BostonFNP APRN

Adult Internal Medicine

allnurses Guide

All Content by BostonFNP

  1. BostonFNP

    Eliminating Physicians/Medical Schools

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

    Then they will get humbled pretty quick when they get to practice. Why eat healthy and exercise when there is just a pill I can
  2. BostonFNP

    Eliminating Physicians/Medical Schools

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

    Do you think without nursing, medicine would exist? No one here is (seriously) seeking to "unplant" physicians or "show they are better than others". I really love when people talk about "simple...
  3. BostonFNP

    Eliminating Physicians/Medical Schools

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

    Some more recent articles from 2015 on a number of different roles: Kuo, Y. F., Chen, N. W., Baillargeon, J., Raji, M. A., & Goodwin, J. S. (2015). Potentially Preventable Hospitalizations in...
  4. BostonFNP

    Eliminating Physicians/Medical Schools

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

    Mundinger, M. O., Kane, R. L., Lenz, E. R., Totten, A. M., Tsai, W. Y., Cleary, P. D., ... & Shelanski, M. L. (2000). Primary care outcomes in patients treated by nurse practitioners or...
  5. BostonFNP

    Nursing Experience FNP

    BostonFNP replied to hdhnurse's topic in Advanced Practice

    We don't place any significant emphasis on prior RN
  6. BostonFNP

    The Controversy: Mandatory Flu Vaccines

    BostonFNP replied to Julie Reyes's topic in General Nursing

    Lay people quite often don't understand this concept, they simply make assumptions based on how they feel, and broadcast it on the internet. For them the natural immune response after a vaccination...
  7. BostonFNP

    Eliminating Physicians/Medical Schools

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

    There is some data that supports a trained NP can perform specialty care as well, however, my problem in specialty care is the novice NP to that specialty. I sent a patient, as a fairly experienced...
  8. BostonFNP

    Eliminating Physicians/Medical Schools

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

    If you look at this form the primary care perspective, it's already happening. Primary care is increasingly falling into the hands of NPs and PAs (and FWIW they do a pretty good job at it, look at the...
  9. BostonFNP

    Medical errors the 3rd leading cause of death??

    BostonFNP replied to ShaneTeam's topic in Nursing News

    I worry what the general public thinks when they read things like this. I worry that it hinders individuals from getting appropriate primary care. The numbers are staggering, and while we need to...
  10. BostonFNP

    Best way to avoid bedside care?

    BostonFNP replied to Lemon Bars's topic in General Nursing

    If you love working in primary clinic adn being a scribe, why not just get your MA and continue with that? What's the draw to
  11. BostonFNP

    Medical errors the 3rd leading cause of death??

    BostonFNP replied to ShaneTeam's topic in Nursing News

    There is no doubt that errors are made at every step in care, probably on a daily basis, in in-patient and out-patient care. I have seen some egregious ones. I am sure I have made some along the way...
  12. BostonFNP

    Medical errors the 3rd leading cause of death??

    BostonFNP replied to ShaneTeam's topic in Nursing News

    The BMJ article is based off the Landrigan study which essentially found a 0.3% mortality rate associated with tertiary medical treatment. If we compare that to the mortality rate from established...
  13. BostonFNP

    50 Things New Nurses Need to Know About Calling Doctors and Other Providers

    BostonFNP replied to Lynda Lampert, RN's topic in First Year After Licensure

    Even in end-stage cirrhosis doses up to 2.5g/day are safe, safer than
  14. BostonFNP

    50 Things New Nurses Need to Know About Calling Doctors and Other Providers

    BostonFNP replied to Lynda Lampert, RN's topic in First Year After Licensure

    I like APAP for pain relief
  15. BostonFNP

    So I kind of messed up

    BostonFNP replied to oopsmybad's topic in General Nursing

    It's a schedule III with abuse potential as an anabolic steroid and abuse puts patients at significant risk; it is also dangerous for children if exposed. Our contract sheet just states it's filled at...
  16. BostonFNP

    So I kind of messed up

    BostonFNP replied to oopsmybad's topic in General Nursing

    Playing devil's advocate here, but why wouldn't the BON or the nursing program say "if he/she would take a pill without a script from a friend would they take a pill from the hospital or
  17. BostonFNP

    So I kind of messed up

    BostonFNP replied to oopsmybad's topic in General Nursing

    So you think this is a good thing? Honestly? I feel it highlights inappropriate and dangerous prescribing for both he patient and the provider. In my office we have every patient on chronic...
  18. BostonFNP

    Nurses smoking weed?

    BostonFNP replied to bunnynurse's topic in General Nursing

    I have no personal investment in this issue and I am not disregarding anything, as I stated, it is not really related to the discussion on hand (cognitive-behavioral impairment and intelligence). You...
  19. BostonFNP

    Nurses smoking weed?

    BostonFNP replied to bunnynurse's topic in General Nursing

    THC itself is very lipofilic, it has a Vd of 3.5/kg and is also highly protein bound. THC has a half-life of more than 30 hours. 11-hydroxy-THC also is lipofilic and has a similar half-life. Drugs...
  20. BostonFNP

    Why preceptors don't precept

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

    This is what your job is as a preceptor when you agree to take first semester students. First semester NP students need to learn proper physical exams, basic differentials, diagnostics, and...
  21. BostonFNP

    So I kind of messed up

    BostonFNP replied to oopsmybad's topic in General Nursing

    This is a really bad piece of
  22. BostonFNP

    Nurses smoking weed?

    BostonFNP replied to bunnynurse's topic in General Nursing

    I am not exactly sure what you mean by this. The psychoactive component of marijuana is delta-9-tetrahydrocannabinol which itself is lipophilic and thus stored in the body readily and is extremely...
  23. BostonFNP

    Nurses smoking weed?

    BostonFNP replied to bunnynurse's topic in General Nursing

    There is a big difference between long-term use and IQ and short-term use and impairment at work, and further, the study found "marijuana users had lower test scores relative to nonusers and showed a...
  24. BostonFNP

    Nurses smoking weed?

    BostonFNP replied to bunnynurse's topic in General Nursing

    There is a difference, alcohol is federally legal and marijuana is not. Alcohol also does not accumulate in the body and impair function several weeks out from a single use, there could be an argument...
  25. BostonFNP

    So I kind of messed up

    BostonFNP replied to oopsmybad's topic in General Nursing

    It may be a "cultural thing" but the blame falls on the prescriber. Controlled substances are dangerous medications if used inappropriately and the prescriber is responsible for clear patient...