SteveNNP MSN, NP

Neonatal ICU (Cardiothoracic)

Member

All Content by SteveNNP

  1. SteveNNP

    Anyone ever use IV Glycopyrrolate?

    SteveNNP replied to SteveNNP's topic in NICU, Neonatal

    I chuckled when I read this old post of mine... that baby has now been home for almost 2 years... and is doing pretty well! His mom keeps in touch with me via Facebook... he is getting ready to start...
  2. SteveNNP

    NICU- accidental extubation

    SteveNNP replied to nicu1_RN's topic in NICU, Neonatal

    If you do a cochrane neonatal lit review, the research basically holds 50:50 for ETT vs. NTT. With ETTs, you get palatal/lip grooving, and subsequent feeding issues. With NTTs, you can get nasal...
  3. SteveNNP

    HFJV vs. HFOV

    SteveNNP replied to Coffee Nurse's topic in NICU, Neonatal

    Normally, YES, the oscillator is great at removing CO2. But in PIE and MAS, you have air leaking and trapping, both of which HFOV is less effective at overcoming. The jet is the best at removing Co2...
  4. SteveNNP

    NICU- accidental extubation

    SteveNNP replied to nicu1_RN's topic in NICU, Neonatal

    My unit uses exclusively nasal intubation with a complicated taping method that involves pink tape, suture material, and a suction catheter tube. Don't ask. All I know is that it is the most secure...
  5. SteveNNP

    NY presbyterian

    SteveNNP replied to gerry79's topic in New York Nursing

    At this point, before our contract expires this year, your friend would probably start at around $80K, plus night diff/certification/BSN, etc... Your cost of living will probably be much higher...
  6. SteveNNP

    Best area of Specialty for Male Nurse?

    SteveNNP replied to jtanga's topic in Male Nursing Students

    It depends what you are looking for. I work in NICU. I was the only male in my unit until recently. Now I am one of 8. If you want to work with a lot of guys, yeah... ER/ICU is the place to be....
  7. SteveNNP

    For those that have taken the RNC or CCRN

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

    It's not the same exam...but it's kind of pointless to be double certified. You'll have different CEU maintenance requirements, etc... IMHO, do the RNC. It's more widely known for the neonatal...
  8. SteveNNP

    Thinking of becoming a childrens nurse

    SteveNNP replied to jambonsambo's topic in Male Nursing Students

    I've worked NICU, peds ICU and Peds ER, and parents love good, caring nurses, whether or not they are men. Some of my best experiences have been caring for kids! My advice is to go into school...
  9. SteveNNP

    New Grad, needs help getting a job at NY presbyterian!!! help

    SteveNNP replied to Sweetiie17's topic in New York Nursing

    Not much to add to this discussion.... Except...welcome to NYC. This is how people interact with each other here... nothing personal, we just tell it like it is :) The market here is horrible. I've...
  10. SteveNNP

    HFJV vs. HFOV

    SteveNNP replied to Coffee Nurse's topic in NICU, Neonatal

    Hi! We are extremely "gentle ventilation" oriented here where I work, so we keep babies (even micros) off the vent if at all possible. When we do have to use HFV, we typically use the oscillator, or...
  11. SteveNNP

    For those that have taken the RNC or CCRN

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

    I took the RNC exam in 2007, and just took the NNP cert exam this year... I found the Core Curriculum by Verklan as well as the accompaying study guide/questions very helpful. I remember scoring...
  12. SteveNNP

    why bolus and bicarb?

    SteveNNP replied to IvoryLena's topic in NICU, Neonatal

    I know I'm chiming in late... but here's my take on the situation (as a fresh-out-of-school NNP myself) So metabolic acidosis is caused by the cells of the body switching from AERobic to ANaerobic...
  13. SteveNNP

    Living/working in/around Ft Lauderdale

    SteveNNP posted a topic in Florida Nursing

    Hi All, So, I interviewed at Broward General for an NP position, and being from NYC, I have no context in terms of the area and climate. Most people I know who live in FL hate living there. They cite...
  14. SteveNNP

    doxapram, dopram in the NICU

    SteveNNP replied to janda381's topic in NICU, Neonatal

    It's an old drug that is used really only as a last resort in treating apnea. Here where I work we use cycled cpap and/or
  15. SteveNNP

    Looking for NICU Nurses with their MSN?

    SteveNNP replied to TakingCareOfBabies's topic in NICU, Neonatal

    Hi... I have my MSN/NNP. Although I am just now starting to practice as an NNP, since I graduated recently. If I can help you out, send me a
  16. SteveNNP

    New York Presbyterian Nurse needs somewhere to LIVE!!

    SteveNNP replied to 1CLASSYRN's topic in New York Nursing

    Avoid the East Side completely if you plan on working at the Columbia campus. Aside from being grossly underserved by subway service, it will take you an hour at least to get crosstown and all the way...
  17. SteveNNP

    Anyone hospitals hiring new grads for NICU?

    SteveNNP replied to mcpnurse's topic in New Jersey Nursing

    Check out Saint Barnabas hospital system. I know Monmouth Medical in Ocean County had a few positions... Saint Barnabas Health Care System - New
  18. SteveNNP

    student interested in NICU- what can I do now?

    SteveNNP replied to santacruzfuturenurse's topic in NICU, Neonatal

    You could look into volunteering in a local NICU...as a cuddler, etc...or even a car seat safety educator... the latter is an extremely useful tool in
  19. SteveNNP

    therapy involved in nicu

    SteveNNP replied to slp1's topic in NICU, Neonatal

    Not that I know of. As I've heard tell, ours started out as a feeder, and self-taught advanced feeding techniques over the
  20. SteveNNP

    venting...

    SteveNNP replied to scrabblern's topic in NICU, Neonatal

    based on this information, i recommend you start applying elsewhere....get out while you
  21. SteveNNP

    Commuting to work in the NICU

    SteveNNP replied to freedom4's topic in NICU, Neonatal

    Wow. I commuted 1-1.5 hours each way on night shift, and fell asleep at stoplights more times than I care to remember. I didn't have 3 kids to take care of, though. I know NICU is your dream, but is...
  22. SteveNNP

    student interested in NICU- what can I do now?

    SteveNNP replied to santacruzfuturenurse's topic in NICU, Neonatal

    In order to become a Neonatal Nurse practitioner, you will be required to have 2 years of full-time level III NICU
  23. SteveNNP

    Need the name of this item for developmenal care

    SteveNNP replied to kitty29's topic in NICU, Neonatal

    We use Gel-e-Donuts on our babies... it's not U-shaped though. Kinda looks like a breast implant...a great conversation starter with the
  24. SteveNNP

    New Student, Wanting to persue NICU

    SteveNNP replied to trach baby's topic in NICU, Neonatal

    You could also look into volunteering as a cuddler in a NICU that uses
  25. SteveNNP

    therapy involved in nicu

    SteveNNP replied to slp1's topic in NICU, Neonatal

    We have a feeding specialist (non-degree) who is phenomenal at teaching kids and parents (and nurses) to feed. She has a treasure chest of special nipples and bottles she hides, and uses when kids...