Tegridy

Tegridy

Former NP now Internal medicine PGY-3

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  1. Interesting Cocktails

    Tegridy replied to AlwaysSunny's topic in Certified Registered Nurse Anesthetist, CRNA

    I would just ask them “hey what do you think of this?” If they aren’t interested and esp if it’s a collaborating facility I would just let it be. Medicine is a rigid

  2. Interesting Cocktails

    Tegridy replied to AlwaysSunny's topic in Certified Registered Nurse Anesthetist, CRNA

    Hence why I avoid med Twitter and all that garbage. Mostly just ego

  3. FNP vs PMHNP Post Grad Certificate

    Tegridy replied to GirlMomNurse's topic in Advanced Practice

    I would first try to see if it is financial viable or if a clinic in your area has a similar set

  4. Interesting Cocktails

    Tegridy replied to AlwaysSunny's topic in Certified Registered Nurse Anesthetist, CRNA

    May have something to do with getting weird looks for rocking the boat with a different practice style or pacu nurse compliance ? I’m not sure but that is what I assume. Less likely the OP trying to...

  5. Family nurse practitioner's scope of practice in treating mental illness in primary care in indiana

    Tegridy replied to Sam. W's topic in Nurse Practitioners, NP

    Except that most of the scope docs list most everything or paint broad generalizations of what can be treated leaving much for interpretation (looking at FNP certification which seems to include...

  6. Family nurse practitioner's scope of practice in treating mental illness in primary care in indiana

    Tegridy replied to Sam. W's topic in Nurse Practitioners, NP

    You make it sound like an outpatient FNP can’t even start a new antidepressant for gad or mdd ?. I do agree with the points that if it’s unchanged over 5 years then it can wait but usually...

  7. Quit First NP Job Without Notice

    Tegridy replied to NPdancer's topic in Nurse Practitioners, NP

    If there wasn’t anything in contract about family emergency then I would be ultra weary especially with quittting at the same time. The quitting part does not help your case. This may not go well...

  8. Interesting Cocktails

    Tegridy replied to AlwaysSunny's topic in Certified Registered Nurse Anesthetist, CRNA

    I would bring papers showing they work. Unfortunately medicine in general is full of anecdotal evidence and "I've done it this way for xyz years and am not changing" Sometimes it is hard to rock...

  9. DNP vs MSN

    Tegridy replied to RN_BSN_MSN's topic in Student Nurse Practitioner

    There are very good NPs out there and not so great doctors but to say an NP is the same as a physician is just not

  10. Family nurse practitioner's scope of practice in treating mental illness in primary care in indiana

    Tegridy replied to Sam. W's topic in Nurse Practitioners, NP

    The stable part is not mentioned in these documents. Nontheless if soem one is unstable I think anyone with half a brain knows they should be referred to inpatient level care. much of the...

  11. Family nurse practitioner's scope of practice in treating mental illness in primary care in indiana

    Tegridy replied to Sam. W's topic in Nurse Practitioners, NP

    The terminology is vague on the article you quoted. “Such as” was only giving examples. “Complicated and severe” honestly does not include most mental illness, even several that would not fall...

  12. Family nurse practitioner's scope of practice in treating mental illness in primary care in indiana

    Tegridy replied to Sam. W's topic in Nurse Practitioners, NP

    I would disagree, mostly as even psychiatry groups want PCPs to have a better handle on psych disorders. Sometimes as numenor said something is better than nothing. But I agree lithium is...

  13. Family nurse practitioner's scope of practice in treating mental illness in primary care in indiana

    Tegridy replied to Sam. W's topic in Nurse Practitioners, NP

    Also, psych is much more limited than general medicine. Technically I could do skin biopsies if I wanted to but I just do not have an interest in that stuff. We don’t really have a “scope” that...

  14. Family nurse practitioner's scope of practice in treating mental illness in primary care in indiana

    Tegridy replied to Sam. W's topic in Nurse Practitioners, NP

    It’s not out of a physician’s scope so I can prescribe it or seroquil, or vpa if deemed necessary for bipolar disorder. We Don’t really do lithium it’s a hassle, I don’t even see psych use...

  15. Family nurse practitioner's scope of practice in treating mental illness in primary care in indiana

    Tegridy replied to Sam. W's topic in Nurse Practitioners, NP

    Takes so long to get people in to see psych where I am. Sometimes we will start lamictal or something similar just to get the ball rolling more out of lack of psych in my area but I agree none of us...

  16. Why does Nursing have to be a passion?

    Tegridy replied to Guest1201734's topic in General Nursing

    Nursing as a “calling” is a made up term from colleges trying to suck government backed loan money from wide-eye college

  17. Oxycodone Mistake

    Tegridy replied to Angelasc's topic in General Nursing

    Everyone makes med errors and I doubt an extra 5 of oxy will make any

  18. PRN Blood Pressure Medicine Is Garbage: Change My Mind

    Tegridy posted a topic in General Nursing

    I’m just tired and here to announce that asymptomatic hypertension is almost never an emergency that requires PRN blood pressure medication. Unless patients have s/s end organ damage and even then...

  19. PRN Blood Pressure Medicine Is Garbage: Change My Mind

    Tegridy replied to Tegridy's topic in General Nursing

    It’s not what I like it’s just what the current evidence says. Most of the situations you described are symptomatic htn, like the acute cva…. Which even then it’s even more reason to not...

  20. PRN Blood Pressure Medicine Is Garbage: Change My Mind

    Tegridy replied to Tegridy's topic in General Nursing

    Most of this is actually not true. Hypertension kills over months to years not minutes to hours. Unless there is acute end organ damage occurring (acute chf, PRES, nstemi, intracranial hemorrhage...

  21. PRN Blood Pressure Medicine Is Garbage: Change My Mind

    Tegridy replied to Tegridy's topic in General Nursing

    Great post and I agree. Giving PRN bp meds makes it difficult to acquire a true trend for appropriate oral medication adjustment on an inpatient basis which is already often difficult enough with...

  22. Nurse Anesthesiologist Name Change

    Tegridy replied to matthewandrew's topic in Certified Registered Nurse Anesthetist, CRNA

    I agree let's do

  23. To hold or not??

    Tegridy replied to Cclm's topic in Patient Medications

    Just ask so we can look at previous readings. If it’s a fasting am low we will likely reduce nasal insulin. Would be reasonable to hold the

  24. Tylenol through G tube

    Tegridy replied to Mr12RN's topic in Patient Safety Issues

    Probably just didn’t click the g tube button. Pharmacy usually automatically changes from po to

  25. DNP vs MSN

    Tegridy replied to RN_BSN_MSN's topic in Student Nurse Practitioner

    Whatever this person above thinks it’s 2022 and we are all