Latest Comments by akoster

akoster 2,361 Views

Joined: Oct 2, '03; Posts: 82 (7% Liked) ; Likes: 6

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    I want to get the geriatric np certification before the deadline for application on Dec 31 2010. Does anyone know of good resources to get 75 cme required? Also they are in different categories so how do they decide if the cme you do fits those categories?

    PS I have already had my FNP for 7 years now just was looking to get extra cert to do help with home visits.

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    we see sports physicals all the time that are never seen again and have no doctor, they are not full on preventative visits, most of these kids only see the doctor when they are sick because the majority of them are healthy and the only visits they get are sports physicals each year, they are meant to be an abbreviated physical, there is a questionnaire on the form for past medical history. If they check off "yes" on the form or there is a past medical history that is noted of concern then I will not sign the form and they will have to schedule an appt. If I find a physical finding that is concerning dont sign the form and refer I do ask more pointed questions like family history of early cardiac problems and such. No visit is foolproof whether sports physicals or regular physicals, there is no visit that is liablity free. you can only go on what the patients or parents tell you about history. We do these all the time in urgent care before sports start, on the flip side I see doctors/ providers going to the schools for "quick" sports physicals. At least in the office I can booster a vaccine if needed.

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    I have had people ask me if they could see the doctor but most often they are an older generation who are used to seeing "the doctor". I also worked in a small ER and then I would tell them Im the only one there, so its their choice if they want to go see a doctor they would have to go somewhere else that was over an hour away. The patient always has the choice to schedule and appt with a doctor if thats what they are looking for

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    What about something like aggrenox. Its not optimal but either is your situation. I have seen high risk patients like yours not placed on coumadin because of many of the same reasons and we just did the best we could and documented the risks both ways.

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    jwirth.rn likes this.

    I worked in a small rural ER and was the only coverage overnight into the next day and was treated like any other provider that worked there. I was able to sleep if able in a call room and there was even an apt attached to the hospital I could have used but the walk was alot futher if I had to get up. I would expect you would get treated the same as other with the same job you have. There was a agency nurse that came to float there occasionally that complained once to the nursing supervisor that I was sleeping at night and the nursing supervisor had to explain to her that I was a provider and that's what we do when we have no pts. .

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    thanks

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    Remember you are a student and are there to learn you are not expected to know everythiing already. Put the book knowledge together with patient presentations and it will stick.

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    So I want to get my DNP but it seems like the schools already want you to know a specific project that you want to do before you even apply. It seems like saying that you want to get the DNP "because its there" is not good enough. I dont have a specific life mission I just want to finish with the same degree that most of the new people will be getting. Anyone else feel this way and what is a good way to figure out a project you may want to do 2 years from now if you arent even in school yet?

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    I know in Idaho I had called a few years ago to see what restrictions there were to opening your own clinic and there were none beside what is required now for peer review and keeping up on cme. Nothing specific related to opening your own clinic. I would check with your state.

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    I worked for one for 2 years which was affiliated with a hospital system. We had no protocols to follow but we stick to a lower scope of practice due to the setting. The visits are at least 1/2 the price of the urgent care and I have been there myself for the same reason "cant get in to my PCP". I know each "retail" may have their own scope and yes some national ones do have protocols. They are perfect for ENT, minor derm and other lower scope of practice diagnosis.

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    ivanh3 likes this.

    I did the same thing started as paramedic then adn excelsior and adn-msn at graceland 7 years ago. I would go there again. I think you get what you give out of any schooling no matter what the "name" is

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    Habif-- number one for sure

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    I agree sounds like you are doing primary care visits and alot of those visits to take longer

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    Im confused? If you are working urgent care, like I do, those should be short focused visits? You should be seeing alot more patients than if you were doing primary care visits? Not sure why you would only see 2-3 an hour.


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