Latest Comments by BostonFNP

Latest Comments by BostonFNP

BostonFNP Guide 34,859 Views

Joined Apr 4, '11 - from 'Northshore, MA'. BostonFNP is a Primary Care. Posts: 4,142 (59% Liked) Likes: 9,479

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  • 0
  • 1
    psu_213 likes this.

    Quote from Extra Pickles
    I have two questions, one is whether an MD is supposed to be prescribing medication for a spouse, I thought that was some kind of ethics violation? Maybe not illegal, but I thought wasn't supposed to happen? And two, why would your wife have to show anyone any ID if it's not her prescription she's picking up? Asking for your ID sure but hers? Why?
    It is not illegal.

    There are ethical considerations but for non-controlled substances it is often overlooked.

    If she was picking up the script and was also the prescriber then the pharmacist could potentially not dispense but it's unusual she would ask for verification of prescriber privileges.

  • 7

    Quote from RockMay
    He?! I am not a PA, no chip, and I am concerned about RNs putting their bank accounts ahead of patients. Comment on the content, please.
    1. If you were "about to graduate" in March and in June you aren't a PA, that explains a lot.

    2. The RN's are following their union orders and don't have much of any individual choice. It matter little their desire for more money (don't we all want more money?) and everything to to with what they have to do by union rules. Do you not have a union and in your extensive experience have you never worked for a union hospital?

  • 7
    Here.I.Stand, morte, BCgradnurse, and 4 others like this.

    Quote from RockMay
    In this case it's about the greedy being greedier.

    The union is flexing their muscle to get more for the nurses. The hospital is digging in their heals to maximize their profit. What are you so surprised about? Thats what every union and every business does.

  • 2
    LadyFree28 and ixchel like this.

    Quote from aeris99
    PCP's sending patients to the ER because it's too close to closing time to see anyone
    I work in primary care (adults only) and often I am the only provider in the clinic. I often have to make the decision when patients call with chest pain, shortness of breath, stroke symptoms, system allergic rxns, etc of having them come into the clinic or go right to the ED. It's not easy and I don't turn people away because it is closing time but I do if I think that it is dangerous for them to be in the car or in my office. Often times people aren't happy that I tell them to go to the ED and I worry they feel like I am blowing them off but the truth is I do it for their safety.

  • 3

    A headache is not an emergency, except for when it is

  • 0

    Quote from MunoRN
    Sharing proper wound care practices is unlikely to put the patient into cardiac arrest, but if it were then yes, the nurse should be prepared to do CPR.
    Nursing assessment and diagnosis is not dependent on a medical diagnosis, I think you're confusing the ability to diagnose for billing purposes with the ability to recognize and implement nursing interventions.
    Is cardiac arrest really the first complication that comes to your mind? If the LOL did have a cardiac arrest after apply the water to the wound, would the nurse have been there?

    I am not confusing anything. In this case there was no nursing assessment done. What nursing diagnosis was made? What was that diagnosis based on?

  • 4

    Quote from Horseshoe
    It seems a lot of hospitals want to have their cake and eat it, too. They "prefer" a BSN, because it's obviously superior to the education of an ADN and it provides them with some kind of benefit to hire a BSN prepared nurse over the ADN prepared nurse. BUT, they won't pay the BSN prepared nurse significantly more, because obviously, it's not superior to the education of an ADN.

    They are talking out of both sides of their mouths, and it's complete and utter BS.
    This is simple supply and demand, can you really blame hospitals? They have a chance to get more at the same cost so that choose to do that. It's flawed logic to think that just because education and benefit to them is better that they would simply offer to pay more money for it, unless they are made to by reducing supply.

  • 2

    Quote from MunoRN
    I'm still not sure where in that algorithm you feel it says that
    Does the OP meet this criteria: 7. Does the nurse have the ability/resources to respond to complications in such a way that patient safety and quality of care are assured?

    Did the patient appropriately assessed? What was the diagnosis? Who made the diagnosis?

  • 0

    Quote from old and tired nurse
    I am currently in a Rn to Bsn program. I have to say that for a nurse that has 33 years at the bedside, it is a slap in my face to be told that I am not good enough to be hired because I lack those initials behind my name. I have asked this question and no one seems to be able to answer it for me, how is art appreciation and American history going to make me a better nurse. I am a neonatal nurse and everyone of my nursing classes is geared towards adults, how does that help my practice at the bedside improve. Just a few thoughts for a very old and very tired nurse.
    What are the courses you are taking right now? Are you taking "Art Appreciation" and "American History"?

  • 1
    chare likes this.

    It's nice people have helped you but you need to learn this in your own. If you can't do these basic competency calcs then you will be in trouble.

  • 0

    Might be helpful to specify your state as it will vary greatly by your state laws.

    All NPs can diagnose and treat, some need collaborative arrangements by law, others don't, but most NPs work in a role that requires it.

    Collaboration for most practicing NPs is a retrospective afterthought rather than a direct supervision.

  • 0

    What areas are you failing in? What did you do in-between exams to adjust? What live review courses have you taken?

    This is an exam with a pass rate of 85% or so, so failing twice means there is something missing or wrong with your perpetration.

  • 0

    You are making a big investment in your future, both with time and money. It is in your best interest to devote as much time as possible to your education and learning your new role.

    Most NP programs ramp up. Your first semester will often have less than 100-200 hours of clinical plus class the next semester 100-200+ hours then next semester 200-400+ the next 400-600+. If you need to work plan on front loading it so you can work less later on, but again, you are investing a lot, take advantage and work as little as possible.

  • 2
    AJJKRN and LadyFree28 like this.

    Quote from Cowboyardee
    Change the law to allow me to practice independently, and then I'll get on board the profession bus.
    Nurses do practice independently in some manner of speaking as they are individually licensed.

    Part of this issue may be the predecessor to nurses being truly independent, billing seperately for their services, and employed independently from hospitals as providers are. Part of winning that battle is becoming a true profession.