BostonFNP APRN

Adult Internal Medicine

allnurses Guide

All Content by BostonFNP

  1. BostonFNP

    Quitting Before My Four Weeks Notice

    BostonFNP replied to TryingtoThriveRN's topic in General Nursing

    If you think that the employer isn't going to list the OP as a "no rehire" (or black-balled or whatever you wan to call it) after that OP agreed to work out four weeks and then called out the last...
  2. BostonFNP

    Drug Calculation Help

    BostonFNP replied to summertx's topic in General Students

    The heparin was prescribed to run at 1,200 units/hour. In your first calculation you ran it at 30,000 units/hour (1000ml/hr). This mistake could be fatal to the patient which is why these calculations...
  3. BostonFNP

    Quitting Before My Four Weeks Notice

    BostonFNP replied to TryingtoThriveRN's topic in General Nursing

    OK this is what is boils down to: you are planning on doing something you know is wrong and you are worried about being treated like it. I think the only advice anyone can really give you on this is...
  4. BostonFNP

    Fired From First NP Job: Struggling Emotionally

    BostonFNP replied to CH_NP's topic in Nurse Practitioners, NP

    I know this wasn’t to be but I’m going to respond; forgive me. I think most novice providers (NPs, PAs, MD/DOs) have some degree of imposter syndrome. This isn’t a bad thing. It keeps us in...
  5. BostonFNP

    Drug Calculation Help!!

    BostonFNP replied to London1984's topic in Nursing Student Assistance

    If you learn and use dimensional analysis you will never get these wrong
  6. BostonFNP

    Your Local Pharmacist Can Now Prescribe Paxlovid To Treat COVID-19

    BostonFNP replied to Terry Ann Donner's topic in Disaster Preparation

    Regardless of knowledge or training, pharmacists (most) don't have access to the information needed to safely prescribe the medication, especially in those most at risk and thus at highest need of
  7. BostonFNP

    Your Local Pharmacist Can Now Prescribe Paxlovid To Treat COVID-19

    BostonFNP replied to Terry Ann Donner's topic in Disaster Preparation

    We are already seeing this with urgent and retail care here. Patient visits the facility. Gets diagnosed. They either 1. “recommend” Paxlovid but tell the patient to “call your PCP” to get it...
  8. BostonFNP

    Your Local Pharmacist Can Now Prescribe Paxlovid To Treat COVID-19

    BostonFNP replied to Terry Ann Donner's topic in Disaster Preparation

    Great, now on top of everything else, I need to also tell patients not to take a drug the pharmacist prescribes. I can't even believe how this drug got emergency approval let alone how it got to bend...
  9. BostonFNP

    Fired From First NP Job: Struggling Emotionally

    BostonFNP replied to CH_NP's topic in Nurse Practitioners, NP

    To be honest, as someone who has owned a practice and has hired both physician and NP/PAs, there is more than just those three possibilities. 1.) I have hired experienced providers to plug...
  10. BostonFNP

    Fired From First NP Job: Struggling Emotionally

    BostonFNP replied to CH_NP's topic in Nurse Practitioners, NP

    I am sure it stings. I still vividly remember the first job I was fired from at age 13 and a half. It has shaped my work ethic my whole life but it also still stings a bit. My advice would be...
  11. BostonFNP

    Fired From First NP Job: Struggling Emotionally

    BostonFNP replied to CH_NP's topic in Nurse Practitioners, NP

    Primary care can be extremely difficult especially when you don't know any of the patients. At the end of the day, if you were comfortable seeing most of the patients, then it was goign to be a...
  12. BostonFNP

    Fired From First NP Job: Struggling Emotionally

    BostonFNP replied to CH_NP's topic in Nurse Practitioners, NP

    What kind of clinic was it? Did you feel comfortable with the clinical role you were in (seeing and taking care of patients)? Did they allow you to start with a reasonable patient load (like 1 patient...
  13. BostonFNP

    Fired From First NP Job: Struggling Emotionally

    BostonFNP replied to CH_NP's topic in Nurse Practitioners, NP

    How did you feel in those 10 days of working? Did you feel like you were equipped to do the
  14. BostonFNP

    Degree over Experience?

    BostonFNP replied to tnbutterfly - Mary's topic in General Nursing

    I've never understood why, in nursing, education and experience get thought of/discussed as mutually exclusive things. It's frustrating to see experienced nurses with less formal education belittle...
  15. BostonFNP

    Newbie Questions About NP Career

    BostonFNP replied to fishguy909's topic in Student Nurse Practitioner

    I can answer on the outpatient side as that's where I have spent most of my career. I started in a small independent internal medicine practice, became a partner in that practice, and then merged the...
  16. BostonFNP

    RN Jobs That Do Not Require Covid Vaccine

    BostonFNP replied to TraumaRN52's topic in Disaster Preparation

    A better comparison sentiment would be going into nursing if you had an incapacitating phobia about blood or bodily
  17. BostonFNP

    Does the federal Covid mandates apply to homecare nurses?

    BostonFNP replied to guest1171208's topic in Disaster Preparation

    It's actually a funny little satire article. I hope you didn't share it as something serious
  18. BostonFNP

    Changing the Conversation about COVID to Get More People Vaccinated

    BostonFNP replied to LeChele Mack's topic in Disaster Preparation

    I don’t disagree that there is an important role for continued post marketing and real world data analysis regarding vaccine safety in all populations in order to reduce risk for everyone receiving...
  19. BostonFNP

    Which Religions Exempt Covid Vaccinations?

    BostonFNP replied to Jordee's topic in Disaster Preparation

    Actually none of these refuse vaccination as doctrine.
  20. BostonFNP

    Vaccination Mandating

    BostonFNP replied to Ariemay82's topic in Disaster Preparation

    Alcoholism and cirrhosis are illnesses. They are not a "choice" (and if you think they are you should either retire or have your license pulled). They can be treated but there is no vaccine to prevent...
  21. BostonFNP

    Vaccination Mandating

    BostonFNP replied to Ariemay82's topic in Disaster Preparation

    In light of this discussion thought I would share this because it has been weighing on me for the past two weeks. I have a young patient (30s) that got admitted to my local hospital with severe...
  22. BostonFNP

    I Don't Care About Statistics

    BostonFNP replied to JBMmom's topic in Disaster Preparation

    Speaking of statistics, I had an interesting discussion with a male patient in his late 60's yesterday who told me he felt safe not being vaccinated because most of the deaths happened in "fat people"...
  23. BostonFNP

    I Don't Care About Statistics

    BostonFNP replied to JBMmom's topic in Disaster Preparation

    I love this analogy! If we use the actual case fatality rate in the US (currently 2%): Average NFL game has 66,500 spectators in attendance. Sniper would pick off 1,330 people per...
  24. BostonFNP

    Which Religions Exempt Covid Vaccinations?

    BostonFNP replied to Jordee's topic in Disaster Preparation

    Christian Science does not forbid it: "Church members are free to make their own choices on all life-decisions, in obedience to the law, including whether or not to vaccinate. These aren’t decisions...
  25. BostonFNP

    COVID Vaccine Safety

    BostonFNP replied to PPediRN's topic in Disaster Preparation

    Did you actually read what you posted? There is a recurring theme: "This cumulative case review does not raise new safety issues.". But like OMG there are so many cases of pyrexia am I...