BostonFNP APRN

Adult Internal Medicine

allnurses Guide

All Content by BostonFNP

  1. BostonFNP

    Advise wanted. Considering 2nd career as NP

    BostonFNP replied to elmtree's topic in Advanced Practice

    Do you have a source on this that you can share with
  2. BostonFNP

    Primary Care/IM: Ask me anything.

    BostonFNP replied to BostonFNP's topic in Student Nurse Practitioner

    In the past several years I have had three seasoned nurses from high-acuity care MICU/SICU/Trauma and well as dozen+ more from telemetry/medical/surgical tertiary care. All of them had a new-found...
  3. BostonFNP

    Primary Care/IM: Ask me anything.

    BostonFNP replied to BostonFNP's topic in Student Nurse Practitioner

    It sounds like you will have an excellent background for the transition into primary care. The experience you bring from having been both an MA and an RN in a primary setting will make things easier...
  4. BostonFNP

    Happy with your credentials?

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

    1. Are you glad you got your DNP? Why? I am glad I got it out of the way, it makes me more comfortable for whatever future lies ahead. The way I see it, it is never going to hurt me and may help me in...
  5. BostonFNP

    What is your take home pay as Nurse Practitioner?

    BostonFNP replied to hik9258's topic in Nurse Practitioners, NP

    I know RNs that make more than 150k/year, but none of them do it without significant differentials and a significant amount of overtime. That being said, I will go back to the advice I always...
  6. BostonFNP

    When Your Patient is an Addict...How to Deal

    BostonFNP replied to Nurse Beth's topic in General Nursing

    Again, your position seems to keep changing to more and more extreme examples in an attempt to justify a prejudice. I doing so you have missed the entire point of the thread, which is providing...
  7. BostonFNP

    When Your Patient is an Addict...How to Deal

    BostonFNP replied to Nurse Beth's topic in General Nursing

    Save your ad hominems and discuss the topic, if you can't defend your position without personal attacks perhaps you are on the wrong side of the issue. Seekers exist. They get appropriate care (as thy...
  8. BostonFNP

    When Your Patient is an Addict...How to Deal

    BostonFNP replied to Nurse Beth's topic in General Nursing

    Self-reflective practice is a vital component to providing good care, at any level. Posts like this indicate a need for some serious self-reflection for all of us. Struggling to create a barely...
  9. BostonFNP

    When Your Patient is an Addict...How to Deal

    BostonFNP replied to Nurse Beth's topic in General Nursing

    If you have the education, experience, facility privileges, and scope to determine that it's a different argument than not giving a post-op patient pain medication as the attending nurse because you...
  10. BostonFNP

    When Your Patient is an Addict...How to Deal

    BostonFNP replied to Nurse Beth's topic in General Nursing

    That's a really complex issue, why is John Doe being admitted and/or what is John Doe's history? To be honest, I don't know many providers that just order inappropriate narcotics, especially for those...
  11. BostonFNP

    May I have your attention please?

    BostonFNP replied to Supernrse01's topic in School

  12. BostonFNP

    When Your Patient is an Addict...How to Deal

    BostonFNP replied to Nurse Beth's topic in General Nursing

    I agree that acute pain can be difficult to manage in a patient with a history of narcotic abuse, for a number of factors, including using sufficient and safe dosing schedules. I also agree that...
  13. BostonFNP

    When Your Patient is an Addict...How to Deal

    BostonFNP replied to Nurse Beth's topic in General Nursing

    I don't think anyone would argue that if a nurse assesses a patient and has concerns about that patient than he/she should absolutely have a discussion with the ordering provider/team. What I think...
  14. BostonFNP

    When Your Patient is an Addict...How to Deal

    BostonFNP replied to Nurse Beth's topic in General Nursing

    I have the same response, though often it is when I am seeing patients in the clinic setting. I think we all have a visceral reaction to feeling manipulated, be it with narcotics or
  15. BostonFNP

    When Your Patient is an Addict...How to Deal

    BostonFNP replied to Nurse Beth's topic in General Nursing

    Under what parameters are you questioning the order? Is the patient somnolent, delirious, bradypneic? Or do you just not think the patient has enough pain to warrant getting an ordered
  16. BostonFNP

    When Your Patient is an Addict...How to Deal

    BostonFNP replied to Nurse Beth's topic in General Nursing

    Those are both valid (and concerning) issues. In addition to your first scenario are the frequent flyers that run out of their 28 days of pain meds before then end of the month so they get admitted...
  17. BostonFNP

    When Your Patient is an Addict...How to Deal

    BostonFNP replied to Nurse Beth's topic in General Nursing

    Cocaine and crystal meth are illicit substances that are far outside the standard of care for treating post-operative pain. While there is perhaps an argument for letting alcoholics have a small...
  18. BostonFNP

    When Your Patient is an Addict...How to Deal

    BostonFNP replied to Nurse Beth's topic in General Nursing

    Do you do this for all your patients requiring pain medication of just the ones you assume are "drug seekers"? The elderly and people suffering from terminal cancer are a drain on healthcare...
  19. BostonFNP

    Need advice

    BostonFNP replied to NPwoman's topic in Advanced Practice

    Many physician salaries are structured like this with a base drawn in the first 1-2 years then a portion of the money brought in (not the amount billed), normally 40-50%. It actually might not have...
  20. BostonFNP

    I don't want ibuprofen...

    BostonFNP replied to DEgalRN's topic in School

    To make matter more confusing for lay people, now each brand has multiple generics: Tylenol, Tylenol PM, Tylenol Cold & Flu, Tylenol Sinus & Headache, Pain & Fever, Simply Sleep, etc. I...
  21. BostonFNP

    I got fired while being on orientation at a hospital for just 1 week. Why did this happen?

    BostonFNP replied to Strugaaa4eva's topic in General Nursing

    If I am following this correctly, it wasn't until 5 days later you were told not to come in? What, out of curiosity, makes you think it was the phone call that 5 days later resulted in your discharge?...
  22. BostonFNP

    I didn't become a nurse to feed people's addictions. Do *nurses* have the right to refuse

    BostonFNP replied to Thankgodforativan's topic in Patient, Colleague Relations

    IDK, it's my opinion that unless you are writing the orders, you aren't feeding his addiction, you are just doing your
  23. BostonFNP

    I didn't become a nurse to feed people's addictions. Do *nurses* have the right to refuse

    BostonFNP replied to Thankgodforativan's topic in Patient, Colleague Relations

    Did you want to have a discussion about the topic or just have people validate your feelings on the issue? After all that is the purpose of ranting in the first place. I think we all understand the...
  24. BostonFNP

    Do women find male nurses attractive?

    BostonFNP replied to Sykadia's topic in Men in Nursing

    Great now the rest of the Last Kingdom series is ruined for
  25. BostonFNP

    Got fired for a medication error

    BostonFNP replied to Sonyab's topic in Patient Medications

    I am just waiting for the NETY comments to