barnstormin', MSN, RN 7,178 Views
Joined Mar 8, '12.
Posts: 323 (65% Liked)
I find it ridiculous to say that there is "no one around" in an ER to waste with. You definitely need to review your nurse practice act. Some things are NOT negotiable in nursing.
JustKeepDriving, fascinating path to psych!
I forgot about "clinical pathophysiology made ridiculously simple" by A. Berkowitz MD. Sums up patho pretty well.
I am using Fitzgerald review for PMHNP and it is a summary of everything that I learned in my program, so honestly the reviews are pretty important to look at, even though it seems like you are working backwards, they will show you where you are weakest. Sounds like a tough job you have ahead of you, good luck!
I am currently working my way through the Fitzgerald online review, I was skeptical at first but I find it very helpful now that I am over halfway through it. I also have the ANCC review book for PMHNP third edition and that is very helpful as well.
If you do a search on this subject you will find a few different threads about different reviews. I chose Fitz. because it seemed to be the most consistenly helpful as well as being recommended by my program director. I am quite satisfied with it.
Not sure exactly what you are looking for but these were used in my program and I found them very helpful. My program is very rigorous and is well respected Brick and Mortar. I know you arent interested in the reviews, but they really do capture what you need to know, I would look at tthe works cited and see what they are using to create the exam and grab a few of those texts to review as well.
Lange, "Symptom to Diagnosis, an evidence based guide" This covers a lot of territory and gives a great breakdown of tests and differentials
Dains, Baumann, & Sheibel "Advanced Health Assesment and Clinical Diagnosis in Primary Care" same thing but in a broader format
Bates pocket guide to Physical Examination and History Taking
Mosby's manual of diagnostic and laboratory tests
The 5-minute clinical consult by Domino Baldor, Goulding, & Stephens. this is priceless and has an app that you can get for your phone
I live in NYS and am graduating in 4 weeks with my PMHNP. If you have specific questions I would be happy to answer any I can.
I agree with all of the above posters.
Non compete clause
"Who is actually your boss and if there is anyone else who thinks they are."
Gotta love this one! SO true.
My peers and I are looking at two in person reviews for the PMHNP exam, Fitzgerald in Boston vs the review in Philadelphia hosted at Drexel by the ANA.
Does anyone have any input regarding one or the other?
I agree with BostonFNP, as an ASN nurse, then a BSN nurse and now in my last semester of grad school, it looks like the PA model pretty much covers what we had going through nursng school up to grad school.
For the ASN portion Med terminology was a pre req, as was anatomy and physiology. Bio, nutrition, genetics, pharma, patho, health promotion, electrocardiography,legal/ethical were covered in the ASN portion.
The BSN portion of my education was somewhat redundant as we took pharma and patho again, statistics, electrocardiography, legal/ethical and had interpretation of literature.
My grad program has patho and pharm, genetics, research and the clinical/role portion, along with the dreaded nursing theory
I have attended very reputable institutions that have been brick and mortar.
As an RN I have oriented new PA's who asked me for my advice numerous times on how to proceed with a pt and then take that advice
If you are bashing your grad program for lack of rigor, then it's on you for choosing an inferior program.
I see no difference in PA's and NP's in regard to how they are viewed in our facility, they are equally sought after and hired.
My peers who are in the FNP program have extensive ER, ICU, and neurology experience plus various other areas of expertise. I'd trust them with my life or my kids lives in the ER rather than a new grad PA.
I may have been born at night, but I wasn't born LAST night.
She's like a walking bag of sores (usually one of our borderlines elicits this comment)
I personally love case studies and this one is fun, I really hope the nurses chime in as I learn a lot by reading these types of threads. I am in a grad program but it is for psych lol so I have a few things to add but I am sure there are nurses here that can add much better info. I think this case study has good detail so it is pretty tough for a nursing student to wade through and seperate what is important and what is not.
First bit of advice: Oxygen is important, BP is important, remember your Maslow's and make sure you understand perfusion and how it works and why it is important to keep it working.
First I would get another large bore IV in him if he doesn't have one already. One for fluid, one for blood.. I doubt he is at risk for fluid overload, the opposite is the problem right now.
Raising the head of the bed is making it more difficult for oxygen to get to the brain, his BP is low so it is more important to make the heart's work easier to oxygenate that vital organ by keeping the head of the bed lower (but not flat, which makes it more difficult for the lungs to work efficiently). Usually raising the legs is more appropriate.
Keep the crackers away, if he needs to go into surgery (almost a certainty) he should be NPO.
If he is dsypnic, good luck trying to get him to breath slow and steady.....
I hope he is on continuous monitoring for BP, O2, etc. and I would be watching him VERY closely.
A good text to get is "Symptom to Diagnosis", by Stern, Cifu, & Altkorn. It has many case studies for every system, is not above your training, and will help you piece together the puzzle of the what and why of common presentations seen.
Looking forward to reading the other responses...
Will they pay for licensing fees
Do you have to sign a non compete agreement if so what is it
CME info/paid tiem off and reimbursement
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