Latest Comments by lhflanurseNP

lhflanurseNP, MSN, NP 10,736 Views

Joined Jan 6, '13. Posts: 621 (40% Liked) Likes: 482

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  • 1
    WKShadowRN likes this.

    casias12...in Florida we are restricted to a 7 day limit on Class II drugs. While this seems limited...and it is...some states do not allow NPs to write for Class II drugs at all. It never ceases to amaze me the differences in state practice laws...go figure!

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    Quote from roc23
    Wanting to submit my application before the weekend and would love some feedback on my essay!
    Here is the prompt: As a family nurse practitioner, I will utilize the skills I learned as a nurse while extending my scope of practice to treat them from the beginning of their illness until their recovery.
    thanks!!
    Your essay is pretty good for the first pass. As PP notes, you will revise this numerous times before finally sending in. I do however have some reservation on this statement you made. Unlike the critical setting in which as a nurse we help them through the process and "recover" enough to go home, this is not the position of a clinical NP. If you were applying for an acute NP route, this would be an appropriate statement...I'm just saying

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    I too had to consider travel and money...did my reviews online and used a ton of the resources you will find in the posts here on AN. I passed on the first pass, so it worked well for me. Good luck!

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    The vast majority of patients seen in physician offices, regardless of specialty, are "chronic". Acute areas include walk-in clinics...which also sees chronic patients, and hospitals. I see no reason to consider an acute tract unless you anticipate working in an acute setting. Which ever road you pick...good luck!

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    If you haven't already done so, please attend one of the many classes that are being held that go over controlled substances for the upcoming changes to the Florida NP scope of practice. Class II can only have a 7 day limit when written by NP or PA. There are also rules about how and when to do controlled drugs.

  • 4

    I also practice more medically-oriented practice. The nursing model is steeped in nursing theory regarding caring as PsychGuy points out. Do we ignore this basis of our nursing experience/education? No, but as a NP, we are guided by the "standards of care" for treating patients. Somehow, I do not believe that taking care of a patient with hypertension and ONLY addressing diet, exercise, and stress management will fly when medications are the standard of care. Does this mean we do not include diet, exercise and stress management in our plan of care? No, but we will utilize the guidelines set forth for treating a patient with hypertension as well as educate them on diet, exercise and stress management.

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    WKShadowRN likes this.

    Congratulations!!!!!

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    It is not the specialty that allows independent practice, but state law as far as I know. As PsychGuy notes, more neuro will come from family/adult/acute rather than psych.

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    So, you passed the exam...but do actually have your Florida ARNP license? That is first and foremost...then the NPI number. Check with your employer about malpractice, etc...but consider carrying your own (I do...just in case). You cannot practice until you have your Florida ARNP license, regardless of your certification certificate.

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    I did both. Hollier is more energetic and keeps her topics well focused. Fitzgerald is good, but she tends to veer off course. Not that the information she gives is not helpful LATER, it can be confusing while studying for boards. Both offer tips and mnemonics that are quite beneficial.

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    If you plan on working in an acute care setting, ICU experience is not necessary. The majority of the time, you are going to be working with chronically ill patients...diabetics, high cholesterol, heart disease, colds, etc. Every once-in-awhile you may get an "emergent" case. Your experience will more than cover the nurse practitioner primary care environment quite well.

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    You tell us that your interests are in ICU and HDU...why? What is the difference between the two...why would you chose one over the other? The answers will help you on the way towards working on this assignment.

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    Thank you for noticing this and taking steps to provide a nutritious meal for this child. It may be that this was a one-time deal, but I seriously doubt it. Continue to monitor and if this is indeed the food of choice brought everyday...I would discuss this with your school administration to see how best to handle the situation. Maybe the mother needs help in meal planning, or maybe they need assistance to get food and are too proud to ask for it. God bless you for being so observant!

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    Try youtube...I found it a great resource when going back for everything from statistics (ughhhhh) to assessments. Here are a couple of sites that may be helpful as well: 12-Lead ECG: The Art of Interpretation and Free ECG Simulator! - SkillSTAT. As you get more exposure, you will gain confidence and it won't be as challenging! Good luck

  • 1
    SopranoKris likes this.

    You are not a cardiologist, but as a primary care provider, you are expected to be able to read an EKG. When I was a critical care nurse, I learned to read EKGs appropriately. When I went back for my NP, I had to do some brush-up, but I do EKGs in the office frequently and then read them. If a referral is necessary, then I do one, otherwise, I treat my patient. Is there anyone you know going through this class with you that you an "buddy up" with? Do you know any critical care nurses that could help?


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