platon20

platon20

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All Content by platon20

  1. Why The Future of NP Practice Maybe A Two Edged Sword

    platon20 replied to All4NursingRN's topic in Advanced Practice

    I have a few comments: 1. CRNAs, even in 100% independent CRNA groups in independent practice states, don't make the same as MD anesthesiologists. MDAs AVERAGE 350-400k. CRNAs can only make that if...

  2. MDs dont own the physician title

    platon20 posted a topic in Doctoral Nursing Degrees

    I think there is a lot of confusion on this board about titles. MDs do NOT own the physician title. In fact, it has been legal for years for a chiropractor to call himself a "chiropractic physician"...

  3. MDs dont own the physician title

    platon20 replied to platon20's topic in Doctoral Nursing Degrees

    Go to prison? Yeah right LOL I know an NP in New Mexico where they have 100% independent practice and her title is listed as PHYSICIAN, and she lets people know that she is a PHYSICIAN. She runs her...

  4. MDs dont own the physician title

    platon20 replied to platon20's topic in Doctoral Nursing Degrees

    I'm the original poster, and NO I'm not talking about the doctor title, I'm talking about the PHYSICIAN title. It is already obvious that DNPs own the "doctor" title. What you guys didnt know is that...

  5. Low glucose baby, NPO, no access to dextrose

    platon20 replied to anon456's topic in Pediatric

    Cut-downs are easy. I worked with an RN at Cooks in Ft Worth who was better than any doctor. They would consult her to do it when they had a difficult access

  6. "Anesthesiologists are gaming the system"

    platon20 replied to wtbcrna's topic in Certified Registered Nurse Anesthetist, CRNA

    One of the comments on the thread caught my attention: "90% of CRNAs work under doctors. If you eliminate that billing, then that means 90% of CRNAs are now unemployed." If this is true then it is a...

  7. Score one for standardized scrub colors

    platon20 replied to MN-Nurse's topic in Patient, Colleague Relations

    I definitely want to know who is treating me, and I expect for everyone to wear different colors. Nametags dont work as many hospital workers dont wear them it seems. RNs, midlevels, doctors, CNAs,...

  8. Norovirus

    platon20 replied to sweetstrwbrry1's topic in General Nursing

    BTW, the worst thing about gastroenteritis isnt really the vomiting itself, it is the endless waves of nausea that precede the actual vomiting. the vomiting part actually makes you feel a lot better....

  9. Norovirus

    platon20 replied to sweetstrwbrry1's topic in General Nursing

    Norovirurses and other gastroenteritis viral triggers are mostly spread by fecal/oral contact. HOWEVER, there is one exception. It turns out then when people vomit or stool, a very small amount of...

  10. What to do about refusing Dr. orders?

    platon20 replied to nancynurse0828's topic in General Nursing

    I think the confusion in this thread is over what the word "forced" order means. A hospital can, and will, "FORCE" you to do an order you dont agree with by firing you if you fail to do it. Are they...

  11. Pediatric Oncology

    platon20 replied to Live.&.Learn's topic in Pediatric

    Let me just say that peds oncology generally speaking has MUCH better outcomes than adult heme/onc, the reason being that most kids with cancer dont have other chronic illnesses so that means we can...

  12. adult patients admitted to a pediatric hospital

    platon20 replied to rnsusan's topic in Pediatric

    As others have alluded to, there are 2 main reasons this happens: 1) Adult patients with peds conditions are generally covered by Medicaid. Adult doctors dont like Medicaid and a lot of them refuse...

  13. RN obtaining Consent for Blood Transfusion & PICC lines

    platon20 replied to bhanna02's topic in General Nursing

    MunoRN is correct. The person getting consent should be the one doing the procedure. For blood transfusions, nurses are more qualified to get consent than the MDs are; since giving blood is a...

  14. Calling all peds/ER nurses RE: Tylenol dosage

    platon20 replied to 6spdftwtm's topic in Pediatric

    Of course you guys also need to realize that tylenol is not without risk. Lots of research has come out lately showing that tylenol (which is the only antipyretic you can use in kids under 6 months...

  15. Calling all peds/ER nurses RE: Tylenol dosage

    platon20 replied to 6spdftwtm's topic in Pediatric

    Yes, a fever of 100.4 or higher in a 1 month old is certainly a big deal. They will get admitted to the hospital for at least 48 hours. They will get a blood culture, urine culture, maybe a CXR/FA6...

  16. Calling all peds/ER nurses RE: Tylenol dosage

    platon20 replied to 6spdftwtm's topic in Pediatric

    I almost never order tylenol because a fever is not that big of a deal unless: 1) child is so irritable he refuses to eat or sleep (if he's really that irritable you can make a strong argument he...

  17. Can NPs write fertility drugs?

    platon20 replied to SusGob711's topic in General Nursing

    The only NPs who should be writing scripts for fertility drugs are those who work with MDs who specialize in REI (reproductive/endocrine medicine) who have special training beyond the usual OB/GYN...

  18. As a nurse, how do you perceive that physicians feel toward you?

    platon20 replied to jaimeandjules's topic in General Nursing

    I dont think its fair to judge all doctors based on that one thread. I will say that Obama picked a poor example to highlight the importance of nurses. He basically said that the doctors were...

  19. Is The Doctor Missing It? Stepping on Doc's Toes

    platon20 replied to Kooky Korky's topic in General Nursing

    No, this is inappropriate. Nurses cant/shouldnt be calling physician consults. The only exception would be for a crashing patient who needs an ICU doc to assess for possible transfer to the unit....

  20. Difficult Doctors...Vent

    platon20 replied to joanna73's topic in Patient, Colleague Relations

    No, this is inappropriate except in circumstances where a patient needs an ICU bed and the primary doctor wont call you back. Only in that circumstance is it OK to call another doctor (ICU doc). I...

  21. We may need fewer nurses in the hospital...

    platon20 replied to Chin up's topic in General Nursing

    Ummm, a midwife is not qualified to take care of babies outside of the immediate resuscitation window after

  22. We may need fewer nurses in the hospital...

    platon20 replied to Chin up's topic in General Nursing

    Umm, trust me you dont want that. Doctors already spend ungodly hours with paperwork for reimbursement. Do you really want to work your 8 hour or 12 hour shift and then go home and do paperwork all...

  23. nurses intubating newborns

    platon20 replied to gunverferth's topic in General Nursing

    I could see the occassional transport RN intubation, but transport RNs doing PICCs? Thats ridiculous. Do they do chest tubes too? The transport RN's job is to stabilize infants for TRANSPORT, not to...

  24. Over riding a resident?

    platon20 replied to beeble's topic in General Nursing

    I agree with #1, not with #2. There are 2 occassions where a nurse should question a doctor's orders: 1) when its unsafe; 2) when its an obvious oversight or duplicate order. The scenario described...

  25. Deciding to call MD

    platon20 replied to TangoLima's topic in MICU, SICU

    Easy for you to say. How many 36 hour shifts do the ARNPs in your unit work? Where I am, its only the residents who work those kind of hours, the ARNP are there for their 7-7 shifts and then they go...