ERNP

ERNP

ER, critical care

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All Content by ERNP

  1. Ketamine for conscious sedation in peds in the ED

    ERNP replied to nanb's topic in Emergency

    passgasser... I would be interested in your thoughts. Have been using Ketamine for a few years now. Haven't had a bad outcome but that doesn't mean one isn't around the corner. I have known that...

  2. What Would You Change??

    ERNP replied to Back2School@40's topic in Emergency

    I would start at the top... The administrative structure needs to be recycled every so often to keep fresh ideas coming.... EMTALA law... The definition of medical screening exam..... Free lunch for...

  3. Where are the emergency department NPs?

    ERNP posted a topic in Nurse Practitioners, NP

    Wondering how many of us here are toiling away in the emergency setting. Would like to hear a little about how you practice in your area. Fast track? Main ED? Hours of day working? How long is shift?...

  4. Did you know what specialty you wanted

    ERNP replied to morganvibes's topic in Nurse Practitioners, NP

    Jobs were pretty limited where I lived too... so I moved. There are many where I live now. Not enough people to fill them all. Relocation is not an option for everyone

  5. Where are the emergency department NPs?

    ERNP replied to ERNP's topic in Nurse Practitioners, NP

    Interesting. I too work in a rural ER, 12 beds, about 23000 visits per year. I am the double coverage for the peak hours. In addition, I occasionally pick up shifts in a metropolitan ER with approx...

  6. So optimistic about Zoloft...but let down again!

    ERNP replied to Curious1alwys's topic in General Nursing

    Zoloft was a wonder drug for me. Anxiety symptoms and all. Imagine me having stress, who knew? Tried Lexapro but had undesirable side effects. Started to feel better after about 3 weeks of Zoloft. No...

  7. Tips on how NOT to appear like a Drug seeker

    ERNP replied to WillowBrook's topic in Emergency

  8. Tips on how NOT to appear like a Drug seeker

    ERNP replied to WillowBrook's topic in Emergency

    Indiscriminate prescribing of narcotics is what got a lot of people in the predicament that leads them to inappropriately utilize the ER to obtain drugs. If I am inappropriately prescribing narcotics...

  9. Tips on how NOT to appear like a Drug seeker

    ERNP replied to WillowBrook's topic in Emergency

    Respect might not be the word I would be looking for, but it certainly does take the mystery out of the equation to have an actual admission of addiction or physical dependence. I appreciate the...

  10. Tips on how NOT to appear like a Drug seeker

    ERNP replied to WillowBrook's topic in Emergency

    Sometimes people truly have untreated or undertreated pain. Sometimes people are trying to get the meds for someone else. Sometimes people are addicted and need the meds to avoid the sickness of...

  11. Tips on how NOT to appear like a Drug seeker

    ERNP replied to WillowBrook's topic in Emergency

    You're a good woman. I am pretty sure that chronic pain management wouldn't be for me. We have one of the pain management docs in town that does some occasional ER moonlighting. I have seen him...

  12. Tips on how NOT to appear like a Drug seeker

    ERNP replied to WillowBrook's topic in Emergency

    Don't run out of chronic pain meds on Friday at 5pm. Even if you "called the office and they didn't call you back". Plan ahead!! Call them before Friday when you know you are getting low. If it is...

  13. Communication a problem for nurses rock climbing the answer?

    ERNP replied to moonscar's topic in General Nursing

    Most of the nurses I work with have no problem with communication. However, it does appear that others may have problems with the manner in which they are communicating. Nurse to nurse communication...

  14. FNP's - how much psych do you do?

    ERNP replied to catch33er's topic in Nurse Practitioners, NP

    In the ER, there is a fair amount of psych. But nothing like what you are describing. Mostly just setting up for outpatient, or getting the crisis response team involved after medical clearance for...

  15. Did you know what specialty you wanted

    ERNP replied to morganvibes's topic in Nurse Practitioners, NP

    Yes, I knew exactly where I wanted to work when I started my FNP program. Several years nursing experience placed me in the ER, after a few years run through critical care. I knew then where I was...

  16. What was the MOST ridiculous thing a patient came to the ER for?

    ERNP replied to JUSTYSMOM's topic in Emergency

    By ambulance, patient treated for assault and intoxication. Told to take Tylenol when discharged. Next morning, by ambulance....... c/o out of tylenol. And you all know you can't make this stuff

  17. Doctoral degree to become an NP???

    ERNP replied to VickyRN's topic in Doctoral Nursing Degrees

    My, my. Well not just the comment I pulled out of the previous post, but the whole conversation. What a nasty feeling turn it has taken! In all my years as a nurse and NP, I have never ever met a...

  18. FNP....in hospitals.....in L&D?

    ERNP replied to HeartsOpenWide's topic in Nurse Practitioners, NP

    Delivering babies is definitely outside the scope of FNP practice. Prenatal care, yes. Post partum care, yes. Care of the newborn, yes. But not the actual delivery of babies. As a matter of fact, I...

  19. Can a FNP work in a psych area?

    ERNP replied to charleybarley's topic in Nurse Practitioners, NP

    Well, I work ER and I see my fair share of pysch patients. However, in my state I can see them and determine they meet criteria for an involuntary admission but I can't do the involuntary admission...

  20. Main Problem In The Nursing Field?

    ERNP replied to blueyesue's topic in General Nursing

    This is sometimes the case. But perhaps it should be recognized for what it is. It is not a hostage situation by the employer. It is a choice to do what is morally and ethically correct at the expense...

  21. Main Problem In The Nursing Field?

    ERNP replied to blueyesue's topic in General Nursing

    ROCK ON

  22. What Is a Noncompete Agreement in an Employment Contract?

    ERNP replied to sirI's topic in Nurse Practitioners, NP

    Large clinic in Tennessee took physician to court to enforce non-compete clause. Tennessee Supreme Court threw it out as unenforceable. A good precedent I would

  23. Main Problem In The Nursing Field?

    ERNP replied to blueyesue's topic in General Nursing

    Let me try to go out on a limb here and try to say this without getting killed, but perhaps all the things that have been previously mentioned are problems with nursing, but the reason that these...

  24. ANCC or AANP Exam - Which to take???

    ERNP replied to npstudent's topic in Nurse Practitioners, NP

    I took ANCC. Dont know there is any

  25. BEST/WORST/least__ __online NP pgms?

    ERNP replied to brownrice's topic in Nurse Practitioners, NP

    Oh my treesaw, you have looked at most of the highly advertised programs. A lot of universities are taking their programs online and many of them are offering the same tuition in state and out of...