Latest Comments by lhflanurseNP

lhflanurseNP, MSN, NP 16,440 Views

Joined: Jan 6, '13; Posts: 732 (43% Liked) ; Likes: 648

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    Let your instructor know what you have tried and who has not contributed. This happened to me, and the ones who got the work done got the grade, the others received an incomplete and thus removed from the program.

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    JKL33, berdawn, and mrcleanscrubs like this.

    There are quite a few "concierge" practices that take cash only. Many solo practices are going this route as dealing with insurance is costing them more money than they are collecting. You almost need 1 staff person to deal with insurance only in your clinic. These practices will lose patients who cannot afford this type of practice, but from what I am being told, "I may not be making as much, but I am a lot happier and less stressed". As to your third question...depends on your state's laws I would think. If in an independent state...sure. If not, is the collaborating MD willing to allow you "independence"?

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    applewhitern and opalbee like this.

    This happens ALL the time! Seems ANYONE who cares for patients are "nurses". Maybe some truth to "fake news". The problem is the headlines are MUCH more "grabbing" if it says "nurse" rather than "aide or assistant", or in this case "20-year old woman". Truly a shame!

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    kakamegamama and asystole00 like this.

    Just because someone is able to complete NP school and then pass boards does not make them independent thinkers. I have found many NPs that are VERY confident in their patient care and then I have known many who unfortunately for our profession...are just glorified nurses with advanced degrees. When I first started practicing in my community, I had to deal with physician ignorance. Most had NPs working FOR them, but were not seeing patients truly independently. As I continued growing my patient base, these physicians began to see me as an integral part of the health care community and IF I referred a patient to a specialist, they knew I had done everything I could for that patient but they needed more. My referrals...cardiologists for stents, caths, bypass...etc.; orthopedists for replacements; surgeons for surgery; oncologist for cancer. I have yet to refer a patient to an endocrinologist or pulmonologist.

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    My clinical rotations were a minimum of 180 hours!

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    I did. My ADN GPA was quite low. Got accepted to the bridge program with academic monitoring and graduated summa. Had no problem going on to my MSN with that!

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    KrCmommy522 likes this.

    I am confused. If you are a nurse...why not talk to your nurse informatics person in IT? Unless your facility is not documenting electronically, you should have one.

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    brownbook likes this.

    Classes can help, but are often expensive. When I was young, I was "forced" to learn English at a fast pace in order to avoid getting into fights that I did not provoke other than they could not "understand" me. To combat this, my parents encouraged only English and I recall we would practice pronouncing a word according to the dictionary's description (before we had voice dictionaries). I am told now that I rarely have an accent unless I have spent time talking in my native language for a spell. Good luck! Either way, if you try speaking slowly and clearly, most people will be able to understand you just fine. It is the most important thing that your patients can understand you.

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    I have to agree...what is your understanding of Evidence Based Practice. I am sure there must have been SOMETHING covered in your class about this otherwise you would not have this assignment.

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    What have you TRIED to "destress"?

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    Have you been often criticized in the past for performance issues...outside of nursing. Were you, or did you feel, that you were not competent prior to becoming a nurse? If, as you state, you do fine when you are alone, then there are some other deeper issues you need to work on. Good luck!

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    I read my assignments. Some books were "worthless" so I found other resources. I returned to school as a much older student (well into the middle 50s) and was overwhelmed with the volume of reading, but am glad that I did the research. I know other students who were able to "gloss over" the reading and seem to know EXACTLY what was important, but I just never learned this "skill".

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    NPbyDay and Davey Do like this.

    Can't get Sterile Water, Lactated Ringers, or Normal Saline IV bags! Have been able to get some through local vet. You may also try getting empty bags and individual "bottles" of normal saline then fill the bags. I am adjusting IV solutions for osmolarity in my clinic it seems nearly once a week as I am having to use whatever I can get my hands on. D5W seems to be the only fluid left, but it really messes up your osmolarity levels as well as can cause precipitation! What a mess.

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    Davey Do likes this.

    Maybe she was taught something different? Rather than confront her, which will put you on her radar, ask why as you have never seen this approach and are curious.

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    smileyfacefee likes this.

    Schools utilize various "reporting" systems for clinicals and have providers in the "system"...you may want to contact your clinical advisor to see if you can search the database for your area. When I started, my first preceptor died, my second retired, and my third developed cancer! Had to start all over. This occurred with my first 3 clinical rotations.


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