rkealy BSN

rkealy has 26 years experience as a BSN and specializes in CCRN BSN Student FNP.

Latest Activity

1. Full Practice Authority

   rkealy replied to rkealy's topic in Advanced

   And that's what I am talking about. So many don't know what they don't know. Which brings me back to the different levels of treatment for practicing medicine. NPs have a significantly lower bar for minimum competency for medical practice. They ju...

2. Full Practice Authority

   rkealy replied to rkealy's topic in Advanced

   It doesn't?

3. Will you get your DNP

   rkealy replied to DannyBoy8's topic in Advanced

   not unless they mandate it for practice. Advanced practice nursing education has many issues to straighten out such as standardization of curriculum, experience requirements, diploma mills. Current DNP curricula is based on fluff such as infomatics...

4. Full Practice Authority

   rkealy replied to rkealy's topic in Advanced

   Should there not be physician control? After all they invented the practice of medicine. They are responsible for setting standards of practice. Why are there 2 different levels of requirements for practicing medicine? MD, DO and DC all have to ta...

5. Full Practice Authority

   rkealy replied to rkealy's topic in Advanced

   I am in my last semester in an FNP program after 15 years in a mixed Trauma 2 ICU. I think I am very cautious about FPA. I am reminded by the limitations of my education every day as I discuss my patients with the physicians. What used to be an inex...

6. Full Practice Authority

   rkealy replied to rkealy's topic in Advanced

   So nurses that are practitioners, practice both nursing and medicine without supervision. what is the logic behind having different standards of practice levels. I mean why is it that doctors are held to a different level of education to practice m...

7. Full Practice Authority

   rkealy posted a topic in Advanced

   I am not sure on what side of the fence I stand on as of yet. I am having difficulty squaring the different level of standards for an APN to practice medicine vs a physician. Can somebody explain this to me?

8. Pressure Support Mode VS CPAP/BiPAP

   rkealy replied to SterlingArcher's topic in MICU

   I think of CPAP as a mode and pressure supports is the measurement of the amount of CPAP support. I also think a pressure support as peep I don't know if that's accurate but that's what I think of it . For instance you can have a non-invasive CPAP wi...

9. Needless Intravenous Connectors

   rkealy replied to rj27's topic in Critical

   Don't use luerlock with cvp

10. Orientation length for ICU

    rkealy replied to Toadd35's topic in Critical

    Yup pretty standard

11. I and O how often?

    rkealy posted a topic in Critical

    Looking to see how different ICU do a standard I and O is it hourly on all Critical Care patients? obviously those are require invasive hemodynamic monitoring will be hourly I'm talking about the old lady on the vent who's in with pneumonia who's ju...

12. Thinking about buying an Accuvein 300...responses?

    rkealy replied to XY_RN's topic in Infusion

    I figure if ur gonna spend that much cash go with the Prevue Ultrasound by Bard http://www.bardaccess.com/ultra-siterite-prevue.php it will be more useful especially for the "fluffier" patients

13. Why not Levo?

    rkealy replied to EyeSeeYuRN's topic in CCU

    just remember high dose neo kills the gut:eek:

14. Is this the norm or unfair? thoughts and opinions needed!!

    rkealy replied to nursingpower's topic in CCU

    Bob next time ask for KY:roflmao: And tell the others to quit stuffing there mouths with donuts and do something:)

15. Trouble with understanding pH-related death

    rkealy replied to mlbdestined's topic in MICU

    That is true. Thats why after complete fluid resucitation fails, and levophed begin to become ineffective switch to Vasopressin ASAP. Vasopressin is a hormone that works much differently. Ideally you would begin CRRT Immediatly when noticing metab...