rnsrgr8t

rnsrgr8t

Peds Urology,primary care, hem/onc

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All Content by rnsrgr8t

  1. Parents say the dardnest things

    rnsrgr8t replied to pedspnp's topic in Nurse Practitioners, NP

    I am a pediatric urology NP and I was doing an H&P on a school age child with voiding dysfunction. We do a detailed history with the parents to find out when the child is wetting, how often, signs...

  2. difficult parents

    rnsrgr8t replied to pedspnp's topic in Nurse Practitioners, NP

    IF this becomes a pattern for this mother, you may want to contact the other PCP that sees this child as well and compare notes. She may have documented noncompliance and playing one provider against...

  3. Help! Breaking Ampule techniques

    rnsrgr8t replied to tron22's topic in International Nursing

    If you don't have easy access to cotton pad, I used to always open an alcohol packet (just tear it open on the end) and place the top of the ampule in the open packet (with the pad in there). Protects...

  4. Nursey things that you'll NEVER say again.

    rnsrgr8t replied to AngelfireRN's topic in General Nursing

    This may be TMI... but phenergan PR burns like the dickens!!! I had a bad case of the GI virus in college, was not able to keep anything down. I was using the phenergan PR, and I am glad I had it, but...

  5. Pediatric Dosage Calculations...HELP!

    rnsrgr8t replied to ALCCRN's topic in Nurse Practitioners, NP

    Absolutely! Just remember how it was when you first learned how to pass meds as an RN. Don't rush yourself...take your time and you will be

  6. Pediatric Dosage Calculations...HELP!

    rnsrgr8t replied to ALCCRN's topic in Nurse Practitioners, NP

    I have been a PNP for 5 years.... calculating the doses for meds is one of the most important things you do. You have to be very meticulous. It is ok that you are cautious and it takes you time.... I...

  7. Things you'd really like to say to patients but can't.

    rnsrgr8t replied to november17's topic in General Nursing

    "Do you see the look of concern on my face? No? GOOD! because it is not

  8. Nursing Superstitions?

    rnsrgr8t replied to JustEnuff2BDangerous's topic in Nursing Humor

    The physicians I work with always tease me about how paranoid I am... 1). NEVER say the "Q" word (quiet) or the "S" word (slow). It never fails that the you know what will hit the fan whenever...

  9. Why would I NOT help? I'm confused.

    rnsrgr8t replied to AngelfireRN's topic in General Nursing

    I am a PNP in Urology at a children's hospital and I would definitely help if asked when I am on the floor, in clinic etc. As long as I am not dealing with an emergent/urgent issue, absolutely. I...

  10. Lab coat question??

    rnsrgr8t replied to traumaRUs's topic in Nurse Practitioners, NP

    I work in a pediatric hospital for a Urology practice. We all (attendings, residents, NP's and even our specialty nurses) where long white lab coats. They have our logo and department on one side and...

  11. Flomax For Women?

    rnsrgr8t replied to bollweevil's topic in General Nursing

    I am a pediatric urology APN and we use this as well. There are several alpha blockers we use. Flomax(tamsulosin)/ Cardura (doxazosin)/Hytrin (terazosin). We typically use hytrin in our old kids...

  12. Teaching time management

    rnsrgr8t replied to perfectbluebuildings's topic in General Nursing

    How long has she been on orientation? How acute are the patients on her floor? First, kudos to you for being a good preceptor who wants her to succeed. Second, maybe the floor she is on is too acute...

  13. Mandatory Immunizations?

    rnsrgr8t replied to nurseinpa's topic in Disaster Preparation

    They are "mandating" it at my hospital too. If you don't do the shot, then you have to wear a surgical mask the entire flue season (what is that like 5 months?). I think that making people who make an...

  14. Assertiveness being seen as aggressive

    rnsrgr8t replied to newrn05's topic in Medical-Surgical

    I used to get that ALL the time and, for me, it was the enviroment and culture I was in. I was in the south and (don't flame me here) at least with the people I worked with, they were that "fake"...

  15. Tension and Clinical

    rnsrgr8t replied to artistnurse's topic in General Students

    I used to do this too when I was in nursing school. I realized (thanks to my dentist) that part of what was causing me headaches was I was clenching my teeth when I was stressed. So check to see if...

  16. There won't be any raises this year

    rnsrgr8t replied to Manatee111's topic in General Nursing

    At my hospital,they cut the raises in 1/2 (normal 3%, now 1.5%) but they increased our insurance rates by more than 1.5% (so we all basically took a paycut) and layed off more than 250 people (across...

  17. Transition into the NP role

    rnsrgr8t replied to lifelong's topic in Nurse Practitioners, NP

    It is totally normal. Look to your leadership to guide you on your progress. If they think you are doing fine, then you are. Give yourself at least a year to feel comfortable and feel like you are...

  18. What's on your lab coat?

    rnsrgr8t replied to Sheri FNP-C's topic in Nurse Practitioners, NP

    On my labcoat: RNsrgr8t, RN, CPNP Pediatric Urology On my ID badge : RNsrgr8t, APN Advanced Practice Nurse Urology The labcoat is our choice what we want on there, I have a rather long name so RN,...

  19. A nurse should have at least 5 years exp before NP school

    rnsrgr8t replied to MikeyBSN's topic in General Nursing

    I am a PNP and worked as a PNP for 5 years before going back to school. In my class, we had 2 students who were right out of nursing school. Both were working while they were in grad school so they...

  20. Teaching kids to swallow pills

    rnsrgr8t replied to Purple_Scrubs's topic in School

    I am not a school nurse but teach my peds patients to do this. I have them start with the mini M&M's then graduate up to the regular size. Works like a charm. I have very few kids who cannot do...

  21. Med Errors: Share Your Stories

    rnsrgr8t replied to Ruby Vee's topic in General Nursing

    My first year of nursing, I worked on a pediatric hem/onc/bmt floor. A lot of our IV meds where made by the pharmacy in 60cc syringes and given on syringe pumps. All of the IV meds in syringes where...

  22. DEA license anyone?

    rnsrgr8t replied to JEKA's topic in Nurse Practitioners, NP

    My employer paid for my DEA. If you are writing scripts you will need it. Some Medicaids want your DEA even if you are not writing for a controlled

  23. Mistakes

    rnsrgr8t replied to katsqu's topic in First Year After Licensure

    I agree with Angie O'Plasty's excellent post. When I was a new nurse, I felt very scatterbrained too and tended to rush things (b/c I was nervous) and make mistakes. I cannot stress enough how...

  24. What illness do you have today?

    rnsrgr8t replied to MIcrunchyRN's topic in General Nursing

    I tend to not self diagnose myself like this (I am the other end of the spectrum, I just am in denial!). My roommate in college (who was a education major) used to love looking through my nursing...

  25. PNP Rx for Adults?

    rnsrgr8t replied to revolution's topic in Nurse Practitioners, NP

    Your license/Rx authority is based on what your scope of practice is. With a PNP, you are trained to treat birth to age 21, so generally, no you cannot write a script for an adult. However, I have...