ERNP

ERNP

ER, critical care

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All Content by ERNP

  1. Am I the only one who finds this disrespectful?

    You know, where I work we don't even know the patient's insurance status when they are seen. As a matter of fact, the only time I print a face sheet is when I am trying to place a psych patient and I...
  2. Pros & Cons?

    Found it. Related to it on so many
  3. #%@&$ Flu Shot!

    I would be eating egg salad and telling them I am allergic to
  4. I worked full time night shifts and graduated with honors for my BSN. Worked a full time floating shift the first 2 years of my MSN and went part time for the last year of MSN. I would say, yes it is...
  5. ashamed today

    I really don't care either about what others do in private. On the job, however, it does occasionally effect care that patients receive. It hasn't been that long ago that I was forced to bear witness...
  6. 5150 patient absconded from the ER........

    I wouldn't beat myself up about this. I don't live in CA but as far as I am concerned whoever initiated the involuntary psych paper trail has the responsibility for seeing that the patient remains in...
  7. ready to drop out of FNP program

  8. Actually owning the "office space" is a great business move. Not only does it allow a place to conduct business, you build equity in the real estate that can be used to improve the practice as things...
  9. You could have a practice niche that was advertised. The caveat would be that the niche advertised would have to be in your scope. Couldn't advertise cardiology specialty as though you were a...
  10. ready to drop out of FNP program

    Here is a little change of pace. I work with a doc who says he wished he had went to NP school instead of medical school. I used to think I would go to med school if there was some experience credit....
  11. how do FNP get into specialty areas?

    I spent the majority of my clinical time in the ER setting. I was required to spend 8 hours a week in the FP clinic so I did. However, I spent no less than 24 hours per week in clinicals in the ER and...
  12. Sticking a patient twice?

    Whenever possible, I have always drawn blood with the IV start also. When I order blood work I usually just order a saline lock also. It is easy to take out and it leaves a line available in the event...
  13. When I was first a nurse I used the Littman classic. Worked fine and got the job done. Then I saw a Master cardiology and liked the floating diaphram... got one... loved it. Still have it but it is...
  14. ready to drop out of FNP program

    Oh yeah... I remember the days I was ready to drop out of my FNP program too. I didn't and made it through. I did only work part time the last year. I used student loan money and scaled back my life...
  15. Need some help here guys....

    Those dialysis machines ARE big pieces of machinery. Haven't ever done actual dialysis, just CVVHD and CAVHD in the ICU setting. It was years ago and I hope the machinery for those procedures has...
  16. Pros & Cons?

    Would anyone else be interested in sharing their typical day so we can get off my use of the word special? It seems I unwittingly threw the thread off
  17. Pros & Cons?

    Clearly this hit a personal note with you and for that I apologize. However, this IS a typical day and when I see psych patients they are generally decompensated and on way less than their best...
  18. Pros & Cons?

    I'll bite.... I get up at 830 and drive like a wild woman to make the 54 miles to my rural ER job on time. Which means I usually make it by 11:10am. I look at the 5 charts in the rack and think........
  19. NPs working in hospitals??

    I agree the hospital is not the employer of choice for many. Contracting with a private group or even a management service has a much better yield in terms of income and other things of professional...
  20. APRN vs. RN

    Yep... sometimes you just have to be willing to follow the
  21. As part of NP/CNS program took many policy courses along with advanced patho, advanced pharm, advanced assessment...... then there were all those clinical courses that offered application of the...
  22. How To Say No

    I have always loved the sarcastic approach.... "It sounds like a wonderful opportunity and I appreciate it so much that you thought of me. I am afraid, however, that I must decline." I don't know if...
  23. What to do?!

    I, also, hate to think that anything like this could still be happening. I hate to think it, but sometimes I DO think it and it makes me sad and angry. I think it would be necessary to have a...
  24. I read a panel discussion (I wish I could remember the link) between some physician experts about the future of medical education. There were 2 sides... 1) vigorously recruit new physicians to family...
  25. which dept to get experience in

    I agree with the previous posts. ER is the front door from which all the other departments receive patients. You see a little of everything and all