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Annaiya NP

PICU
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Annaiya has 5 years experience as a NP and specializes in PICU.

Annaiya's Latest Activity

  1. Annaiya

    Anaesthetic Nurse in California and Texas

    Nurses in the US don't specialize. You get your LVN or RN license and then can work in any of the jobs for that scope of practice. Only Nurse Practitioners have specialty areas. There are certifications you can get and training that make you more marketable for a specific area, but the first step is licensure. Check out the Board of Registered Nursing website for CA to see if you'd qualify for a license.
  2. I know this is a super old post, but I just wanted to say thank you for posting this. I was so confused by the form and the transcript request process, and I can't just go to the office. I have to send transcripts from 5 different schools in 3 different states, none of which is the state I live in now. Knowing I only need the form filled out by my nursing school makes it a whole lot easier. I've been calling the BRN to ask this and can't get through. Thank you!
  3. Annaiya

    Nursing school has made me not like nursing

    I echo what others have said that nursing school is not like nursing at all. Most of nursing school is all adults and inpatient care. For me, I had no interest in taking care of adults. Maybe try to go into a specialty that isn't adult med/surg and see what you think. As for other jobs, there's tons of case manager jobs, they pay well, you still work in a hospital but no night shift and you aren't working as a nurse. That's just 1 option. Good luck in finding something that inspires you for work.
  4. Annaiya

    NEED HELP! I am looking to interview a Pediatric nurse.

    Although we aren't doing formal developmental assessments, they should be getting some assessment on admission. Every admission isn't intubated and sedated. You should know a baseline GCS and if they are on track with their milestones or delayed. It has a huge impact on your ability to assess if the patient is ok or not. Particularly in patients where you are concern about neurologic decompensation. So to answer the questions from the OP: · What is your role? PICU NP · What assessment do you use to evaluate childrens development between 0 to 3 and why? Physical exam. No formal assessment tool. · What are the strengths of this assessment tool? N/A · What are the weaknesses of this assessment tool? N/A · How do you use the results of the assessment? To evaluate for potential problems and develop a diagnosis. · What is the biggest challenge of assessing an infant or toddler? There is a lot of normal variation between children at this age, so parents are key to knowing what their baseline is. · How are family members involved in the assessment? Parents are asked if the child is on track developmentally or if there are concerns and also if the parents feel that their current behavior is normal or not. · How are other professionals involved in the assessment?
  5. Annaiya

    Acute vs. Primary Care NP? Can't decide

    The restriction on practice based on specialty varies between states, which is why you don't always hear the same answer. However, the trend seems to be moving towards primary care specialties (FNP, ANP and PNP) can only do basic primary care, not a specialty clinic. Where as acute care degrees (ACNP, ACPNP and NNP) can do inpatient and outpatient specialty. However, the lines are not clear. It just depends who will hire you. I know PNPs who are were recently hired to an inpatient setting, but their nursing experience gives them the background they need more than a degree would.
  6. Annaiya

    MDs vs NPs DM Care

    Diabetes Care Provided by NPs vs Primary Care Physicians For those of you who like to keep up to date on what's being published comparing NPs to MDs.
  7. Annaiya

    Does your first job define you?

    I think it depends on your specialty and what you might want to do later. Getting comfortable diagnosing and writing notes and time management all translate across specialties. My thing with first job is it will form the basis of the rest of your practice. First learned habits are the hardest to break, so I wanted to start somewhere where I would get trained in the best way to do things. Every place varies, but at least nothing I learn in my job is the wrong way to do things. This can't be said for everywhere. I also wanted a place where I would be trained in by NPs and they were used to the on-boarding process. If you start with a good foundation, the basics will translate to any other specialty you might want to go into later.
  8. Annaiya

    Vasopressin vs. Levophed

    I don't work with adults or cardiac patients so someone correct me if there's another reason but my guess would be that vasopressin has less effect on cardiac O2 demand than norepinephrine.
  9. Annaiya

    PNP but don't want to be...

    As has been said before on here, you can work as an RN with an NP license. However some places might not hire you because it creates more potential legal liability. Your scope of practice is that of an RN but your level of knowledge and the standard you'd be held to in court is that of an NP. Since it isn't peds I would think that would help. Lots of NPs have RN jobs for various reasons.
  10. Annaiya

    RN that doesn't want to be an NP

    I feel like a lot of this attitude comes from the nursing schools who are pushing everyone to become NPs. My nursing school told my class over and over that they expected all of us to get master's degrees. They make it seem like you're a failure if you stop at RN and work at the bedside, which is so messed up. We need good bedside nurses, and I love working with the experienced nurses at work. I see them constantly suggesting things and intervening in ways that significantly help their patients. Even if other people try to devalue the role, nurses at least should understand that difference. I find comments like the one you mentioned often come from new nurses or nursing students who still haven't figured out what it means to be a nurse. They are so focused on tasks and procedures, they aren't in a place in their practice yet to be able to understand the fine art of being an awesome nurse. And with an attitude like that, she never will. She also won't be a good NP either, IMO. I went the NP route, not because I felt like it's a "better" job. In a lot of ways, an RN career is way better. But for my personality, I am a better NP than I could ever be a bedside nurse. I love pediatrics and my patients, but I don't have the personality to be one of the really amazing pediatric nurses. I hate feeding and holding babies, I'm not the type to play games with my patient and I don't joke around. But I'm great at evaluating data and figuring out what's going on and what interventions and therapies the patient needs. So I am happier in the NP role, and I think I can serve my patients better in this role. I can't understand why nurses aren't more supportive of each other. We all have valuable roles and the same end goal of improving the health and wellbeing of our patients.
  11. Annaiya

    low oxygen levels

    A couple of things that I wanted to clarify. Generally after the 3 stage palliation for single ventricle physiology they do have normal sats. If the Fontan is fenestrated they may be slightly lower, but they usually aren't 70's to low 80's anymore. The concern with oxygen administration isn't oxygen toxicity but vasodilation of the pulmonary arteries and subsequent pulmonary edema. However, if they have low oxygen sats, you still give them the oxygen they need, you just have to be mindful of possible consequences of it. And you target THEIR normal sats, not the usual >92%. I agree you need to know what the defect is and what normal sats are for the child. You can't always treat the congenital heart kids like you do everyone else. So understanding the specific needs of this child will help you take care of him safely.
  12. Annaiya

    Where do I go from here?

    Have you done counseling for your anxiety? If you are picking your career path, because you're worried about your anxiety, then it's something worth thinking about. My best friend is a nurse and has bad anxiety, and I can't imagine her now without all of the therapy she did when she was younger. Critical Care probably isn't a good choice, but there are lots of jobs in a hospital that could be a great fit for you. You passed NCLEX and take care of 18-22 patients, what makes you say you wouldn't be ready or smart enough for a hospital job? After what you've done, how hard can it be to take care of 5 patients? Any decent unit will train you on what you need to know. We all learn something new every day at our jobs, so you aren't expected to know everything. You just need to be willing to work hard (which it sounds like you do already), ask questions and learn. If it is something you want to do, then I say go for it! But if you're worried about your anxiety, make sure you have a therapist before you start, so you have support as you go through the transition process to a new job.
  13. Annaiya

    First NP interview at mayo

    I don't know about the interview process there, but I used to work with them about 10 years ago and was told they pay 10% more than market rates, because they want to recruit and retain the best people in their fields. I was impressed by that considering so many other institutions with big names pay less because people will still work there, just for the name on their resume. Good luck with the interview!
  14. Annaiya

    Pediatric Nurse Practitioner advice

    There have been other discussion on this here. The advice seems to be to check what is being hired in your area. Apparently some areas prefer to hire FNPs, even in a peds practice. But where I used to live they would only hire PNPs for pediatric clinics. It makes no sense to me to get an FNP degree unless you want to work in a family practice or do ER fast track. When you focus your whole degree on your specialty you will be better prepared to work in that area at graduation.
  15. Annaiya

    College advice for a future NP?

    I don't recommend a direct entry program unless you have enough health care experience to know exactly what kind of NP you want to be. There are a lot of different specialties and even by the end of nursing school, you likely won't know which specialty you like best. NP school is too much work to do and then find out you should have specialized in another area. There are 12-15 month accelerated BSN programs. I did a 15 month one and without healthcare experience, I think that's the fastest you'd want to go. The people I know who have done the 12 month programs had a background like dietician working in a hospital, physical therapist, etc. It's hard to learn that much content in 12 months when it's all new. So, I agree with the other posters who said to go to a school with a BSN program and do the traditional 4 year degree. It will be less money for tuition and give you a better opportunity to learn the content.
  16. Annaiya

    So...What Kind of Nursing Task Do You LIKE?

    My favorite was drawing up code meds during a code. It's not my role anymore, so I always look longingly at the nurses in front of the code cart trying to look up doses, draw everything up and label it quickly.