VivaRN

VivaRN

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All Content by VivaRN

  1. I agree. Anywhere this team model exists, whether in a critical care setting or outpatient, creates the best outcome for the patient. Nothing we do medically is worth a toot without the...
  2. NP program applicant needs advice!

    Mine was pretty low-key. The questions were about why I chose the school and the program, my thoughts on academic dishonesty, and what professional organizations I belong to. If they are...
  3. For the record my graduate program had us take genetics and embryology (FNP). With our science background we are prepared for practice but not for a career in, say, virology research. I would also...
  4. I would call the NP/MD relationship more collaborative than subordinate. No provider should work in isolation. Of course some practice settings are more independent than others, some providers...
  5. Changed My Mind

    Hi llg! I am one of those who decided to pursue a dual degree FNP/MPH while in nursing school. I sought advice from profs and got varied opinions, but after shadowing and knowing the FNP's in my life...
  6. Hi, I was curious about what ya'll thought of this. Do you correct the patient or let them carry on? Sometimes it seems as though the patient is trying to compliment the NP by referring to him/her...
  7. Preceptor

    I'm referring to school
  8. Preceptor

    Adding to the wisdom everyone else has said ~ At most sites the first day I shadow in the morning and then start doing H&P on my own in the afternoon. All of my preceptors have thrown me in...
  9. Nurse to Doctor

    I had a GP who was an ICU RN for many years. She became an MD because NP's hadn't really caught on yet. She is an excellent provider and took great care of me. She could talk to me about my health...
  10. Trite Management Platitudes

    Manager pops in dressed to the nines on a waaayy understaffed Sunday. Manager: I have this great new idea for having nurses put discharge dates on the white boards and a new space on the board for...
  11. HIPAA violation with chart note?

    I'm an NP student in a metro area and send info as you described all the time. Never had a problem. Can you get a second opinion from your program director or an instructor that you trust? This...
  12. Congratulations! Now go have some fun
  13. The long term effects of being fired

    I had an experience as a junior nurse in the BICU. I had the most critical patient in the unit (no one else wanted him), along with another patient, and that night we had two big admissions. It was...
  14. Darn, I think this applies to me because this clinic is affiliated with a hospital. I can admit patients directly although I don't manage them inpatient. Other providers have told me horror stories...
  15. I'm in a similar boat - The HIV clinic I have clinicals at offered me a position as in "we want to bring you on board". I set up a meeting a few months ago discussing employment because I knew I...
  16. MSN at the bedside

    Why fix what isn't broken? Your love of the bedside will only enrich your other activities, not to mention your
  17. Nursing Diagnosis

    Medical diagnosis, as in ICD-9 codes. We haven't mentioned nursing dx the whole time I've been in NP school. Probably because you can't bill for it... never thought they were much useful anyway,...
  18. VENT: My Frustrating 1st ACNP Job

    I've really liked seeing the way you handled this difficult situation. When you got frustrated you communicated, got support, and worked out a plan. That can be hard when you're new - as you...
  19. I was doing a pelvic on a woman c/o lady partsl irritation x 2mos. Let's just say it was... um, "not so fresh". But where else can you put your face when doing a pelvic? I did my best not to...
  20. am i getting burnt out?? long one!

    I went through a similar period as a new nurse in Burn ICU. It sounds like you need some support - a good friend or, even better a co-worker or mentor you can talk to who understands. You can't...
  21. How much/best experience for FNPs/ACNPs...

    I agree. I'm still a student but from what I see it's not the number of years or the area per se, but what YOU do with where you are and the time you have. Though if you want to do peds it would be...
  22. Do you think there will be a nursing "draft" someday?

    Where I'm at the shortage is so bad the majority of nurses at the worst hospitals are foreign because all the US educated nurses have left. Bedside nursing is becoming a job that immigrants do...
  23. Join AACN?

    If you choose to attend the annual conference you get the member rate. In addition to the journal there is also a newsletter and a clinical update e-mail. AACN also has scholarships if you choose to...
  24. NPs: HAVE YOU MADE A BIG CHANGE?

    Anyone who tells you you can't make a big change as a nurse or NP is sadly misinformed. Nursing as a profession has a long history of social justice and activism. Check out Florence Nightingale...
  25. Pre-NP Experience

    Agreed with Siri & Trauma. I jumped into Burn ICU and really appreciate what I gained even though it wasn't for years and years! NP's I know have run the gamut of previous experience settings...