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  1. rnsrgr8t

    Struggling NP student

    The anxiety you feel is normal. You are adjusting to a new model of care and it is hard, especially when you are used to being the "expert" in your field and comfortable in your RN role. The points given in the previous posts are very good. The "pimping" really is for your benefit to help you learn to think critically and on your feet (very important in the APN role you are pursing). Remember though, it is ok to say you do not know if you don't, especially if you give yourself a second to really think about the question. I had plenty of times in grad school where I got asked a question in clinical and, after taking a second to think, I would be honest and tell them I did not know! You have to be prepared to do your follow up research/reviewing texts etc to make sure you DO learn the answer. They do not expect you to know everything. You are a student. Relax, have confidence in yourself and your abilities and you will be fine. Good Luck!
  2. rnsrgr8t

    offended co worker

    I agree with the other posters....he seems a little oversensitive to me. I tend to be sarcastic and when I feel comfortable with people I can totally do what you did. For me, I would not have given it a second thought if you had said that to me. Since he was offended, you were sensitive to that and apologized. That should be the end of it and he really needs to get over it. If he keeps his panties in a wad about it, that is HIS deal, not yours and I would not lose any sleep about it. I wonder if his basic personality is a little passive agressive and he is enjoying seeing you squirm and fret about it. Sheesh...people need to lighten up!!!! Relax and don't worry about it anymore!!!
  3. rnsrgr8t

    Lab Coat NP Embroidery

    My hospital issues us 2 new labcoats a year.. On the right side it has my hospital logo On the left side it has in blue script: RNSrgr8t, RN,CPNP Pediatic Urology
  4. rnsrgr8t

    Please Read: Peds Survey help needed for Master's Project

    I am a PNP..happy to do the survey
  5. rnsrgr8t

    Any one else feel this way

    I have been practicing for 6 years and still do that!!!
  6. rnsrgr8t

    It must be a pleasure to work with a doctor like this

    His blog is hilarious and you should follow it! He posts almost daily and it is amazing how nuts some of his patients are!!!
  7. rnsrgr8t

    Having confidence issues in clinical rotation

    Totally normal!!! It is a hard adjustment to make to go from being an expert in your field to going back and feeling like you know nothing. To me it was a harder adjustment then when I was a new nurse. Relax and do not be so hard on yourself. It will take a year until you feel comfortable again. If you felt like an expert while you were in school that would worry me just as a new grad RN who believes they know it all is a worry. it will get better. Study hard and absorb all of the new knowledge! You will be fine!
  8. rnsrgr8t

    Never driving to work in snow again

    I live in the mid- Atlantic which just got hammered this week with snow. I am all about getting into work, I have a 4 wheel drive, there are some times I stay in a hotel in town (I live about 30 minutes from my job) so I don't have to worry about getting in. I live in a townhouse complex and my next door neighbor has a snow blower and I have never had trouble digging out (we all help each other). Yesterday I got up an hour early than normal (our clinics were delayed 2 hours) to dig out my car etc. My neighbor was planning to get up a couple of times during the night to use the snow blower around our cars, side walks etc. We had it all planned so we could get into work on time. Well, unfortunately, the snow blower broke during his first trip out and my car (despite the 4 wheel drive) was snow plowed in from the one pass it took during the night around our parking lot. Took us 3 hours to get it out. I was scheduled to work in one of our satellite clinics which is kind of in the middle of nowhere so I could not have stayed close by if I wanted to and since it is a free standing clinic I could not spend the night there. I initially thought (after more than an hour) we were not going to get my car out at all so I did call in. But I have some wonderful, manly, very persistant neighbors that were very determined to get my car out and we eventually did. But if they had not been so willing to help me and been so persistant, I would have been stuck despite my planning ahead etc. So, the bottom line is, sometimes things happen and despite even the best laid plans and efforts, sometimes you just cannot get in!!! I was shocked to see the amount of trouble we had b/c it has NEVER been an issue before. When I went to bed, they were predicting 8-10 inches, we got 15-16 in about 6 hours and the plows could not keep up. Initilly we all thought I could just drive through the drift my car was in but there was so much ice at the bottom b/c it had changed from rain to snow so quick that it kept skidding. So I think you need to plan ahead, make a true effort but don't beat yourself up if the unthinkable happens. Even after I called in, I kept trying and I was able to get in eventually, just an hour late but if my neighbor's had not helped me I would have been stuck. There is definitely a difference between not even trying and calling out when you live 10 minutes away and what happened to me yesterday. I just don't think we should make a blanket statement that you should get in period and all it takes is planning ahead and 4 wheel drive. If someone had asked me before yesterday, I would have said you always should get in, whatever it takes. But sometimes the unthinkable happens. There was no way I could have planned around what happened to me yesterday. Luckily, I have understanding coworkers and if I had not been able to make it in I would have been fine because they know I never make excuses for the weather.
  9. rnsrgr8t

    How micro-managed are you?

    I work in a hospital (in the outpatient side) that does use press gainey and scripting (not to the extreme extent that I have heard here). A few years ago, we were told to do this script with all our new patients basically bragging about all of my accomplishments and the accomplishments of whatever attending they were seeing, etc. I flat out refused to do that and never heard about it again. My NP coworker has been in our division for almost 15 years... what patient is going to want to see me after they hear I have less experience. Same thing with out attendings, we have 2 with 20 years of experience and 2 a few years out of fellowship...that puts them at a disadvantage. I was not vocal about my refusal, I just did not do it. Never heard about it after a few months. We do hear a lot about our press gainey scores etc but most of the time the things the patients are complaining about we have no control over (scheduling, the phone system, some of the OR scheduling etc). I already work very hard at how I am with my familes, our division is very good about promptly returning phone calls, lab results etc. So if you are associated with a hospital you are going to hear about it but nothing to the extent you would as a floor nurse, at least not at my hospital.
  10. rnsrgr8t

    What made your first year of NP difficult?

    I have been a PNP for 6 years and am still in the job I started right after school. I was very lucky to work with great physicians and another NP that loved teaching and taught me everything I know ( I work in a specialty that I had no prior experience with). The most difficult thing for me that first year was getting used to that feeling of knowing nothing (you know they one you have when you are first out of nursing school?). I was a nurse for 5+ years before I went to grad school so I was seasoned, confident in what I knew and good at my job. I had to get used to that panicky, beginner feeling again. Luckily, everyone I worked with told me to relax and give it a year before I was comfortable and that is exactly what happened. It also took some getting used to ordering labs, writing scripts etc. I used to check my med calculations (I work in peds so it is all weight based) multiple times with every script I wrote b/c I was so scared of writing the wrong thing! I had some parents not want to trust me because of how young I look. My NP colleague is my Mom's age and been at my hospital for 15+ years and is known to be the expert. They eventually learned to trust me. :)
  11. Gabbie Giffords's husband gave permission for the MD's to tell the press the update on her condition. I remember them saying that at some point this weekend. I think that is how it is ok r/t HIPAA.
  12. rnsrgr8t

    If we had a conservative nurses forum

    Another conservative here!!!
  13. rnsrgr8t

    giving oral meds to skilled fighters

    I can give some tips I have picked up with my 10+ years of peds experience!!! It can be tough though!! First, a good medication syringe is vital. Draw up the medication, insert the syringe into the side of the mouth and aim to the side/back of the mouth and squirt a small amount into the back of the mouth. Only do a small amount at a time and make sure the kiddo swallows. There are less taste buds in the back of the mouth so less likely to spit it out. You can blow gently in their face and that will help make them swallow. The key is they swallow each small amount. If they are an old child and really fight... might need to get some help to have them sit in one adults lap and wrap your arms around their arms and the other hand on their forehead. In really desperate situations when the child clamps down their teeth... you can always hold their nose to get them to open their mouth... I hate it and rarely do it....but when you are trying to get a kid to take oral chemo...sometimes you are desperate!!! Main keys.... aim to side/back, SMALL amounts and blow in the face!!! Good Luck!
  14. rnsrgr8t

    Patients wanting to see THE doctor!

    Are there a subset of diagnoses in your specialty that you will be following or do you see everyone? In my practice, I see a specific set of patients. The MD's I work with will let the patients know that they will be following up with me, that I am an expert in taking care of this diagnosis, that I have more time to spend with them etc.... I have only had 2 patients in 6 years that said they did not want to f/u with me. Your practice could also send out letters/etc introducing you, your qualifications etc.
  15. rnsrgr8t

    Interview...employer ?s to ask, can I have a sheet?

    No problem!! Good Luck!!!