---
title: What It Takes to Become a NICU Nurse
url: "https://arizonacollege.edu/blog/what-it-takes-to-become-a-nicu-nurse/"
type: post
date_published: 2022-09-28
date_modified: 2025-08-01
schema:
  @type: Article
language: en-US
word_count: 1016
reading_time: 6 min
canonical: "https://arizonacollege.edu/blog/what-it-takes-to-become-a-nicu-nurse/"
featured_image: "https://arizonacollege.edu/wp-content/uploads/2025/08/nicunursegraphic.jpg"
categories:
  - Nursing Careers
---

# What It Takes to Become a NICU Nurse

## 󠀁**An inside look and what it takes to be an NICU nurse**󠁿

“I’d love to be a NICU nurse; holding babies all day sounds like a dream.” It is
an understatement to say this is a common misunderstanding of what a neonatal
intensive care unit (NICU) nurse does. NICU nursing is a sub-specialty that
cares for infants that are experiencing congenital anomalies, prematurity,
system disorders, and other functional problems (
[https://www.registerednursing.org/specialty/nicu-nurse/](https://www.registerednursing.org/specialty/nicu-nurse/)
). A neonate is an infant in the first month of life. However, NICU nurses do
not stop caring for infants simply because they have reached one month of life,
and often due to the prematurity of gestational age, they will spend many months
in the NICU (
[https://www.registerednursing.org/specialty/nicu-nurse/](https://www.registerednursing.org/specialty/nicu-nurse/)
).

Working in the NICU was the only place I saw myself ever working in a clinical
setting. This passion began in nursing school during my maternal-child rotation.
After witnessing a couple of very tough deliveries, I asked my instructor if I
could spend a day in the nursery. I was that person that thought it would be a
fun day of holding babies; I was wrong. That day I assisted in caring for a
drug-addicted neonate, born only a day earlier. We medicated this neonate with
morphine at regular intervals to help with withdrawal. We held, swaddled, and
tried to soothe the discomfort for the entirety of the shift. At the end of the
shift, my instructor asked me how it went. I told her that I loved it and had
never felt I contributed more during my nursing program than I had that day.

![NICU Nurse Illustration](https://arizonacollege.edu/wp-content/uploads/2025/08/nicunursegraphic.jpg)![NICU Nurse Illustration](https://arizonacollege.edu/wp-content/uploads/2025/08/nicunursegraphic.jpg)
Fast forward to post graduation, I landed my dream job in the NICU on the unit
where I had done my preceptorship. I was in the continuing care nursery on the
first day of orientation. This is the part of the unit we call feeder growers.
The infants are about to go home but cannot be released for several reasons,
such as taking enough formula or breast milk orally, lack of weight gain, oxygen
needs, or medication weaning. This part of the unit builds your time management,
assessment, and communication skills.

You learn how to educate your neonate’s families and balance the care of these
tiny humans that depend on your keen awareness of the slightest cue to ensure
they are safe. In this space, you learn to feed infants. You also learn to bathe
an infant quickly but carefully while maintaining their body temperature.
Lastly, you learn how to hone your interpersonal skills so that the families
trust you, learn from you, and you can advocate for them. This unit would be
where I would learn the skills, I have relied on throughout my nursing career.

Unlike many units’ nurses in the NICU have an opportunity to be primaries. This
is usually a special request from a family to have a specific nurse to care for
their child during the entire hospitalization. This could be for a couple of
weeks, or it could be months. It allows the nurse to know all the little
intricacies of this child. Do they like to be held after eating, are they
getting a fever, do they like baths, is it a temper tantrum (and yes, neonates
love temper tantrums)? The list goes on and on. This relationship continues long
after they are no longer in the hospital, and you get to see the little neonate
grow into an exceptional child.

## Primary nursing is one of the greatest gifts I have had the privilege of experiencing as a NICU nurse.

Often, the ICU is where you would be asked to be primary. The neonate may be
only a couple of days old and at their most fragile time. The family has built a
rapport with you and sees you as a trusted advisor. I can see each of my
previous primaries still to this day in my mind. I remember the wins and the
losses and families relying on me to care for their children. Spending time with
these families and continuing these relationships meant the world to me over the
years. When I think back to that first feeling of making a difference as a
student nurse, I realize that this feeling makes being a NICU nurse so special.
Those families and their infants will forever carry a special place in my heart.

By Amber Kool

---

Dr. Amber Kool, DNP, RN has been in the nursing profession since 2012. Her
professional career started in mental health, but she quickly transitioned into
pediatrics where she found her true place in clinical practice and eventually
led her to work in the NICU. While in the NICU she began precepting and helping
other new to service or new graduates. The work in with students and new
graduates inspired her to go back to school to become a nurse educator. Soon
after graduation Amber began working as a clinical adjunct for
[Arizona College of Nursing](https://www.arizonacollege.edu/) and transitioned
to a full-time faculty. In August of 2019 Amber received a promotion to Director
of Curriculum and Instruction for the program. In June 2021, Dr. Kool graduated
with her DNP in Educational Leadership from American Sentinel College of Nursing
& Health Sciences at Post University.

Her passion for innovation in higher education grew exponentially through her
time in this program. She was promoted to Associate Provost for Arizona College
of Nursing in January 2022, where her professional focus is to provide faculty
and campus support in program effectiveness, accreditation, and utilization of
experiential learning and clinical decision making in every learning
opportunity. In her personal time, she loves to spend time with family and
friends, staying active in sports, traveling, and finding outside activities in
her home state of Arizona.

---

_Information in this blog post is accurate as of September 28, 2022._

**Categories:** Nursing Careers