BostonFNP APRN

Adult Internal Medicine

allnurses Guide

All Content by BostonFNP

  1. BostonFNP

    prescription drug addiction

    BostonFNP replied to shedevilprincss's topic in General Nursing

    This all happened because of the notion that no one ever has to live in any pain, just as you said. Pain needs to be treated, yes, to tolerable and function-able levels. When pain is treated to a...
  2. BostonFNP

    prescription drug addiction

    BostonFNP replied to shedevilprincss's topic in General Nursing

    In this case, I don't think the PCP appropriately handled the situation. I also don't think the PCP is an "idiot" either; save for the fact that any non-idiot provider understands that opioids need to...
  3. BostonFNP

    prescription drug addiction

    BostonFNP replied to shedevilprincss's topic in General Nursing

    Ugh Esme. So sorry. And sorry your PCP felt the need to "handle" things that
  4. BostonFNP

    prescription drug addiction

    BostonFNP replied to shedevilprincss's topic in General Nursing

    I think that poor management has led to a lot of chronic pain patients. Patients that should have never been on a large qty of opioids in the first place, but ended up on them and now after many years...
  5. BostonFNP

    prescription drug addiction

    BostonFNP replied to shedevilprincss's topic in General Nursing

    No surprise it's been associated with higher levels of M&M. I told a patient yesterday that "I'm sorry for your pain, but my goal as your provider is to make your pain tolerable so you can...
  6. BostonFNP

    prescription drug addiction

    BostonFNP replied to shedevilprincss's topic in General Nursing

    Its hard to be a good provider when you are trying to please
  7. BostonFNP

    How do you feel about having other nurses as patients?

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

    I have lots of HCPs as patients. It really doesn't bother me and it really doesn't change my care. I don't change the way I talk to them either, I explain things to them like I would to everyone else...
  8. BostonFNP

    prescription drug addiction

    BostonFNP replied to shedevilprincss's topic in General Nursing

    There is a huge problem right now with opioid abuse. That problem started with the folks with the script pads and we need to take an active role in fixing it. The over-prescribing needs to stop but...
  9. BostonFNP

    Gun Owning Nurses

    BostonFNP replied to hppygr8ful's topic in General Nursing

    AR9 SBR takes the Glock mags and offers beat of both worlds. :) but not nursey at
  10. BostonFNP

    Is the Grass Really Greener on the CNP side?

    BostonFNP replied to sunnyskies9's topic in Nurse Practitioners, NP

    It may depend on where you work ultimately but there are still options for working at good practices that invest time in patients. One of the most difficult skills to learn as a provider is how to...
  11. BostonFNP

    Becoming an NP

    BostonFNP replied to jcruz981's topic in Student Nurse Practitioner

    Before you make any decisions, shadow some providers in the roles you are interested in. You may find you don't even like them. As you do that you can ask what degrees/paths most local employers...
  12. BostonFNP

    Is the Grass Really Greener on the CNP side?

    BostonFNP replied to sunnyskies9's topic in Nurse Practitioners, NP

    You can't want to do it for the money, if you do, you will be disappointed. The only thing that makes being an NP more rewarding (in my opinion) is the role itself. You need to want to be the...
  13. BostonFNP

    ADHD Student on Rampage

    BostonFNP replied to Amethya's topic in School

    That behavior sets off all sorts of warning
  14. BostonFNP

    Gun Owning Nurses

    BostonFNP replied to hppygr8ful's topic in General Nursing

    I own and carry. Interestingly enough it was the local PD that suggest I carry to/from office, I wouldn't have done it on my
  15. BostonFNP

    How to file a complaint against the CA BON?

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

    Am I understanding this correctly: you were missing a document that was required so you are filing a complaint against the BON for taking too long to process your
  16. BostonFNP

    Do you press "1" for Doctor?

    BostonFNP replied to Glycerine82's topic in General Nursing

    That's
  17. BostonFNP

    Do you press "1" for Doctor?

    BostonFNP replied to Glycerine82's topic in General Nursing

    Absolutely!
  18. BostonFNP

    Need a BSN for what again?

    BostonFNP replied to ModernRN's topic in Diploma, ADN, BSN

    If your BSN program changed your mind on this one statement, that would likely be enough to improve clinical outcomes
  19. BostonFNP

    Dr. told patient, "Nurses are STUPID".

    BostonFNP replied to Daetwin2's topic in Patient, Colleague Relations

    I find it very interesting that at the same time the PA is being chastised for belittling nurses, nurses are belittling his credentials. Obviously the PA was out of line, and I feel he should be...
  20. BostonFNP

    Need a BSN for what again?

    BostonFNP replied to ModernRN's topic in Diploma, ADN, BSN

    (To the best of my knowledge) PTs decided to make the change prior to there being evidence that a higher degree improved outcomes, and more specifically, increasing the education level of those...
  21. BostonFNP

    Need a BSN for what again?

    BostonFNP replied to ModernRN's topic in Diploma, ADN, BSN

    1. Because research has shown better outcomes are associated with BSN+ degree RNs. 2. Because of the nursing surpless, employers are afforded the ability to be picky about who they hire and have...
  22. BostonFNP

    When Your Doctor Doesn't Listen

    BostonFNP replied to Nurse Beth's topic in General Nursing

    I know I will not be popular but I do feel compelled to speak from the prescriber side of the table. We deal with scenarios similar to this every day in primary care, often multiple times per day....
  23. BostonFNP

    The Decline of Physicians: Do we really need them anymore in Primary Care?

    BostonFNP replied to AAC.271's topic in Nurse Practitioners, NP

    In short, we have worked with and continue to work with the following issues, including running some pilot studies which should shed some light on things within the next year: 1. Improving the...
  24. BostonFNP

    The Decline of Physicians: Do we really need them anymore in Primary Care?

    BostonFNP replied to AAC.271's topic in Nurse Practitioners, NP

    I don't want to derail the thread so I will try and keep this short. I disagree with your sweeping statement you made, and I don't think you have the experience and/or data to support your...
  25. BostonFNP

    The Decline of Physicians: Do we really need them anymore in Primary Care?

    BostonFNP replied to AAC.271's topic in Nurse Practitioners, NP

    You are beginning to experience it but you haven't had any clinical experience so you don't have any experience in the application of that knowledge. FWIW I haven't commented at all on physician...