lhflanurseNP, MSN, NP 9,762 Views
Joined Jan 6, '13.
Posts: 587 (41% Liked)
A patient in severe Hashimoto's hypothyroidism can develop tachycardia as a results of either/both extremely decreased free T3 or the histamine response associated with elevated TPO/TG antibodies. Do some research...you will find the thyroid quite an interesting gland
I may be out of turn, but I do believe schools will require that you have an active RN license to be in classes...especillay if you are going for your NP.
You might look at PracticeFusion. It is a "free" program, but in that...you do not have a billing/software program. They have several companies that you can link with and they come in varying prices and services. The charting software is decent and allows you to link to labs and some diagnostic centers. I do not use it now, but I found it very beneficial as a starting software. I now have access to eClinicalWorks which has a VERY large base in my area.
As with WKShadowRN, I was up to 20 patients on my final rotations as well. As a practicing NP, it is not uncommon to see that number either!. As ndnursepract points out, many patients will be 15 minutes...especially once you have established a working relationship and get to know the patients better.
Why do you want to be a NP? What is the drive? I read all kinds of "accolades", but no passion for why you want to become a NP...or maybe I am missing it. If so...so are the recruiters.
Basic review of pharmacology is helpful as is physiology. Both of these are going to be the ground floor for building.
I am not a "guy", but I do know people who have worked in child services - the law enforcement side, and it is really hard! One person I know had a 4 county territory and would be called at all different times of the day/night/weekends/holidays...weekends and holidays being the worst, having to put on all the gear and go on a call. THEN having to arrange to meet a judge who would be willing to leave his/her family/engagements to meet and sign off papers for the child to be removed from a setting or to have a parent arrested. This person was spit on, beaten, thrown down stairs, etc. Has retired after the 2nd broken neck and needing surgery. I think your goal of pediatric neurology is wonderful just as long as you understand there will most likely be more pitfalls than successes. Good luck in whichever path you ultimately choose.
If the billing is being done through the NP independendently that is fine...it is your license.
I am sure the relevance is that it exposes you to another aspect of alternative medicine that patients may use. Homeopathy is not mixing this herb with that herb, but rather the energy or "essence" of the product. The lower the number, the more "concentrated". When working with a patient who uses homeopathy, it is wise to have some real knowledge of the practice so as not to antagonize the patient because they are trying "something different".
Have you tried the health department? They have a good steady practice and you really get to see a LOT.
I'm going to stick my neck out...The majority of clinical practices work Monday through Friday daytime. The important thing to remember is this is like an internship...this is where you REALLY learn about evaluation, assessment, diagnosis, and planning. To "short change" yourself and choose a school because it has fewer clinical hour requirements can do more harm than good. Some schools count the time spent in the clinic while other programs count actual patient time. The more patient time you can get, the more you learn. The more you learn, the more you can pull not only in taking the certification exam, but also in practice. Throughout my clinicals, it was not uncommon for me to have nearly 100 more hours than required. I understand many nurses must work while going to NP school, but the goal is to become a NP, and one should strive to be a GOOD NP. Just my 2-cents worth.
Are you not doing any clinicals during this? I did as well as campus time and testing through demonstration.
This will all depend on your clinical site. Some may not mind...some might.
There is a need for both. I believe the "all-inclusive" MSN-APN title adds to the confusion and why there is a push for the DNP title to help separate clinical vs. non-clinical advanced nurse practitioners.
Congratulations. As you have most likely read, Leik and Hollier have great reviews as does Barkley. Good luck! The key is not to memorize the questions, but understand the physiology in order to find the correct answer. Utilize all you have learned during your rotations as well!
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