Latest Comments by BostonFNP

Latest Comments by BostonFNP

BostonFNP, NP (31,553 Views) Moderator

Joined Apr 4, '11 - from 'Boston, MA, US'. BostonFNP is a Primary Care. Posts: 3,868 (57% Liked) Likes: 8,421

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  • 1
    Farawyn likes this.

    Quote from Farawyn
    Maybe not only NOT the legal guardian, but the kid is walking around with undiagnosed cirrhosis,
    Maybe they have G6PD deficiency!

  • 0

    Quote from MunoRN
    The friend is free to sue for anybody for anything they want, but the nurse doesn't really have to worry that a claim of "administering" will be valid since the situation described does not come close to meeting the definition of administering. Offering someone a pill is not "administering".
    According to Mosby's Medical Dictionary, "medication administration" is defined as preparing, giving and evaluating theeffectiveness of prescription and non-prescription drugs.

    According to NIC it's also considered a "nursing intervention" under that same definition.

  • 0

    Quote from Horseshoe
    Not sure why you'd ask that since I addressed it explicitly.

    The OP's post states her instructor has said she administers OTC medicine to her own child at peril of losing her license.
    Maybe I just missed it? Happens sometimes.

    Maybe the OP's instructor isn't the legal guardian of his/her kids? Though theoretically it's the same issue if the kid for some reason wanted to sue his/her parents for damages sustained from the administered med.

  • 0

    Quote from Horseshoe
    Friend: "Hey, do you have any Tylenol?"

    Nurse friend, in her own home: "Yeah, it's over there on the counter."

    Friend: "Thanks."

    There is no fine line there, imo.
    There is no problem with that scenario as described above, it's pretty clear. Where is gets murky is this scenario:

    Friend: "Hey, I have a headache"

    Nurse friend, in his own home: "I'll go get you something for it" and comes back with APAP and gives it to friend.

    Friend then has some sort of damages and wants to sue previous nursing friend for "administering".

    Quote from Horseshoe
    In order for a child to take a medicine, it would have to be "administered" by someone capable of understanding the directions, warnings, and implications of all of those. That's not somewhere I'd be willing to go unless it's my own kid. And according to the OP's instructor, I am not allowed to use my own parental judgment to give MY OWN CHILD a medicine. Apparently my role as a nurse invalidates my role as a parent, and I'm supposed to take my own child to the doctor so that they can administer a dose of OTC medicine. I have fewer rights as a parent than joe schmo down the street simply because I have a nursing license.

    That's complete bunk.
    That's totally different, assuming you are the legal guardian of your child.

    What if it's was a neighbor's kid?

  • 0

    Quote from djh123
    Uh, is the prof forgetting that's why its an OTC medicine, and therefore a doctor is not involved, and people should - theoretically - be able to read the label and take an appropriate amount for an appropriately-related condition? (As an aside, how many of you have heard people say things like 'Oh, my headache was really bad, so I took 4 Tylenol' (or Ibuprofen))... drives me crazy).
    There is a difference between a friend "taking" and a nurse "administering". Where that line is the crux.

  • 4
    kalycat, Farawyn, CamillusRN, and 1 other like this.

    Quote from ixchel
    10. The more you annoy the doctor about the same thing, over and over and over, the more likely it is they will listen and maybe put in an order.

    Annoy the "provider".

    Wait a second...

  • 0

    Oh, and on a semi-related note, if you applied for your NPI using your home address you want to change that ASAP once you get a job.

  • 1
    Rhythsetradio likes this.

    "If you are applying for an Individual Registration (Practitioner, MLP, Researcher) you are required to provide your Full Name, Address, Social Security Number, and Phone Number. If you are applying for a Business Registration, you are required to provide the Name of the Business, Address, Tax ID, and Phone Number."

    It doesn't say a business address is required.

  • 0

    They have a 97-100% pass rate on NCLEX from 2011 to 2014, that's a good sign

  • 2
    Alicia777 and amalay like this.

    Quote from amalay
    Yeah I'm board certified as a primary care PNP; and the program I went through really did not have any inpatient clinical rotations.
    And you want to work in the ED or hospital in pediatrics? I think either way you will need a post-masters certificate program to get acute care experience/certification or find a hospital with a structured orientation or residency program.

  • 0

    Quote from homehealthWCN
    I could definitely see myself being an NP. Although I'm not sure what setting would suite me. I've been doing home health for 7+ years & I love the independence & flexibility. I hate all the paperwork! I worked on a med surg floor for 3 years & I can't stand being stuck inside all day! I love being able to help solve my patients problems & it'd be nice not to have to call their MD first & wait (sometimes after several calls & days) for a response. My dream job would be a HH NP CWCN but I can't find any HH agencies close to me that hires NPs. Again, any suggestions are appreciated .
    I am glad Alicat asked the follow-up question because this is the info that really helps us point you in the right direction.

    I tell prospective students all the time that they need to shadow some NPs and get a feel for what the role is like. You have to want the role, it's not worth it otherwise.

    I will be honest with you, you will be pushing even more paperwork and dealing with even more red tape as an NP, or at least as much. You will probably be less flexible in your schedule and you will probably be stuck inside for large portions of the day.

    We have a local agency that hires NPs and PAs for home health coverage but it is hard work with very challenging patients.

    Again, shadow some NPs. See if you want the role then you can work everything else out. I finished NP school with a newborn. My other rule of thumb is that to not plan your life around having your baby, it will happen when it happens and you will be able to adjust.

  • 0

    What is your board certification? PNP?

  • 0

    Quote from homehealthWCN
    I have recently started thinking about getting my MSN (probably AGNP). I have a BSN & have been an RN for 10+ years. I'm overwhelmed by the all of the programs! In order to succeed, I'm looking for a 100% online program that is flexible. I will probably need to continue to work full time throughout the program. My husband & I are also thinking about having our first baby! Any thoughts on if I could make that work? Perhaps taking some time off to deliver/maternity leave? Have I lost my mind by even thinking I could do this? I'm currently getting wound care certified through Emory online. They have pre-recorded lectures & I prefer that style of learning. As opposed to just being told to read multiple chapters. Another "speed bump" is that my college GPA was 2.98 . 10 years later I'm much more focused & I want to kick myself for not applying myself more! Sorry for the long post. Any suggestions are appreciated!
    Sounds like you have a lot going on right now, what is motivating you to consider/make the change now?

  • 3
    agiboma, Farawyn, and ICUman like this.

    Our hospitalist NPs work 7 12s then 7 off.

  • 2
    kalycat and Farawyn like this.

    APAP is worse on the liver than ibuprofen

    Ibuprofen is bad on the kidneys. SO don't give that out either unless your friend with a headache likes dialysis.