sandnnw BSN, MSN, EMT-B, APRN

sandnnw has 20 years experience as a BSN, MSN, EMT-B, APRN and specializes in Emergency, MCCU, Surgical/ENT, Hep Trans.

Latest Activity

1. Scope of practice in the emergency department

   sandnnw replied to NSC Nursing's topic in NP

   Probably depends on the comfort level of each provider. I work along side a PA, we see the same thing and bounce off questions all the time. She was trained more surgically, I have been UCC/EM, so its a mixed bag. She generally asks more questio...

2. NP Salary

   sandnnw replied to Surface's topic in NP Students

   Just to piggyback, it does depend on where/how you work AND if you are a senior RN. In my case, there was very little salary increase, I'm figuring a few grand. Granted, my situation is a bit weird - I'm a fed. I was was a senior (near topped ...

3. 4th week at ED.. it's hell, we should be called gods of labor

   sandnnw replied to tarotale's topic in Emergency

   You will learn WHAT is important now, in 5" and in 15". Disgusting as it sounds, feces is not emergent, nor is charting and certainly not stewardess type services. Give it a few more weeks and model folks around you who have been there a few...yo...

4. How do you figure out which imaging type is best?

   sandnnw replied to Pachinko's topic in NP

   This will help you: https://acsearch.acr.org/list I find it most helpful, the articles are very interesting reading! And, who better to trust than radiologists?

5. Experienced NP desiring VA job

   sandnnw replied to LubbockNP's topic in NP

   Make sure your peers respond quickly thru Vetpro

6. Working for the VA

   sandnnw replied to katmarieRN's topic in General Nursing

   And it may take three to six months before fully on board. Be patient, good things come...

7. VA NPs malpractice coverage question

   sandnnw replied to tuscanydreams's topic in NP

   I do not have coverage. I have been named in three suits and never asked for a deposition. I am threatened for liable several times per year, usually over narcotics or antibiotics. Oh how I LOVE being a NP! Especially a VA NP.

8. Experienced NP desiring VA job

   sandnnw replied to LubbockNP's topic in NP

   Lubbock, I think you'll be fine. As a VA NP myself, it really depends upon the market and you appear to have plenty of experience. I recently interviewed six NPs, 4 with tons of experience, 1 with a year and one new grad. You'd be shocked how fo...

9. What's your "must have" app?

   sandnnw replied to CAFNP's topic in NP

   First Consult very handy as Medscape

10. Advanced Pathophys Textbook

    sandnnw replied to SIRN10's topic in NP

    Checkout boundless.com, esp if you have a tablet or don't want to spend a ton.

11. Straight to FNP or work full-time first?

    sandnnw replied to Matt799's topic in NP

    This article was handed out to us during my first semester during grad school (VU) Rich ER. Does RN experience relate to NP clinical skills?Nurse Pract. 2005 Dec;30(12):53-6. After studying, observing and now living alongside the e/-e NPs...I don't s...

12. Would you do it over again?

    sandnnw replied to Brittany2206's topic in NP

    Either are fine, I've worked alongside a PA my entire NP career. I believe (my opinion only) that PAs are more surgically and broadly prepared for just about any job out of school. As Ivan noted, it's going to be a load to go thru a PA program vs ...

13. current Adult NP considering FNP??

    sandnnw replied to jmac12's topic in NP

    Another ANP here. I thought about the same thing! Took me ~6 months to even find a job. They even offered to pay to send me back to school, but i declined as I did not plan on staying with that employer. Sounds funny, but I've heard the saying w...

14. ANP scope of practice (or ANP/WHNPs out there practicing)

    sandnnw replied to danceluver's topic in NP

    Another ANP here. Your correct, GYN care is very limited in the ANP world and I think its so for a purpose. We covered the PAP, STDs and BCPs and that's about it. This is why we have WHNP! Imagine a WHNP applying for an urgent care position? I st...

15. Out of state RX

    sandnnw replied to SkiBumNP's topic in NP

    Actually, your DEA is "practice" setting. If you work for three different employers, you should have three different DEA numbers. If you work for ONE employer at three different hospitals, then you are good to go. I'd be careful with one DEA at t...