Babyboss 19 MSN, APRN

in primary care pediatrics and NICU

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All Content by Babyboss 19

  1. Babyboss 19

    Legally, Can I mix RN/NP roles?

    Babyboss 19 replied to paramedic-RN's topic in Nurse Practitioners, 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...
  2. Babyboss 19

    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...
  3. Babyboss 19

    Case Study: Newborn with Vomiting and Diarrhea

    Babyboss 19 replied to SafetyNurse1968's topic in Critical Care

    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,...
  4. Babyboss 19

    Is this a good new grad NP offer?

    Babyboss 19 replied to AGUS821's topic in Nurse Practitioners, 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...
  5. Babyboss 19

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

    Babyboss 19 replied to SafetyNurse1968's topic in Critical Care

    in ROS, Pt complaints of Raynaud's phenomenon? just
  6. Babyboss 19

    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...
  7. Babyboss 19

    I Really Do Not Want the COVID Vaccine ?

    Babyboss 19 replied to AspiringNurse94's topic in Disaster Preparation

    clarified: I WOULD counsel my patient to NOT SKIP the MMR, but abstain for 2
  8. Babyboss 19

    I Really Do Not Want the COVID Vaccine ?

    Babyboss 19 replied to AspiringNurse94's topic in Disaster Preparation

    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...
  9. Babyboss 19

    Covid Vaccine

    Babyboss 19 replied to Nurseybl06's topic in Disaster Preparation

    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...
  10. Babyboss 19

    Unable to wear N95 or papr

    Babyboss 19 replied to runner502's topic in Disaster Preparation

    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....
  11. Babyboss 19

    Managing Ancillary Staff

    Babyboss 19 posted a topic in Nurse Practitioners, 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....
  12. Babyboss 19

    Managing Ancillary Staff

    Babyboss 19 replied to Babyboss 19's topic in Nurse Practitioners, 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...
  13. Babyboss 19

    Urine output and acid/base imbalance?

    Babyboss 19 replied to Nurselynnnicu's topic in NICU, Neonatal

    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...
  14. Babyboss 19

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

    Babyboss 19 replied to tnbutterfly - Mary's topic in Nursing News

    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...
  15. Babyboss 19

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

    Babyboss 19 replied to tnbutterfly - Mary's topic in Nursing News

    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
  16. Babyboss 19

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

    Babyboss 19 replied to tnbutterfly - Mary's topic in Nursing News

    Have worked in NICU for 17 years. We give Vec often. Upon scanning vecuronium in our facility's Cerner, we get a pop-up alert stating "WARNING, PATIENT MUST BE ON A VENTILATOR". When we first...
  17. Babyboss 19

    Second Thoughts on leaving Bedside for NP role

    Babyboss 19 posted a topic in Nurse Practitioners, NP

    My decision to complete NP school was not a hasty one. I took 4 years to decide if I should go for MSN Ed or NP, versus staying as a bedside RN in the ICU at a Magnet Children's Hospital...where I...
  18. Babyboss 19

    Sensitive topic--Pertussis

    Babyboss 19 replied to ERschoolRN's topic in School

    Good to know. I've never done school nursing, so I was unsure of their process. Definitely, NOT advocating pulling children with winter coughs willy nilly out of school. Just that the PEP guidelines...
  19. Babyboss 19

    Adult to NICU?

    Babyboss 19 replied to sammy75's topic in NICU, Neonatal

    I bet you're an amazing nurse. Good
  20. Babyboss 19

    Sensitive topic--Pertussis

    Babyboss 19 replied to ERschoolRN's topic in School

    I'm a little confused about the process in place for sporadic outbreaks in public school in OP's area. Isn't there a P & P in place, with an algorithm when certain conditions present? The CDC...
  21. Babyboss 19

    Would you call in sick?

    Babyboss 19 replied to AnnieOaklyRN's topic in General Nursing

    It's really none of the hospitals' business why we call out. You don't have to tell them. It's your PTO. Besides, if I were the parent of one of those sick kids I'd pray to God you called out too...
  22. Babyboss 19

    Verbally Abusing a Nurse

    Babyboss 19 replied to Hk30's topic in General Nursing

    Oh, and it's been marketed to us as "family/patient centered care". I.E. the customer is an active participant in their hospital environment (demands). Which some leadership equate with, rather...
  23. Babyboss 19

    Adult to NICU?

    Babyboss 19 replied to sammy75's topic in NICU, Neonatal

    I've worked in level 3 NICU since 2000. I had previous experience, but not NICU. They did not seem to care when I applied. Director told me my experience was not a selling point on my resume! (um,...
  24. Babyboss 19

    Verbally Abusing a Nurse

    Babyboss 19 replied to Hk30's topic in General Nursing

    US hospitals rely on reimbursement from Medicare. This reimbursement is driven by patient discharge surveys. Bad surveys = money lost. Medicare refuses to pay for services already long provided. It's...
  25. Babyboss 19

    Second Thoughts on leaving Bedside for NP role

    Babyboss 19 replied to Babyboss 19's topic in Nurse Practitioners, NP

    DesertSky, thank you and hang in there! You're almost done. It's the best feeling. I'm not going to lie, I cried. Better than RN graduation. Be proud! Bedside has not been bad for me in NICU. The...