rnsrgr8t

rnsrgr8t

Peds Urology,primary care, hem/onc

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All Content by rnsrgr8t

  1. telephone triage for busy pediatric office

    rnsrgr8t replied to SleeepyRN's topic in Pediatric

    Before I became an APN, I worked for a busy pediatric practice and did phone triage a lot. The key is to have good protocols and document, document, document. When I first started, I took the protocol...

  2. AIDS during the 80s

    rnsrgr8t replied to Irish_Mist's topic in Patient, Colleague Relations

    WOW!!! That must have been frightening for your Mom and the fact that her work was called b/c of the labwork she had drawn? Can you imagine that happening today??? Glad she was

  3. AIDS during the 80s

    rnsrgr8t replied to Irish_Mist's topic in Patient, Colleague Relations

    I remember in the early nineties coming home to my mom crying b/c one of her old coworkers had died. Her formal coworker (and guy she dated before she met/married my dad) had died of AIDS. They were...

  4. Challenging Relationships with Doctors

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

    I have seen that happen in other divisions where I work. In my division, there are MORE than enough patients to go around and they welcome any patient I can see. I tend to see the patient's with...

  5. Choked by a patient. How do you deal with this trauma?

    rnsrgr8t replied to 222mom222's topic in Patient Safety Issues

    I am still stuck on the fact you were choked and assaulted by a patient and still had to do an admission on a patient before you went to the ER!!!! WHERE were your coworkers? How could they expect you...

  6. Patient stable when I left

    rnsrgr8t replied to yourbee4eva's topic in Pediatric

    Kids are notorious for compensating for a long time and then, when they crump, they crump FAST. Seen it happen so many times. Only thing you can do is honestly asses the day and if you think you...

  7. pediatrics injections examples

    rnsrgr8t replied to Assess&Safety1st's topic in Pediatric

    I always let our new people practice injections on me (with saline) so they could work on their technique before doing it with the children. See if someone in your office is willing to be the guinea...

  8. My first...my second MRI

    rnsrgr8t replied to Cobweb's topic in General Nursing

    I remember years ago, when I worked on a pediatric Hem/ONC/BMT floor, we had this little boy from Russia as a patient. He was so traumatized from all of his treatments, he was really combative...

  9. My first...my second MRI

    rnsrgr8t replied to Cobweb's topic in General Nursing

    That is hilarious! At least you were funny when you were loopy. My mom had Versed when she had an endoscopy and was NASTY to everyone but was acting completely lucid so my Dad thought she was just...

  10. What is the worst hardship/story you have ever seen/heard in your nursing career?

    rnsrgr8t replied to succinate's topic in General Nursing

    I remember taking care of a 9 year old girl who had been stabbed by her father. He was separated from her mother (and estranged, Mom had a protective order against him). He broke into her house,...

  11. Who should pay DEA fees?

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

    My job pays for all of my licensing fees (I am licensed in 2 states), all of my recert fees, my DEA and malpractice. We do have a small budget for CME's but it is not enough for me to go to a...

  12. RN experience before becoming pediatric nurse practitioner?

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

    I am a PNP and it sounds like the cases you manage in home health are pretty high acuity. I do not think you necessarily NEED hospital experience but it may be beneficial to you. You could also try...

  13. Precepting NP students....any advice???

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

    I precept NP Grad students every semester (except the summer). It depends on the day and how busy I am. When they first start the rotation, I have them just shadow me and I review my treatment...

  14. Learning to navigate the insurance companies

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

    As far as medications, each insurance plan/medicaid has a drug formulary that is usually available online. Over the years, I tend to remember which medicaid/insurance covers the majority of the...

  15. The patients you love working with.

    rnsrgr8t replied to dudette10's topic in Patient, Colleague Relations

    At my old job in a pediatrician's practice, we had a lovely family that had 10 kids. These had to be the nicest, most well behaved children I have ever met. they were the most beautiful family. On of...

  16. That awkward moment when....

    rnsrgr8t replied to CheesePotato's topic in General Nursing

    Years ago, when I worked in the NICU, the hospital where I worked had a Mcdonalds in the lobby. When I worked nights, we often would go down there for dinner in the middle of the night (yeah I know,...

  17. And then the MD said.....

    rnsrgr8t replied to NurseOnAMotorcycle's topic in Patient, Colleague Relations

    I am a pediatric urology PNP and often will assist my attendings in doing neonatal circumcisions. We normally use the procedure room in our clinic (at our hospital, all of our specialty clinics are...

  18. what gift to give your NP preceptor

    rnsrgr8t replied to phillycpnp-pc's topic in Student Nurse Practitioner

    I precept NP students all the time. Some of my students give me a gift at the end of the rotation, some don't (which is totally fine as I do not exect them to). I had one student that brought donughts...

  19. NPs currently working in Peds

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

    I think it depends, as others have said, the area where you are. Where I am, the pediatric hospital hires PNP's and FNP's (probably an equal mix". You have to have 5 years pediatric experience to be...

  20. Coworker having access to my password and charting

    rnsrgr8t replied to CorinneRN's topic in General Nursing

    You definitely need to discuss with you IT department and upper level management. I know our EMR has the ability to addend a chart and change charges but you do it under YOUR ID/password and you can...

  21. What's the worst you've ever been dumped on?

    rnsrgr8t replied to SuzieVN's topic in Patient, Colleague Relations

    When I was a new nurse on a pediatric hem/onc/bmt floor I remember one night in particular. I had 3 patients (which was our normal # due to the high acuity) that were all on triple IV antibiotics. The...

  22. The most gruesome situation you've encountered?

    rnsrgr8t replied to SuzieVN's topic in General Nursing

    I got home Sunday just after he broke his leg so I missed it. Everyone on twitter was saying DON'T watch if you have not seen it because it was awful. Dodo me, who has a high threshold for being...

  23. Do you (Active NP's) feel respected by MD's/DO's/PA'S

    rnsrgr8t replied to KansasFNP's topic in Advanced Practice

    I feel very respected and appreciated in my division. In my hospital, there are some divisions that are not as good as mine is about encouraging independant practice and utilizing us appropriately....

  24. What do you eat before work?

    rnsrgr8t replied to Mnstn's topic in Health, Stress Management

    I normally eat a peanut butter and honey sandwich on whole wheat bread and a Greek yogurt. That gives me enough protein and is quick because I need every minute of sleep I can get in the morning. I...

  25. Mystery Baby

    rnsrgr8t replied to xfitrn's topic in NICU, Neonatal

    I do not work in the NICU so this is just a shot in the dark but has this baby's upper airway been evaluated? Baby's have to breath through their noses, especially during feeds, could she have choanal...