BostonFNP APRN

The board exams are minimum competency exams; they are designed to make sure that a new graduate NP has at least a bare minimum fund of knowledge to safely begin practice in their certification specialty.

This is the part that you need to focus on. You've completed school and clinicals and are about to enter practice and you have been studying and doing review questions for five months. Why are you bumping into questions that are completely foreig...

Interesting. Macrobid is a strange call for a male with UTIs especially if associated with kidney stones. Listen to his lungs, see if he has a Velcro sound on inspiration, those sharp powerful crackles are a hallmark of ILD/IPF.

Ahh but that Macrobid induced ILD had clear lungs to auscultation (though clinically you'd expect to hear the dry crackles I'd think). 🙂

Unusual for wheezing to be a symptom of recurrent UTI? 😉

I don't follow your logic on this about somehow the nursing school being at fault for you not learning from making a dangerous mistake on a simple math question, not even a med calc question. In real life this mistake could be fatal. I know bac...

Did you graduate from a school with a national accreditation?

As described, this is a post-op patient in acute post-operative pain with what sounds like a reasonable and legitimate order for acute pain control from her providers. What does your nursing judgement and common sense tell you is the right thing to d...

I'm not sure if you are responding to my post or someone else (helps to use the quote button) but I'll respond: My post wasn't a judgement on you and it was entirely based on what I know of your situation from what you told us. This is di...

You have two problems: 1. Getting authorization to test, testing, and passing the NCLEX. I'm not sure you could get authorized at this point. If you are able to get authorized to re-test, how are you planning to pass a test 8 years later that yo...

It appears this school was put on probation and then dropped from accreditation from the Florida BON due to abysmal NCLEX pass rates. Like less than 10% for a number of years compared to a national average of >80%.

Just playing devil's advocate here but: You wouldn't see a problem with putting a patient on a prescription medication as long as they were told there is "no official data" regarding it's efficacy or safety in treating that illness? What about a...

So make work less stinky...

Louis, M., & Kowalski, S. D. (2002). Use of aromatherapy with hospice patients to decrease pain, anxiety, and depression and to promote an increased sense of well-being. American Journal of Hospice and Palliative Medicine®, 19(6), 381-386. I...

Are you suggesting this is a negative thing? These are the very things that ensure treatments are safe and effective when compared to either placebo or standard of care. This is how we as health care providers keep patients safe. I suspect w...

Harm as in making skin rashes or as in improperly treating diseases?

Perhaps you'd like to share some of the landmark studies you find most compelling as a place to start?

I agree that all experience makes a difference be it RN experience or business or case management or restaurant or retail or admin it all makes us who we are and adds and contributes to the team in different ways. I always find it interesting th...

I think having pattern recognition and physical assessment skills help somewhat, at least initially, but I think its importance is actually overplayed in the nursing world not downplayed. I don't think it really has any impact on how physicians ...

Should the fresh novice RNs with 10 years of relevant CNA experience get paid more than fresh novice RNs with 2 years? Should that novice with CNA experience get paid more than an RN with several years of experience? I actually had a job offer (...

The internet has exponentially increased the spread of bad information when it comes to healthcare and searches are especially prone to confirmation bias. There is malignant misinformation (conspiracy-eque nutters), self-serving misinformation (...

There are still some health systems where NPs report to the DON and they do reward for total years of nursing experience in that system.

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 week you are nuts. I am sure the company was fi...

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 are critically important to understand. You...

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 that making choices has repercussions. If you are d...