TuxnadoDO

TuxnadoDO

Emergency medicine

BA, MS, DO, BC-EM

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All Content by TuxnadoDO

  1. Elevated H/H, very low Folic Acid/B12

    TuxnadoDO replied to EsslingerNP's topic in Nurse Practitioners, NP

    Need an assessment. Who is this patient? What symptoms are they having? Why were the labs ordered? Consider age, personal, family and social history. Specifically, what bariatric surgery was done?...

  2. Cardiovascular Board Exam for NP through American Board of Cardiovascular Medicine

    TuxnadoDO replied to Wendywl's topic in Nurse Practitioners, NP

    Disclaimer: not an NP, but a DO who has been through boards. In training, our primary learning resource is a comprehensive textbook for our specialty, then we switch to review books when prepping for...

  3. Confused about diagnosing lymphedema?

    TuxnadoDO replied to nurselove757's topic in Nurse Practitioners, NP

    First, expand your differential. Second, when evaluating volume status in a patient with CHF, need to consider other indices of volume status, such as jugular venous pressure, to determine if they are...

  4. Confused about diagnosing lymphedema?

    TuxnadoDO replied to nurselove757's topic in Nurse Practitioners, NP

    It's a clinical diagnosis the vast majority of

  5. Good sources for learning how to interpret CTAs

    TuxnadoDO replied to AutumnLeaves's topic in Nurse Practitioners, NP

    This is great advice for someone who wants to be be able to look at the scans and have an idea of what he or she sees prior to the radiologist's report. I wouldn't recommend that the OP relies on her...

  6. where and how can i learn to do a pelvic exam

    TuxnadoDO replied to nonni's topic in Nurse Practitioners, NP

    Couple good points in there. But... Procedural capability is one thing to consider. For physicians who have done thousands of procedures, learning a new one often means learning a new series of steps...

  7. Good sources for learning how to interpret CTAs

    TuxnadoDO replied to AutumnLeaves's topic in Nurse Practitioners, NP

    I suspect it would take, like, a residency in radiology to become an expert at reading

  8. where and how can i learn to do a pelvic exam

    TuxnadoDO replied to nonni's topic in Nurse Practitioners, NP

    It does not sound like you are qualified to provide gynecologic medical services, and won’t become qualified for this by simply learning to do a pelvic

  9. Clinical Question - Tampon left in for one month

    TuxnadoDO replied to FullGlass's topic in Nurse Practitioners, NP

    Someone with a tampon left in for a month needs a pelvic exam first, before any treatment is discussed. There was no mention of urinary

  10. Why did you become a NP?

    TuxnadoDO replied to climbingeverest's topic in Nurse Practitioners, NP

    Ah, that makes sense. Best of luck with your health challenges and I hope surgery goes well

  11. Checking consciousness by touching the patient?

    TuxnadoDO replied to PMHNP2023's topic in Emergency

    In the ED? Like a patient who has been roomed and is waiting to be seen, and has since fallen asleep with a blanket or towel over their head? I turn the lights on, address them, if they don't respond...

  12. High (sort of) potassium

    TuxnadoDO replied to tachyallday's topic in Emergency

    ER doc here. It's not just the number. It's how fast that number increased, what their baseline is, the reason for the hyperK, how quickly it may return to normal while treating the cause, the meds...

  13. What are the low stress nurse practitioner jobs

    TuxnadoDO replied to Azureshunter's topic in Student Nurse Practitioner

    What were your reasons for pursuing the

  14. Why did you become a NP?

    TuxnadoDO replied to climbingeverest's topic in Nurse Practitioners, NP

    I ask this sincerely -- if that was your goal, why didn't you choose medical school, where you'd receive the best preparation for this very important role? Why learn so much "nursing theory" if you...

  15. Clinical Question - Tampon left in for one month

    TuxnadoDO replied to FullGlass's topic in Nurse Practitioners, NP

    There is no one protocol for any particular patient complaint. Assess the patient, go from

  16. Triage Nurses: what are your favorite phrases to document?

    TuxnadoDO replied to nerdgrl's topic in Emergency

    I really much prefer if the triage nurse documents the patients complaint, general appearance (e.g. no distress) and any very relevant history they bring up. For instance, they are here because they...

  17. Discharging patients on the board

    TuxnadoDO replied to Silverinkpot's topic in Emergency

    Do the docs know this is happening? I wouldn't allow it. They simply need to create a new designation on the tracking board for patients awaiting

  18. New grad nurse in Emergency Department

    TuxnadoDO replied to Miss_RN92's topic in Emergency

    Be nice and don't be afraid to ask questions

  19. New grad bedside nursing disappointment

    TuxnadoDO replied to KWRN29's topic in First Year After Licensure

    In medical school, when students are narrowing down their specialties, one of the major decisions they have to make is whether they like to treat patients who are sick, or patients who are not sick....

  20. Poor orientation with a retail clinic

    TuxnadoDO replied to momofm1998's topic in Nurse Practitioners, NP

    I think your comment was tongue-in-cheek, but I'm honestly wondering lol. When I hear "orientation" I think "orient me to the surroundings, the policies, how things work, the code to the supply...

  21. Don't trust my FNP

    TuxnadoDO replied to KalipsoRed21's topic in Nurse Practitioners, NP

    Any updates? How's your husband

  22. Poor orientation with a retail clinic

    TuxnadoDO replied to momofm1998's topic in Nurse Practitioners, NP

    Share your experience - what were your expectations, and how did that differ from

  23. Collaborative Physician Issues

    TuxnadoDO replied to nbtw's topic in Advanced Practice

    OK, so she was your collaborating physician in 2016. The way you said that implies that she is no longer your collaborating physician. Now, you are setting out to be credentialed somewhere else and...

  24. First Job, Unsure of Role

    TuxnadoDO replied to missdeevah's topic in Nurse Practitioners, NP

    I'm so confused. How on earth did you get to that point in the hiring process without even having a job description? Or knowing what your duties will be? I'm glad you got things sorted out a little...

  25. Terminal diagnosis

    TuxnadoDO replied to NervousNP's topic in Nurse Practitioners, NP

    I don't mean to beat you up and I don't think you should beat yourself up - but you were the primary care provider? And you didn't want to break the bad news? To your patient? This sounds like a...