SteveNNP MSN, NP

Neonatal ICU (Cardiothoracic)

Member

All Content by SteveNNP

  1. SteveNNP

    venting...

    SteveNNP replied to scrabblern's topic in NICU, Neonatal

    Unsafe, unsafe, unsafe.... At the very least, the nursing supervisor should have floated staff from other units to at least feed/change/VS on some babies to offload those of you who had critical pts....
  2. SteveNNP

    Comprehensive list anywhere?

    SteveNNP replied to dstiegyrn's topic in NICU, Neonatal

    Hello! A list of NICUs in the U.S. would be pages and pages long. Your best bet is to run a google map search for hospitals in areas you want to work in. Visit each hospital's website, and look under...
  3. SteveNNP

    New Grad offers...Level II or III?

    SteveNNP replied to wannabe07's topic in NICU, Neonatal

    It does sound like you are answering your own question. :) Just be aware that there ARE level II babies in level III NICUs! It's not all super-sick babies. Most NICUs have a mix of sick and...
  4. SteveNNP

    Low Census in the NICU

    SteveNNP replied to neonurse97's topic in NICU, Neonatal

    Enjoy it while it lasts. August is coming, and with it, the winter storm-conceived preemies! We never have a low census.
  5. SteveNNP

    OGT or NGT for neonates?

    SteveNNP replied to Bortaz's topic in NICU, Neonatal

    OGT when they are little, and are all-tube feeding, and need maximum NCPAP seal. NGT once they are big enough to handle a tube in the nare, and start nippling. It's way too hard to try to get a...
  6. SteveNNP

    Glucose Levels

    SteveNNP replied to MikeyBSN's topic in NICU, Neonatal

    We use 40-180 as our range for a normal glucose level. Just keep in mind that BG levels can go from fine to critical in a matter of minutes in a
  7. SteveNNP

    using servo control on a dressed neonate??

    SteveNNP replied to wooby's topic in NICU, Neonatal

    Servo shouldn't be used on a dressed neonate. It irritates me when people wrap babies in so many blankets that they are impossible to find in the pile of fabric. Wrapping a baby who is already on the...
  8. SteveNNP

    Taking BP on infants

    SteveNNP replied to mmm cdiff's topic in Patient Care Technician, Assistants

    the only advice I can add is to ensure that the "artery" guide line on the cuff lines up with where the actual artery lies, eg radial or
  9. SteveNNP

    How can I ues my Nutrition Degree with a Nursing degree

    SteveNNP replied to littlenurse21's topic in New York Nursing

    I would imagine with those two degrees you would make a terrific diabetes educator
  10. SteveNNP

    New York-Presbyterian Colombia Hospital

    SteveNNP replied to Nurse McDreamy's topic in New York Nursing

    It depends on where you want to work. I work in the Children's Hospital, which is pretty much its own island. I have no idea what goes on across the street in the adult building. Salary is the...
  11. SteveNNP

    TPN/IL through UAC??

    SteveNNP replied to EarlyAdditionRN's topic in NICU, Neonatal

    We sometimes run TPN or meds (no pressors) through out UACs when no access is available. We are told lipids are NEVER to be run though UACs. I believe it has something to do with risk for lipid...
  12. SteveNNP

    Are my GRE scores sufficient for an Entry-level MSN program?

    SteveNNP replied to Samian Q's topic in Post Graduate Students

    My Ivy school only required a score of 1000. You'll be
  13. SteveNNP

    NJ Licensure by Endorsement

    SteveNNP replied to peanutRN's topic in New Jersey Nursing

    It was back in 2008 when I endorsed my NY state license to NJ for my NP
  14. SteveNNP

    Xray through zflo?

    SteveNNP replied to wee one rn's topic in NICU, Neonatal

    We've gotten mixed information on them. Some Xray techs say leave them, other say you can see air bubbles. If the kid is THAT sick that they need a CXR, then I don't want to risk having artifact on my...
  15. SteveNNP

    personal ECMO question

    SteveNNP replied to littlepeach's topic in NICU, Neonatal

    ECMO is a last-ditch effort. Once the baby is heparinized, and has his blood circulating through a pump, the clock is ticking. Many babies eventually have bleeding, platelet dysfunction, vascular...
  16. SteveNNP

    Moved to NY from somewhere else?

    SteveNNP replied to artistnurse's topic in New York Nursing

    I agree with LaynaER. Having lived and worked in Manhattan for 3 years now, I've seen several hospitals close, waiting lists for new grads seeking jobs fill up, and now the market has been flooded...
  17. SteveNNP

    NJ Licensure by Endorsement

    SteveNNP replied to peanutRN's topic in New Jersey Nursing

    Took me about a month. But I made sure I had all my paperwork in order
  18. SteveNNP

    Some questions about gentamicin...

    SteveNNP replied to summerlove2's topic in NICU, Neonatal

    Dosing gentamicin depends on gestational age at birth, plus postnatal days of life. Sometimes doses are adjusted based on levels, renal function, etc. Our standard gent doses are from 4-5 mg/kg q...
  19. SteveNNP

    What to do when the census drops...

    SteveNNP replied to lccougar02's topic in NICU, Neonatal

    My sister is a NICU nurse, and she held 2 PRN jobs. One in NICU (her main one) and one in a pediatric float pool. She floated between PICU, peds, peds heme/onc and peds ED. She loved the variety, and...
  20. SteveNNP

    Do you let gastroschisis babies with silos be held?

    SteveNNP replied to heymama1plus1's topic in NICU, Neonatal

    Nope. Too much risk of dislodging the silo and subsequent disembowelment. Also, the risk of increased intraabdominal pressure could compromise the
  21. SteveNNP

    CBC clotting

    SteveNNP replied to NJNICUCCRN's topic in NICU, Neonatal

    I've found that by rolling the tube gently between your hands helps get all the anticoagulant off the tube walls, and keeps CBCs from clotting. My first night in NICU, I had all 4 CBCs clot on...
  22. SteveNNP

    New Grad desperate for a JOB!!

    SteveNNP replied to POLmissy00's topic in New Jersey Nursing

    NJ is an extremely tight market for new grads, and nurses in general. Even NYC is getting tighter thanks to St Vincent's closing and laying off 500 experienced RNs. My advice is to go to as many job...
  23. SteveNNP

    CBC clotting

    SteveNNP replied to NJNICUCCRN's topic in NICU, Neonatal

    1. People put too much blood in the microtainers, depleting all the anticoagulant in the tube. All you need is 300 microliters, between the 1st and second line. 2. Shaking. Lyses RBCs, causing...
  24. SteveNNP

    Best Practices for UAC use ?!?

    SteveNNP replied to Jack's Mom's topic in NICU, Neonatal

    We never place double lumen UACs. Ours are pulled before 7 days anyway, so the use of a double lumen is limited. Our UVCs rarely stay in longer than the 48hr rule/out before a PICC is places. UACs...
  25. SteveNNP

    Test Your Neonatal Critical Care Knowledge

    SteveNNP replied to SteveNNP's topic in NICU, Neonatal

    Very good! You guys know your stuff! Here's another one. Why do we start babies on vanilla TPN or clear IV fluid without electrolytes for the first few days of life?....and what do we look for when...