BostonFNP APRN

Adult Internal Medicine

allnurses Guide

All Content by BostonFNP

  1. BostonFNP

    Acute Kidney Injury

    AKI is diagnosed on the basis of a sudden reduction in renal function as measured elevation of serum Cr (>0.3mg/dL or 150% increase in serum Cr), reduction in urine output (<0.5mL/kg/hr for...
  2. BostonFNP

    What to do about DNP and flu shot?

    FWIW the OP wants to be a nurse leader/educator not a
  3. BostonFNP

    What to do about DNP and flu shot?

    You really drank the Cool Aid huh? None of this has any basis in reality. Here is one example of a double-blind RCT. Bridges CB, Thompson WW, Meltzer MI, et al. Effectiveness and Cost-Benefit of...
  4. BostonFNP

    What to do about DNP and flu shot?

    I don't have any reason to doubt that you are a caring person but this issue isn't about that at all. Your statement above demonstrates the crux of the issue: it is not a matter of believing what...
  5. BostonFNP

    What to do about DNP and flu shot?

    Was this an actual oncologist or an "oncologist" natropath? FWIW, I don't buy the story as being factually
  6. BostonFNP

    What to do about DNP and flu shot?

    Her oncologist advised her against getting the IIV/RIV4 vaccines (as well as the LAIV4 vaccine we avoid in immunosupressed individuals)? Something seems strange there, or there is more to the puzzle...
  7. BostonFNP

    What to do about DNP and flu shot?

    I thought your post was kind to the OP and constructive advice. I’m not sure what you are basing this on, but no vaccines are made by the CDC or any other government agencies. Here is the list of...
  8. BostonFNP

    What to do about DNP and flu shot?

    I am not sure if it is difficult to follow your comments because I don't understand them or if it is because you yourself don't understand what you are commenting v. what you are posting links about?...
  9. BostonFNP

    What to do about DNP and flu shot?

    You do understand that there is a danger to just throwing something up that that you don’t have even a basic understanding of right? Especially when you work in healthcare because people assume your...
  10. BostonFNP

    What to do about DNP and flu shot?

    This couldn’t be more
  11. BostonFNP

    Hair follicle

    If you consider me sanctimonious because I suggest that it is in poor moral integrity to engage in a willful lie to avoid professional backlash from something one admittedly and knowingly did, then...
  12. BostonFNP

    Quality of Online NP Programs and Providers

    Why consider FNP vs remaining
  13. BostonFNP

    What to do about DNP and flu shot?

    Of the 180 kids that died of flu last year, 80% were
  14. BostonFNP

    What to do about DNP and flu shot?

    If you are in the healthcare field and you blatantly disagree with scientific consensus based on your "personal" opinion then intellect and competence is open to criticism, especially when considering...
  15. BostonFNP

    Quality of Online NP Programs and Providers

    I'm not sure my partner MD even knows how to give an IM
  16. BostonFNP

    Quality of Online NP Programs and Providers

    Sounds like the student was actively using a POC reference to improve their
  17. My personal experience is: you get the vaccines that are required or you don't graduate, don't take the NCLEX, don't become a nurse in any
  18. BostonFNP

    Quality of Online NP Programs and Providers

    Any type of national formalized residency is going to be expensive, even if it was 25% the cost of a medical resident year, given the huge numbers of NPs being churned out it would be a big chunk of...
  19. BostonFNP

    Quality of Online NP Programs and Providers

    Nurse practitioners are somewhat stuck in trying to balance independent practice and cost-effective care: residencies would help with preparation and would make a better case for independent practice...
  20. BostonFNP

    Quality of Online NP Programs and Providers

    1. Most markets are not oversaturated, and even in markets that are completely oversaturated, intelligent, experienced new grads from quality programs generally don't have much trouble finding work....
  21. BostonFNP

    Quality of Online NP Programs and Providers

    1. If they are intelligent, clinically skilled, and hardworking then why do you think it is they can't find desirable jobs? 2. Honestly, have you ever worked in primary care as an RN or an NP? 3....
  22. BostonFNP

    Quality of Online NP Programs and Providers

    To be clear, better schools and education is also a barrier to entry for some/many. I would suspect its because of some of the threads we see right here on AN. I just read one last week about a...
  23. BostonFNP

    Quality of Online NP Programs and Providers

    I’ve made the argument at conferences to try and move away from spending “equal time” in DE programs on RN and NP education and rotations. If we are going to have DE programs then make them...
  24. BostonFNP

    Quality of Online NP Programs and Providers

    Requiring that many hours would, at very least, serve as a rate limiting step for NP programs, which isn't a bad thing. Having spend a lot of time in both didactic and clinical education of FNP...
  25. BostonFNP

    Quality of Online NP Programs and Providers

    Here are the problems I see with mandating any number of RN practice hours prior to NP graduation as many DE programs do (including the one I teach for). 1. It creates turnover in RN jobs. No...