SteveNNP MSN, NP

Neonatal ICU (Cardiothoracic)

Member

All Content by SteveNNP

  1. SteveNNP

    Male Nurses/female Patients

    My mother recently had a mastectomy, and her favorite nurse on the onc floor was a guy. She gushed about him the whole time she was there, and even after she got home. Never mentioned any of the other...
  2. SteveNNP

    Primary/secondary apnea.

    Or "How much does he weigh?" while you're in & out suctioning and intubating. Best one: "Aunt": "Are you going to circumcise him now?" - (while stim/sx) Me: Let's give him a few
  3. SteveNNP

    No reimbusement if patient satisfaction score are low?

    Just another example of management shifting their problems and responsibilities onto the staff. Satisfied staff = satisfied patients/families Every hospital would be bankrupt in a few days if Medicaid...
  4. I guess your consultants are like our attendings, your officers are fellows, and your registrars are like residents. Sounds like they need to spread out the changeover a little. Our residents and...
  5. what are the salaries like at Columbia ? - per last cycle's contract (which we are in the middle of negotiations for) Base salary is around 68k, plus $6k night diff, experience diff, and educational...
  6. SteveNNP

    new grad, cant get hired

    Nah. All they care about is if you have a pulse. Come across the bridge to NYC. We always need
  7. It's done with. I left that job last year for grad
  8. Hi all, I need some input/validation here..... Here's the situation. One of our staff members came down with an infection last year and was out of work for several months. She now has a picc line and...
  9. To make a long story short, she was given 30 days to get off the TPN and morphine and return to work (this is after a year of being on it) and submitted to a occ health checkup assessing...
  10. What hospital do you work at? - Columbia Presbyterian in NYC Do you feel like the hospital is a good palce to work as an RN? - Yes. It's the only place for me, as far as I'm concerned. Are you...
  11. SteveNNP

    Primary/secondary apnea.

    Right...... primary would be a weak respiratory effort that you can "bring back" with blowby, suctioning and stimulation. (could include obstructive apnea). Secondary apnea could occur with a...
  12. SteveNNP

    Do you use Biosensors from Vital Care Products?

    No. After we trialed them for a while, we hated them so much that we went back to the old way of drawing blood, with either the 3 gtt method or
  13. SteveNNP

    Primary/secondary apnea.

    Recognition and treatment of Primary and Secondary apnea 1. Primary Apnea: When asphyxiated, the infant responds with a increased respiratory rate. If the episode continues, the infant becomes...
  14. SteveNNP

    Child Abuse

    My last job, we did a meconium screen and UDS for any abruption, or no/limited/unknown PNC moms. I have YET to see one done here in my new job, and I've been here almost 9
  15. I agree with llg. The patient's nurse was responsible for conveying those results to the NNP, so she could take a stat order. A BS of 9 is not something that you delegate to a
  16. SteveNNP

    How many visits does a "busy ER" have?

    I worked in an 80 bed Level Trauma center. It had a 1:1 trauma ratio, and a 1:4 ratio otherwise. We had between 100-120k visits a year. While we were almost always turning pts over (usually 8-10 pts...
  17. SteveNNP

    Child Abuse

    Yep, a lot of them tried that. Then they show up abrupting due to cocaine use, or infected from the waist up because they were too high to realize it, or delivered kids in the toilet because they were...
  18. SteveNNP

    How many visits does a "busy ER" have?

    I think "busyness" doesn't depend so much on "visit counts," but on # of beds, admission wait times, staffing levels,
  19. SteveNNP

    Child Abuse

    In the last state I worked in, if you tested drug positive during a pregnancy, you were jailed after delivery, and your baby was placed in foster care. Was it always enforced? No. But at least it was...
  20. SteveNNP

    Why I want NICU-good reasons? (long)

    You still do IVs, central lines and urinary catheters in NICU. You get more than 2 patients in NICU. Up to 4. Other than that, it sounds like you are on the right track for NICU. Good
  21. SteveNNP

    Which will help me get to NICU eventually??

    As a PICU nurse in a addition to a NICU nurse, I say go for the PICU. You'll probably be floated to NICU once in a while, and you'll get to hone your pediatric/neonatal critical care skills, which are...
  22. Noooo... it's so they can pay you LESS than they normally
  23. The certification really tests you on info you don't grasp until you're been a NICU nurse for a while. My particular hospital does pay a certification differential. It recognizes dedication to and...
  24. Are you asking about nursing in general, or specifically to hospitals in Bergen
  25. I would give the admissions office a call and find out exactly what that