SteveNNP MSN, NP

Neonatal ICU (Cardiothoracic)

Member

All Content by SteveNNP

  1. SteveNNP

    Giving Nursing Students a Taste of NICU

    SteveNNP posted a topic in NICU, Neonatal

    Too often, nursing students are abruptly dropped off at the NICU door, handed a scrub sponge, and abandoned by their nursing instructor, who is equally petrified of what lies beyond the glass-paneled...
  2. SteveNNP

    Level 4 NICU suggestions

    SteveNNP replied to RNtoNNP's topic in NICU, Neonatal

    I agree with the others... try looking for the major academic center in your area. I work as an NNP in a large RPC Level IV+ECMO+open heart NICU, and we are constantly overloaded with acuity haha. On...
  3. SteveNNP

    30 weeker with PDA

    SteveNNP replied to Pajefferson16's topic in NICU, Neonatal

    How old is this baby? The nice thing about fetal hemoglobin is that it holds onto a LOT more oxygen at lower saturations than our blood. So you can rest assured that even if sats are in the 70s, she's...
  4. SteveNNP

    Daily Weights?

    SteveNNP replied to whelanja's topic in NICU, Neonatal

    This is why any warmer or isolette manufactured in the past 5 or so years has a built in scale. Unless a child is on ECMO (and sometimes we weigh those kids too...) or is a comfort care, babies should...
  5. SteveNNP

    What are your call requirements??

    SteveNNP replied to slp080477's topic in NICU, Neonatal

    We do not do call shifts in my unit. IMHO, call shifts are an excuse by management to not hire or adequately staff a unit. Part of it here is that we are unionized, and have set patient ratios. Hell...
  6. SteveNNP

    The nurse that assesses the newborn immediately after delivery??

    SteveNNP replied to BSNSt3ph's topic in NICU, Neonatal

    The role you are describing can be done by several different nurses, including L&D, Newborn Nursery, and NICU. It's typically an assigned role for the day, not a "hired-into" position. You would...
  7. SteveNNP

    GIR calculator for iOS

    SteveNNP posted a topic in NICU, Neonatal

    Hey all, Just wanted to let you in on something helpful that I use in NICU a lot, especially on micros who are on a lot of trickle drips and whose d-sticks are all over the place. It's called...
  8. SteveNNP

    GIR calculator for iOS

    SteveNNP replied to SteveNNP's topic in NICU, Neonatal

    Hi RN.amour- my recommendation would be to sift through the threads on this forum. All those questions have been asked and answered many times. Good
  9. SteveNNP

    Which Milk Warmer Do You Use?

    SteveNNP replied to mgturtle's topic in NICU, Neonatal

    When I was a bedside RN, we used pink water jugs with warm water. The unit then used the Penguin for awhile, and then in a push to avoid contact with tap water, we now have a Medela waterless warmer...
  10. SteveNNP

    Advice about last night

    SteveNNP replied to Kaligirl02's topic in NICU, Neonatal

    Albuterol ABSOLUTELY causes tachycardia, especially when given frequently and in higher doses. This is why a lot of units used to (and some still do) give Xopenex instead. Sounds to me like you...
  11. SteveNNP

    HFOV

    SteveNNP replied to NJNICUCCRN's topic in NICU, Neonatal

    Absorb the bounce? This is the most ridiculous thing I've ever heard The chest wiggle that is seen with HFOV use is from the lungs expanding and contracting using tiny tidal volumes at a steady MAP....
  12. SteveNNP

    PNPs with Neonatals

    SteveNNP replied to loveflowers's topic in NICU, Neonatal

    I am from the NYC area, and it's true that the number of schools offering NNP degrees have decreased recently, including Columbia University, my own grad school. The NNP market is a bit oversaturated...
  13. SteveNNP

    types of patients

    SteveNNP replied to kelseykelsey4's topic in NICU, Neonatal

    Well, this is what we have today: Prematurity Transient Tachypnea of the Newborn Presumed sepsis r/t maternal chorioamnionitis Sepsis Congenital heart disease (pre/post/periop) Congenital autoimmune...
  14. SteveNNP

    Medicinal Honey

    SteveNNP replied to NicuGal's topic in NICU, Neonatal

    Can I ask how there is any antibacterial activity left if it's been irradiated? Isn't it just then a topical sugar
  15. SteveNNP

    How does your NICU unit run?

    SteveNNP replied to LucyRn4's topic in NICU, Neonatal

    In my unit (Level IV) routine VS and cares/feeds are at 8-11-2-5. Fluids are done by day shift, and routine labs are done at
  16. SteveNNP

    Sedation/Intubation

    SteveNNP replied to kjk47's topic in NICU, Neonatal

    We don't sedate or give pain meds for simply being intubated, EXCEPT if they are pulmonary hypertension patients who are having spells, our cardiacs who can't tolerate increased SVR, and/or our...
  17. SteveNNP

    Men in Neonatal nursing

    SteveNNP replied to guest904524's topic in NICU, Neonatal

    I'd recommend applying to every hospital with a NICU position in NYC and the burbs. We hire several new grads here in our NICU. Most managers I feel actually prefer new grads over seasoned nurses from...
  18. SteveNNP

    Neonatal Nurse vs Neonatal Nurse Practitioner

    SteveNNP replied to nursing5275's topic in NICU, Neonatal

    Wow this situation sounds ghastly for an NNP. Frankly I wouldn't work for a place that put so many restrictions on me as a practitioner. Where I am now, while I of course involve the fellow and...
  19. SteveNNP

    Unplanned extubation while on orientation

    SteveNNP replied to tictac's topic in NICU, Neonatal

    I agree with everything else EXCEPT this quote. I sure hope this isn't the standard practice. At my facility (Level IV with ADC=75 including open hearts, ECMO, head cooling, and one-lung ventilation)...
  20. SteveNNP

    DNP for Neonatal Nurse Practitioners?

    SteveNNP replied to guest904524's topic in Doctoral Nursing Degrees

    There is no way they can mandate that NPs be doctorally prepared until they decide that the BSN is the entry degree to nursing... and that hasn't happened yet, over a hundred years later haha....
  21. SteveNNP

    Transfusion associated NEC

    SteveNNP replied to essT's topic in NICU, Neonatal

    As a general rule, we make babies NPO 4 hours before, during, and 4 hours after transfusion. We start an additional line to deliver IVF/TPN during the transfusion. We currently have research in...
  22. SteveNNP

    NNP Outlook

    SteveNNP replied to guest769224's topic in Nurse Practitioners, NP

    "If it's just neo CICU, at what age will you transfer them to the "regular" peds CICU?" We almost always discharge to home from our current NeoCICU section of our NICU now. It's the rare kid who's...
  23. SteveNNP

    Single vs. Double lumen

    SteveNNP replied to ScammRNC's topic in NICU, Neonatal

    We do not use double lumen lines for our UACs. We only use double-lumen UVCs in certain situations - ONLY on our pre/postop cardiac patients that require pressors, PGE1, Flolan, etc... The vast...
  24. SteveNNP

    Best time to become NNP

    SteveNNP replied to NicuRN628's topic in NICU, Neonatal

    BabyNP offers some great advice, so I won't add too much... but I think with that much bedside experience by the time you enter clinicals is great. My added advice is to seek out learning...
  25. SteveNNP

    NNP Outlook

    SteveNNP replied to guest769224's topic in Nurse Practitioners, NP

    As an NNP who has worked in NICU for 10 years, nearly 5 as an NNP, I can tell you there are never enough NNPs to go around. Especially as you said with units expanding rapidly, some even with 100+...