Annaiya NP

PICU

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All Content by Annaiya

  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 ...
  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 diff...
  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 an...
  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. ...
  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...
  6. 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 p...
  7. 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.
  8. 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 ...
  9. 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...
  10. 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....
  11. 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 ...
  12. 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 consid...
  13. 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 c...
  14. 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 specia...
  15. 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.
  16. Annaiya

    Hesitant to try paeds-encouragement/advice needed!

    You can't always have someone double check your doses. If you aren't competent to give meds correctly, then you shouldn't be in nursing. One decimal point in adults can be disasterous too. If you don't feel like you can be safe giving meds, then l...
  17. Annaiya

    Bipap question

    To OP: You didn't really explain why you were concerned that 10/5 BiPAP was too much for a 3 year old. The only thing you said was you were concerned the pt would "blow a lung." But every medical intervention (or lack there of) needs to be thought...
  18. Annaiya

    Where to begin...........

    How did you decide this was a career you really wanted? I went to nursing school thinking that's all I wanted to do. By the end of school, I knew I wanted to be an NP. I did a new grad residency program and rotated through the PICU and saw the NPs...
  19. Annaiya

    Will I really have a flexible job?

    It really depends on where you work fan what you consider flexible. I worked every Friday, Saturday and Sunday while I worked on my masters and the flexibility to work every weekend was great so I could do school during the week. But if you mean flex...
  20. Annaiya

    Medical law

    I agree with your decision to not go to law school. I was a lawyer before going to nursing school and I have nothing good to say about the profession. There are some great attorneys out there, but there are very few who are happy with their careers...
  21. Annaiya

    Need Feedback on Job Hunt

    I don't know why they would be annoyed if you're saving them from having to pay to fly you out for an interview. Good recruiters are interested in everyone and don't "act annoyed" by a phone call from someone interested in a position. Even if they ...
  22. Annaiya

    Primary vs Acute Care PNP?

    I feel that our certification should match the work that we are doing. It justifies a lot of the arguments being made regarding why we are competent for full practice authority. That's not to say you can't work a job and then learn what you need to...
  23. Annaiya

    New to Peds

    I frequently have concerned parents be completely wrong. However, I never dismiss thier concern until I've verified that it is unwarrented. Always listen to what the parents are telling you, but don't let their opinion cloud your nursing judgement....
  24. Annaiya

    G-tube pulled out by patient

    I agree, don't worry too much about this. Patients pull stuff out. In less than an hour from the start of my first shift on my own in the PICU my patient pulled his EVD (external ventricular drain) out. The neurosurgeon was not happy when I called...
  25. Annaiya

    Clinical nurse specialist vs. APRN?

    Where I work the CNSs work with the bedside nurses and are more of an educator role to the RNs. They don't do any direct patient care. Their job is entirely different from ours. Where I used to work they didn't use CNSs. I think unless you have a spe...