Babyboss 19 MSN, APRN

Babyboss 19 has 33 years experience as a MSN, APRN and specializes in in primary care pediatrics and NICU.

Latest Activity

1. 

   Legally, Can I mix RN/NP roles?

   Babyboss 19 replied to paramedic-RN's topic in NP

   This is what I've ben doing for 4 years: kept my inpatient part time RN ICU job while working primary care NP 2 days a week. I make way more money in dual role vs NP job alone, with added benefit of mental break from overcommitting to either. This i...
2. 

   Social Skills Should Be a Bigger Focus in Nursing School

   Babyboss 19 replied to Kenneth S. Veillon's topic in General Nursing

   I disagree with the idea that social skills cannot be taught. Social skills are mostly taught, through adapting to cultural norms in the workplace and reflection on personal experiences. This cannot be solely achieved in 3 semesters of nursing schoo...
3. 

   Case Study: Newborn with Vomiting and Diarrhea

   Babyboss 19 replied to SafetyNurse1968's topic in Critical

   Yay, babies! -now you're speaking my language. So, agree with above labs. Septic work up warranted. I however, would not do radiology yet. Except CXR in ED. first get CBC, man diff, CMP, CRP, Ammonia; Fractional Bili; ABG with Lactate. Su...
4. 

   Is this a good new grad NP offer?

   Babyboss 19 replied to AGUS821's topic in NP

   I had 25 + yrs Nursing experience prior to completing my APRN. It carried no value in my NP interviews. Nobody cared. (That hurts) You can't compare apples to oranges. It stinks, I know. I was capped out as RN, in ICU. Remember, highly paid RNs h...
5. 

   Case Study: Joint Pain, Rash, Hair Loss - What's Going On?

   Babyboss 19 replied to SafetyNurse1968's topic in Critical

   in ROS, Pt complaints of Raynaud's phenomenon? just curious.
6. 

   Working as RN, licensed as NP: which malpractice insurance type do I need?

   Babyboss 19 replied to sflava's topic in General Nursing

   I work part-time, inpatient RN and as outpatient APRN for last 3 years. I only hold Med Mal for my NP job, not the bedside position. It doesn't make sense as I am not functioning within the scope of practice of an PN in the hospital. Patients cannot...
7. 

   I Really Do Not Want the COVID Vaccine ?

   Babyboss 19 replied to AspiringNurse94's topic in COVID

   clarified: I WOULD counsel my patient to NOT SKIP the MMR, but abstain for 2 months.
8. 

   I Really Do Not Want the COVID Vaccine ?

   Babyboss 19 replied to AspiringNurse94's topic in COVID

   It's the same with MMR vaccine: women should not get pregnant for no less than 28 days afterward, due to risk of teratogenic effects. (Although that is a live attenuated virus and quite a different vaccine.) I would not advise my patient to just ski...
9. 

   Covid Vaccine

   Babyboss 19 replied to Nurseybl06's topic in COVID

   I would urge all HCPs to read over the interview of Dr. Paul Offit, a pediatrician, infectious disease specialist and developer of the Rotateq vaccine and others. Extremely thorough and well-organized podcast on how vaccines are made, the gov. barri...
10. 

    Unable to wear N95 or papr

    Babyboss 19 replied to runner502's topic in COVID

    Agreed. I failed 6 styles of N-95. The PAPR is totally better imo anyway. In my hospital, each unit has posted, at the charge desk, a list of staff who passed fit test and those needing PAPR. This info should be avail when doing staffing - ei...
11. 

    Managing Ancillary Staff

    Babyboss 19 replied to Babyboss 19's topic in NP

    I have approached her directly, and the manager, in the past, which is my usual MO. I agree that is often the best approach. Just doesn't seem to stick for long. Then I was asked "so, you want YOUR labs a, b, c to be fasting, etc." implying that ...
12. 

    Managing Ancillary Staff

    Babyboss 19 posted a topic in NP

    sorry this is long... Need some POV on how to manage ancillary staff in private practice. Which, is usually not a problem for me. Have been part time, 3 years now, as a PNP in private practice. 3 MDs and myself. We have 2 MAs, no nurses on sta...
13. 

    Urine output and acid/base imbalance?

    Babyboss 19 replied to Nurselynnnicu's topic in NICU

    I know this is a late reply but... Sick babies (mostly preemies) are unable to concentrate their urine well. The kidneys are immature. Thus they pee out all their Bicarb, instead of reabsorption in the tubules, leading to metabolic acidosis (ex...
14. 

    RaDonda Vaught Update - State Health Officials Reverse Decision and File Medical Disciplinary Charges

    Babyboss 19 replied to tnbutterfly - Mary's topic in Headlines

    Nurses who argue for more pop-ups/alerts need to read the ample data on alarm fatigue. More alerts do not necessarily = safer. But, those in place need to be relevant. That's my point. And, in RV's case, I don't believe any further barriers would...
15. 

    RaDonda Vaught Update - State Health Officials Reverse Decision and File Medical Disciplinary Charges

    Babyboss 19 replied to tnbutterfly - Mary's topic in Headlines

    THIS. this is why facilities need to address "pop-up" fatigue for countless, unwarranted EMR alerts that have little to do with patient safety. It is known that nurses ignore these over time.