ruralnurs

ruralnurs

Psych, ER, OB, M/S, teaching, FNP

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About ruralnurs

ruralnurs has 10 years experience and specializes in Psych, ER, OB, M/S, teaching, FNP.


Former psych nurse, loved OB, now am FNP and PsychNP

Latest Activity

  1. Hospitalist "midlevel" service

    Yes I know that the term "midlevel" bothers many people. A CNM friend was once at a social gathering and introduced by a doc (that she felt she had a very good, respectful relationship with ) as a "physician extender". I think midlevel sounds better ...
  2. Hospitalist "midlevel" service

    CharmedJ7, Thanks for the response. It looks as if we are going to have a service where we will be given between 4 and 6 pts to be responsible for. We will still do rounds for some of the other pts and have responsibility for all the admision H&P...
  3. How do you prescribe ABX in a retail clinic?

    "I suppose one could refund their money if they do not Rx an ABX. This would satisfy the customer monetarily and increase trust in the clinic, but then the NP is not making the clinic money, and less business income means over time equals closed door...
  4. Hospitalist "midlevel" service

    Hi, I am currently working in an in patient psych unit and we are looking at creating a "midlevel service". I work with another NP and a PA. We have a hospitalist psychiatrist and the administrators are looking at ways to improve. Currrently the doc ...
  5. ER's Turn Non-Emergencies Away?

    As mentioned in a post above, people are TRAINED to use the ED for primary care. I used to do ED and loved it and saw the same thing. If EDs used EMTALA the way it was designed it would eventually work. If a person come in for a non-emergency, like ...
  6. Where are the "normal" births?

    yelnikmcwawa, Thanks for your response. I just don't know if I buy it. I agree that all women should be given all options to them, but in my limited experience I just see our nation has become a people that want things easy and fast and with minimal ...
  7. Which NP is non-limiting to specialize in?

    This is somewhat dependant on the state you live in. A FNP has a very broad scope of practice, birth to death and in my state an FNP can practice in specialty areas (I have FNP friends that work just in mental health, obstetrics, pediatrics and ED)....
  8. Where are the "normal" births?

    I was an RN at a very small hospital that did not do high risk OB, so the two docs that did OB really tried to keep things as low risk as possible. They DID NOT do elective inductions and God forbid an elective C-section. I seldom saw internal monito...
  9. Better psych education for FNPs?

    Thanks for the input BCGradnurse. I think that one of the things I hope to put into the program is simple tips and pearls. I have read someplace (don't remember where) that about 70% of anxiety and depression is treated by primary care providers. So ...
  10. how far do you drive

    I drive 75 miles one way. If I am lucky and there is no snow or ice and the deer stay off the road I can do it in an hour and 20 minutes. If not it takes longer. I left a job that I could walk to in 90 seconds for this job and it is well worth it. ...
  11. Better psych education for FNPs?

    Thanks for the response Zenman. I do think that more indepth psychological disorder education as well as psychopharm. I feel evidenced based medicine is so important and so many non-psych providers (in my experience) don't do evidenced based care b...
  12. Better psych education for FNPs?

    I was not sure how to name this topic. I am an FNP and just recently a psych mental health NP. I have been approached by the state university where I live to help consult on improving the mental health education of the non-psych (mostly family) NPs....
  13. Independent practice resources

    I looked for info on the NP section but found nothing so thought I would post here. I am an FNP and recently graduated with post masters psych NP. I have a great job that allows me two 5 day stretches off in a row each month. I am thinking of star...
  14. Psych nurse practitioner

    I recently graduated as an FNP in 2006 and just last week finished my post masters as a psych NP. I have had way more interest in me as a psych NP than an FNP. I wanted to work in out patient family medicine but got a much better offer as a hospita...
  15. We have it in MT and NPs can sign for the "Green card" (as it is known here). http://www.flatheadbeacon.com/articles/article/whitefish_doctor_fined_over_medical_marijuana_clinic/17859/