BmoreCRNP

BmoreCRNP has 13 years experience and specializes in mostly PACU.

Latest Activity

1. Having anxiety over my decision to be an FNP

   BmoreCRNP replied to monicanurse's topic in NP

   It really depends on where you end up. Some NPs are being treated like the Doc's servant. Other NPs are a respected member of the team. I'm working in LTC, and that is a very interesting environment to work in. Some MDs are okay towards me, and o...

2. If I want to work in ED as NP

   BmoreCRNP replied to EDRN-2010's topic in NP

   What you just quoted here seems to address how Advanced Practice Nurses have to identify themselves legally. In your state they use the initials RN/NP to identify Nurse Practitioners. Where I am you have to sign CRNP (certified registered nurse pra...

3. Anemia: am I the only one who thinks it's all complicated?

   BmoreCRNP replied to BmoreCRNP's topic in NP

   I rechecked it twice after she came back from the hospital just to make sure. Another reason I think it's the kidneys is because along with the falling H&H, her K+ has gone up and I had to give her Kayexalate for that. Also her GFR dropped. No...

4. Anemia: am I the only one who thinks it's all complicated?

   BmoreCRNP replied to BmoreCRNP's topic in NP

   I've noticed, for whatever reason, they don't use PO B12 in the nursing home. I know that unless someone is missing the intrinsic factor in the intestine there's no reason they shouldn't be able to take PO B12 for a deficiency. My personal opinion ...

5. NP or MD?

   BmoreCRNP replied to RNnurse07's topic in NP

   Well hopefully you won't read the thread I started about this. Mine was more negative! Anyway, like everyone else said, you really have to weigh a number of things and decide what's important to you. You are the only one who can answer that. It w...

6. If I want to work in ED as NP

   BmoreCRNP replied to EDRN-2010's topic in NP

   Yeah like they said, it depends on the state. I know of some FNPs in other states who are working in the ED, however, they are mostly limited to fast track or minor cases. You really don't get much in the way of managing acute situations in FNP pro...

7. Anemia: am I the only one who thinks it's all complicated?

   BmoreCRNP replied to BmoreCRNP's topic in NP

   Glad to see I'm not alone! I was beginning to think I was just stupid! (well not really, but kind of, lol)

8. Anemia: am I the only one who thinks it's all complicated?

   BmoreCRNP replied to BmoreCRNP's topic in NP

   The attending MD is involved for the most part. He is on vacation right now, so in the meantime I'm doing some investigation so to speak. I definately will need a more experienced person to help me. If the patient needs something like Procrit or B...

9. Anemia: am I the only one who thinks it's all complicated?

   BmoreCRNP replied to BmoreCRNP's topic in NP

   No, and I doubt she will go on dialysis. I work in LTC. Most of these people are not candidates for extensive treatment such as dialysis. She will not likely see a nephrologist, but be managed by myself and the primary doc until she passes away.

10. Anemia: am I the only one who thinks it's all complicated?

    BmoreCRNP replied to BmoreCRNP's topic in NP

    I just realized today that the retic count is separate, so I ordered it. The repeat labs showed a lower H&H. I think the Hct went from 29 to 28.4 or something like that in one week. So far the patient is asymptomatic. I'm pretty sure the prob...

11. Anemia: am I the only one who thinks it's all complicated?

    BmoreCRNP replied to BmoreCRNP's topic in NP

    Thaks guys, that was very helpful. Like I mentioned in the previous post, she is supposed to have labs drawn again on Monday so that I can continue my investigation. I'll let you know what I find. I might have to add a differential though, because...

12. NP Salary vs. RN salary

    BmoreCRNP replied to Health-Nut's topic in NP

    The thing is, depending on the region you live in, any RN can bust their butts with overtime and make tons of money. I knew a number of nurses where I used to work in NYC who made close to 200k a year!! How did they do that? Well they basically wo...

13. Anemia: am I the only one who thinks it's all complicated?

    BmoreCRNP posted a topic in NP

    Hey all, new FNP here. I wanted to know if anyone had some easy or quick tips for diagnosing and treating different types of Anemia. One of the things I'm noticing is that a lot of my patients were placed on iron supplements without really having t...

14. Corrected Serum Calcium

    BmoreCRNP replied to cruisin_woodward's topic in NP

    This was very helpful to me as well. I work in LTC, and some of my patients have low Calcium. Usually it's in the high 7's to low 8's. In addition to that, a lot of LTC patients have low albumin levels. The dietician is usually the one who deals ...

15. NP Salary vs. RN salary

    BmoreCRNP replied to Health-Nut's topic in NP

    This is soo true! I would NOT go back to staff nursing for anything! Money simply is not my #1 motivator for anything in my life. It was very important to me that I improve my quality of life, along with furthering my education in order to enter a...