  5. SteveNNP

    Iv Cannulation Insertion Tips And Documentation

    SteveNNP replied to johan john's topic in NICU, Neonatal

    Yes, scalps are awesome.... and there's always one good one, even after the kid's been pincushioned. They always thread like a charm, and you can hide them pretty easily. I have a hard time convincing...
  6. SteveNNP

    Pressure limits on infusion pumps

    SteveNNP replied to corks's topic in NICU, Neonatal

    All our feeds were put on a separate medfusion pump on the other side of the bed to avoid confusion. Occasionally when we were out of medfusions we would have to use a syringe pump module to give...
  7. SteveNNP

    Funny Names

    SteveNNP replied to nurserynurse55's topic in NICU, Neonatal

    How about Di'Etpepsi
  8. SteveNNP

    Iv Cannulation Insertion Tips And Documentation

    SteveNNP replied to johan john's topic in NICU, Neonatal

    Ha! Anywhere you can get one. The most unusual one I saw was a PIV placed in a superficial abdominal vein..... Most typical are the veins on the back of the hand, basilic and cephalic on the forearm,...
  9. SteveNNP

    Amount of RN experience prior to starting MSN program

    SteveNNP replied to mt33133's topic in Post Graduate Students

    You hit the nail right on the head
  10. SteveNNP

    Iv Cannulation Insertion Tips And Documentation

    SteveNNP replied to johan john's topic in NICU, Neonatal

    It's one thing if you are alone on a transport. If there are other nurses there, that person needs to step back and let someone else try. You may need to go to your manager about this, as well as...
  11. SteveNNP

    Iv Cannulation Insertion Tips And Documentation

    SteveNNP replied to johan john's topic in NICU, Neonatal

    I don't know of any NICU that uses the UV vein finder. We did have a thread on that a while back, and no one had heard of it. I don't think the resolution was good enough to see the small veins on a...
  12. SteveNNP

    Parents and Firing Nurses

    SteveNNP replied to sunny17's topic in NICU, Neonatal

    ....or you've just busted your hump all night trying to fix a baby that went bad on your shift, only to have him start to improve on day shift after you've left. Makes you look like a crappy nurse,...
  13. SteveNNP

    Pressure limits on infusion pumps

    SteveNNP replied to corks's topic in NICU, Neonatal

    I'm jealous. I miss them so much. I also loved how you could easily access the drug label/library system, and infuse at rates down to 0.1cc/hr and snap syringe and infusion channels on and off as you...
  14. SteveNNP

    Funny Names

    SteveNNP replied to nurserynurse55's topic in NICU, Neonatal

    I guess my kid would be named Diet Pepsi Vanilla
  15. SteveNNP

    Pressure limits on infusion pumps

    SteveNNP replied to corks's topic in NICU, Neonatal

    AND you can snap up to 4 syringe pump modules right on the alaris
  16. SteveNNP

    Cool new products in the NICU

    SteveNNP replied to kitty29's topic in NICU, Neonatal

    FINALLY we are getting TransWarmers for the unit I'm in now..... #4 NICU in the nation, and NO ONE has heard of them. It took some arm-twisting to get 'em, too. Makes me miss my old unit and the care...
  17. SteveNNP

    Sibling Visitation Rules Exist For A Reason...

    SteveNNP replied to Sweeper933's topic in NICU, Neonatal

    Had a 3 m/o ex 26 weeker I was primarying. Finally got him off the vent, and off O2 on full feeds. Enter long-lost grandma one day. Complains to me while holding the baby that she has a streaky...
  18. SteveNNP

    Pressure limits on infusion pumps

    SteveNNP replied to corks's topic in NICU, Neonatal

    Exactly. That is why every NICU nurse needs to actually walk over to the isolette or RW and physically lay eyes and a finger on that IV site every hour. We use Sigma smart pumps. I used the Alaris...
  19. SteveNNP

    Describe an average day at your hospital

    SteveNNP replied to Fox1's topic in Men in Nursing

    1900: Clock in and get report on my postop open heart baby. Check all my drips, lines, pacemaker wires and tubes. Check orders. Perform a head-->toe assessment. Give meds, draw labs every hour or...
  20. SteveNNP

    Need some SERIOUS advice from Neonatal/Pediatric NP's

    SteveNNP replied to mommy2three2's topic in Nurse Practitioners, NP

    I'm still studying for my NNP, so I'll have to answer your question based on my observation alone. Lifestyle/hours worked: Anything goes. NNPs here work 12 hour rotating shifts of 6 nights and 7 days...
  21. SteveNNP

    Anyone live in South Jersey but commute to NYC?

    SteveNNP replied to Turtle08's topic in New Jersey Nursing

    What county is Hamilton in? I take NJT from Red Bank to NYP in 1 hr/10min. It's doable if you can catch up on your sleep on the train. When I worked days, it didn't get me to work on time for my...
  22. SteveNNP

    Amount of RN experience prior to starting MSN program

    SteveNNP replied to mt33133's topic in Post Graduate Students

    I had to wait 2 years before starting my NNP. It's now a requirement for most schools. I am a firm believer in getting 2+ years of solid clinical experience to stand on before starting a graduate...
  23. SteveNNP

    Staff RN's earn more than Nurse Manager?!

    SteveNNP replied to haitianrn's topic in Nurse Management

    That's too bad that they make you work holidays.... I'm pretty sure I didn't see any management other than the house supervisor for a few shifts around Christmas, New Year's, Easter, Memorial Day,...
  24. SteveNNP

    Iv Cannulation Insertion Tips And Documentation

    SteveNNP replied to johan john's topic in NICU, Neonatal

    Run a search on neonatal IV insertion here on AN, since there are a lot of recent threads on that subject. As far as # of sticks, the last unit I worked in, each nurse could try twice, with total...
  25. SteveNNP

    Cool new products in the NICU

    SteveNNP replied to kitty29's topic in NICU, Neonatal

    Radiology still will not shoot an xray if a kid is on one of them.... I have a problem with how huge they are and how much room they take up inside the isolette. Especially with micros, they end up...