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Search Results Type: Posts; User: rnsrgr8t

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  1. Too direct?
    It is definitely an art that you learn to do. It is hard to tell people things they do not want to hear. When I was a new grad, one of the MD's I worked with gave me good advice. I had a family (I...
    Jul 23
    Forum: Nurse Practitioners (NP)
  2. Do Press Ganey Scores measure Quality Care?
    I hate the surveys just like everyone....but we have to realize something here.....using the surveys in relationship to reimbursement was a calculated move. It gives justification, that the ordinary...
    Jun 25
    Forum: General Nursing Discussion
  3. What cracked me up today
    I am not school nurse but a PNP... I have a patient I have taken care of for years for bladder symptoms. He is 13 years old and always been a smart alec (in a good way) and I love him to death. I...
    May 7
    Forum: School Nurses
  4. an oldie but goodie
    I remember using the Adalat and puncturing it with an 18 gauge needle. I worked in peds so someone had figured out the volume of the liquid in each of the capsules and then we would figure out a...
    Apr 22
    Forum: General Nursing Discussion
  5. telephone triage for busy pediatric office
    Before I became an APN, I worked for a busy pediatric practice and did phone triage a lot. The key is to have good protocols and document, document, document. When I first started, I took the...
    Apr 7
    Forum: Pediatric Nursing
  6. AIDS during the 80s
    WOW!!! That must have been frightening for your Mom and the fact that her work was called b/c of the labwork she had drawn? Can you imagine that happening today??? Glad she was ok!
    Apr 3
    Forum: Nurse Colleague / Patient Relations
  7. AIDS during the 80s
    I remember in the early nineties coming home to my mom crying b/c one of her old coworkers had died. Her formal coworker (and guy she dated before she met/married my dad) had died of AIDS. They were...
    Apr 3
    Forum: Nurse Colleague / Patient Relations
  8. Challenging Relationships with Doctors
    I have seen that happen in other divisions where I work. In my division, there are MORE than enough patients to go around and they welcome any patient I can see. I tend to see the patient's with...
    Mar 27
    Forum: Nurse Practitioners (NP)
  9. Choked by a patient. How do you deal with this trauma?
    I am still stuck on the fact you were choked and assaulted by a patient and still had to do an admission on a patient before you went to the ER!!!! WHERE were your coworkers? How could they expect...
    Mar 13
    Forum: Nursing Issues On Patient Safety
  10. Patient stable when I left
    Kids are notorious for compensating for a long time and then, when they crump, they crump FAST. Seen it happen so many times. Only thing you can do is honestly asses the day and if you think you...
    Mar 5
    Forum: Pediatric Nursing
  11. pediatrics injections examples
    I always let our new people practice injections on me (with saline) so they could work on their technique before doing it with the children. See if someone in your office is willing to be the guinea...
    Feb 20
    Forum: Pediatric Nursing
  12. Girl Brain Dead after Tonsillectomy
    Jahi McMath and Catholic Teaching on the Determination of Death - The National Catholic Bioethics Center I am very happy they came out with this statement in support of Children's Hospital. There...
    Jan 8
    Forum: Nursing News
  13. Girl Brain Dead after Tonsillectomy
    Wanting to set a kegal precedent so parents are the only ones able to declare a child dead? Working in peds.....That is FRIGHTENING! I still cannot believe, after reading the medical affadavit, the...
    Jan 7
    Forum: Nursing News
  14. My second MRI
    I remember years ago, when I worked on a pediatric Hem/ONC/BMT floor, we had this little boy from Russia as a patient. He was so traumatized from all of his treatments, he was really combative...
    Dec 5, '13
    Forum: General Nursing Discussion
  15. My second MRI
    That is hilarious! At least you were funny when you were loopy. My mom had Versed when she had an endoscopy and was NASTY to everyone but was acting completely lucid so my Dad thought she was just...
    Dec 5, '13
    Forum: General Nursing Discussion
  16. What is the funniest or most embarrassing nursing experience you've had
    I remember working on a peds hem/onc floor. One of our sweet, frequent fliers was in a room. I cannot remember (this was 15 years ago) if she was inpatient for chemo or was sick. I do remember how we...
    Nov 26, '13
    Forum: General Nursing Discussion
  17. What is the worst hardship/story you have ever seen/heard in your nursing career?
    I remember taking care of a 9 year old girl who had been stabbed by her father. He was separated from her mother (and estranged, Mom had a protective order against him). He broke into her house,...
    Nov 8, '13
    Forum: General Nursing Discussion
  18. Who should pay DEA fees?
    My job pays for all of my licensing fees (I am licensed in 2 states), all of my recert fees, my DEA and malpractice. We do have a small budget for CME's but it is not enough for me to go to a...
    Oct 24, '13
    Forum: Nurse Practitioners (NP)
  19. RN experience before becoming pediatric nurse practitioner?
    I am a PNP and it sounds like the cases you manage in home health are pretty high acuity. I do not think you necessarily NEED hospital experience but it may be beneficial to you. You could also try...
    Sep 26, '13
    Forum: Nurse Practitioners (NP)
  20. Precepting NP students....any advice???
    I precept NP Grad students every semester (except the summer). It depends on the day and how busy I am. When they first start the rotation, I have them just shadow me and I review my treatment...
    Sep 23, '13
    Forum: Nurse Practitioners (NP)
  21. Learning to navigate the insurance companies
    As far as medications, each insurance plan/medicaid has a drug formulary that is usually available online. Over the years, I tend to remember which medicaid/insurance covers the majority of the...
    Aug 16, '13
    Forum: Nurse Practitioners (NP)
  22. The patients you love working with.
    At my old job in a pediatrician's practice, we had a lovely family that had 10 kids. These had to be the nicest, most well behaved children I have ever met. they were the most beautiful family. On of...
    Jul 23, '13
    Forum: Nurse Colleague / Patient Relations
  23. That awkward moment when....
    Years ago, when I worked in the NICU, the hospital where I worked had a Mcdonalds in the lobby. When I worked nights, we often would go down there for dinner in the middle of the night (yeah I know,...
    Jul 12, '13
    Forum: General Nursing Discussion
  24. Back in the day......
    I remember those!! Now we have a beautiful label maker!
    Jun 26, '13
    Forum: General Nursing Discussion
  25. And then the MD said.....
    I am a pediatric urology PNP and often will assist my attendings in doing neonatal circumcisions. We normally use the procedure room in our clinic (at our hospital, all of our specialty clinics are...
    Jun 13, '13
    Forum: Nurse Colleague / Patient Relations