BostonFNP APRN

Adult Internal Medicine

allnurses Guide

All Content by BostonFNP

  1. I am not sure what argument you you consider invalid. Education and experience are not mutually exclusive, and research has demonstrated that both education and experience influence patient outcomes....
  2. Our clinic rule is that MAs can leave providers once the patients are room provided there are at least two providers in clinic. We never leave a single member of staff alone in clinic with patients...
  3. BostonFNP

    NP/RNFA

    NPs can bill while RNFAs cannot so that may be one reason. They can also manage pre and postoperative patients on the floors and do consults in the clinic and on the wards. Every facility is...
  4. How are you working as an NP without board certification? Are you in a state that doesn't require it for
  5. BostonFNP

    Doctor's negative view of NP / Psych NP

    How long have you been working as an NP? I only ask because some of your comments are typical reactions in the first year or two of practice. I think you really answered your own question: there are...
  6. BostonFNP

    NP/RNFA

    It depends on your state and what your BON has to say about it and then what your individual facility has to say about
  7. BostonFNP

    "I have a PhD, I know more than you do!"

    You and I obviously disagree about this, because as I would interpret a nurse identifying themselves as a healthcare professional and then giving medical advice outside of work and without any...
  8. Based on the number from the ADVANCE 2015 salary survey there is a pretty significant difference in salary by degree. That doesn't mean that job X pays a BSN-RN more than a non-BSN-RN but it does show...
  9. BostonFNP

    "I have a PhD, I know more than you do!"

    This has been an interesting discussion. I wonder how the BON would view it if the pharmacist also made a complaint; I would question whether that would be considered giving medical
  10. Because they pay preceptors $1500-2500 per block per
  11. There was good data somewhere on the educational path broken down by initial degree but I can't remember where it was, will have to look for it, and it actually may be very outdated given the recent...
  12. My question is why is that
  13. I've posted my thoughts on this before, but I feel that is a strength of the study; it shows that no matter what the experience of the nurse that more education yielded better results. The only reason...
  14. I also think that nursing is different now than it was 10-20-30 years ago. Things are more acute and the timeline shorter, there are far more meds, far more complex patients, far more dependence on...
  15. I am always surprised to see that there are a significant number of nurses that consider the increase in the overall education level of the profession rising as a bad thing. After the 1954 white paper...
  16. The major studies, including the landmark Aiken 2003 study, do control for
  17. BostonFNP

    MD gossip

    MDs are actually very tough on one another; there is very little "letting it slide" in medicine. Everyone makes mistakes and those mistakes are learning opportunities. I made one early in my career...
  18. A few things that I hope will help: 1. This is a very specific post that could very easily be linked right back to you. You may want to change some details/provide less details if your plan is to...
  19. I ask nurses all the times to see if anyone else on the floor needs anything when I get a call in the middle of the night. I must be an awful person. I do it in a nice way though. That being said, I...
  20. BostonFNP

    RN-BSN SCAM

    "In a nationally representative sample, we found that higher patient satisfaction was associated with lower emergency department utilization, higher inpatient utilization, greater total health care...
  21. BostonFNP

    RN-BSN SCAM

    Who has done all of the landmark research on nurse staffing ratios and patient safety? And you didn't answer the
  22. BostonFNP

    Pendulum Swinging too Far on Pain Meds?

    I feel for the suffering the patient went through, however, I could also see an argument that pain meds are not the appropriate treatment plan for an ischemic limb and by not getting narcotics he...
  23. BostonFNP

    Pendulum Swinging too Far on Pain Meds?

    This is a huge issue in primary care, something I deal with every day. We are talking with all of our non-cancer chronic narcotic users and starting a dialogue based partially on CDC info, partially...
  24. BostonFNP

    RN-BSN SCAM

    Now, would you want a nurse with 20+ years experience and certifications that stopped school with an associates 20 years ago or a nurse with 20+ years experience and certifications that over the past...
  25. BostonFNP

    RN-BSN SCAM

    So I am sure you are a supporter of enforced nurse-patient staffing