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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 and coffee for me and our clinic staff. I had one...

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 hired though (they count RN experience). I precept ...

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 see who it was that addended the chart. You do NOT ...

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 SAME THREE IV antibiotics for all three kids and ...

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 grossed out, found it on youtube. It was AWFUL to see. ...

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. Mine is excellent and I feel very supported and resp...

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 often eat the sandwich in the car! You can forgo the...

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 atresia? If she has a narrowing or blockage in th...

There was one Thanksgiving party that I was at. There must have been 50 people there. It was an unusually warm night so there was about 20 of us hanging out on my friends big back deck. 2 of my friends and I (all nurses) started talking shop and tell...

Totally agree with you on this....I do not like the machines for BP's, I mean obviously they are used a lot...but I totally prefer to do a manuel BP because it is so much more accurate. I hate to say it but it is also becoming a lost skill!

I agree. I never understood why they took away the ability to buy over the counter medicines without a perscription. What difference does it make if it is my money? The difference is a few more tax dollars coming their way. It is a shame because flex...

I have a line I have used for as long as I have been a nurse.... "I am off duty!!!! and I don't do grownups!" (I have always worked in pediatrics). It is actually a joke now around my friends. They DO know, that in an emergency they can always call m...

I work for a peds hospital, so it is different than a private practice...the hospital employs 50+ APN's so I got the standard that everyone has.... I think you start with 15 days paid leave that you accrue through the year...separate sick time, medic...

Congrats on your job offer! I am a PNP and went into pediatric urology right out of grad school (only job I have had). I think it REALLY depends on who you are going to be working with. My coworkers and MD's were very willing to train and teach me ev...

I love when patients call and leave messages for us to call them. You can call them multiple times, they don't answer and you leave messages. Then they eventually call back screaming that no one called them back. Love looking in their chart and telli...

True story.... I work with anothe NP that is old enough to be my mother (her daughter and I are the same age). Was speaking on the phone with one of our regluar, medically complex, patient's mother. Had several phone conversations over the several mo...

Everyone makes medication errors. I remember having to give to different IV medications. They were in the same size syringe and same volume and both were clear (it was a long time ago and I cannot remember what meds they were). I looked in my patient...

It is a case by case basis for me too. If the parent of one of my patients has an urgent appointment with us and has to miss a court date, yes I will document the time and date of the appointment for them. If we have a fresh post op patient at home w...

If it was during my "working hours" or if I was "on call" and there was a chance that I would need to attend to patients (either over the phone or in person) within a few minutes of my drinking an alcoholic beverage then I would NOT drink it. Period....

Early on in my PNP career when I was getting frustrated with a family/patient that was being non-compliant, one of the MD's I work with gave me some very good advice. "All we can do is give them our educated advice/recommendations. It is up to them i...

I love precepting and have a student with me almost every semester the last couple of years. The schools here assign the students to us, they do not have to find their own (which is the way it should be). There are several schools that contact me eve...

AWWWW! Thank you!!! That brought tears to my eyes! Have done peds my entire 14 year nursing career!!!

Feel better Ruby!!! I agree with what everyone else has said...depends on your manager/boss. My current one would know everything that is going on because she is like a second mother to me. Previous ones, not on your life would I say anything until i...

the one we use is "sweet ease".

I work in peds urology and I applaud you for wanting to get an accurate speciman. That being said, I have a lot of peds practices that refer patients to us that do not cath in their office. If they have a febrile infant that needs a cath, they send t...