VivaRN

VivaRN

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All Content by VivaRN

  1. Sharing prescriptions of non narcotic medications

    VivaRN replied to LadyMonteCarlo's topic in General Nursing

    This could cause huge problems if the patient was ever hospitalized and the hospital providers requested the patient's pharm records to do med reconciliation. There is enough confusion about meds...

  2. got fired/got hired, but confidence shaken

    VivaRN replied to VivaRN's topic in General Nursing

    Ah, all of you are so wonderful! Being fired is such a stigmatizing thing it's refreshing to know that it's happened to so many others who survived and thrived. Thanks for your support! That first...

  3. Passed AANP exam today !!!!!!

    VivaRN replied to BlessedOne's topic in Nurse Practitioners, NP

    Congratulations on passing the test and your new position. Your hard work paid

  4. Vitamin D deficiency

    VivaRN replied to Simply Complicated's topic in General Nursing

    Lots of news on this lately. It was the hot new thing there for awhile, but the IOM came out last week with a report that Vit. D deficiency is overestimated. IOM Updates Guidance on Vitamin D,...

  5. What "weight" did your graduate school carry in the job...

    VivaRN replied to smkiya's topic in Nurse Practitioners, NP

    I would think about where you want to live and the connections of the school. Different schools are known in different parts of the country. My BSN program was well-regarded in my home state (and...

  6. Withdrawl of Life Support in the PICU

    VivaRN replied to JudithRN24's topic in PICU, Pediatric

    Carol, I have to disagree as well. I was a young nurse in the ICU and learning this is part of the process. Age has very little to do with it. One can be young and also possess maturity and...

  7. Candid discussion about the Nurse Practitioner role by NP's only please.

    VivaRN replied to burnedoutRNinSC's topic in Nurse Practitioners, NP

    Let me try to answer your questions! Job satisfaction - definitely more than when I was at the bedside. Granted I didn't stay there a huge amount of time, but I enjoy the increased autonomy, respect...

  8. What is going on with the hatred toward Mid-levels

    VivaRN replied to Gentleman_nurse's topic in Nurse Practitioners, NP

    Healthcare is a team effort. That ship has sailed. How they feel about it is irrelevant. I also believe that people's personal experiences with NP's trumps anything they read or hear from AMA....

  9. New grad thinking about FNP school

    VivaRN replied to ccatch3306's topic in Nurse Practitioners, NP

    I didn't have a ton of RN experience before going back to school. I'm another one of those who knew I wanted to be an NP and that's partly why I chose nursing. Haven't had issues. Though I have...

  10. Do you go to work when you're sick?

    VivaRN replied to BCgradnurse's topic in Nurse Practitioners, NP

    At my workplace it's a bit more complicated. I haven't been sick enough to stay home, but my co-workers regularly come when ill and even when they have other major obligations (like sick children, or...

  11. ACLS

    VivaRN replied to Dixiecup's topic in Nurse Practitioners, NP

    I don't get that. I work in a clinic and it's not like we're going to intubate or start pushing meds. We have BLS and that covers it. What is their rationale? It's probably expensive for them to...

  12. how far do you drive

    VivaRN replied to pedspnp's topic in Nurse Practitioners, NP

    My commute is 15 minutes. More time for sleep! For me it would depend on if the commute is in traffic or if you're just cruising through the country. Traffic - it decreases my quality of

  13. Work calling 3-4+ times a week to come in

    VivaRN replied to PAERRN20's topic in General Nursing

    "I'm so sorry but I've already made plans." Bye, now. Pretend your plans were to go camping in an area without cell phone access. Their lack of staffing is not your problem. Next time you're at work,...

  14. Have you ever been told

    VivaRN replied to purple10's topic in General Nursing

    Me: I'm a nurse. obsessive TV-watching cousin: The nurse stands there while the doctor tells her what to do. She was being totally serious. Had to take a few deep breaths before I could seize...

  15. family flexibility as M-F NP

    VivaRN posted a topic in Nurse Practitioners, NP

    Hello! Just seeking advice as we are trying to think ahead with family planning. Both my and my husband's family are full of moms who work in the school system, or SAHM. When I was an RN I had a lot...

  16. Primary household earner?

    VivaRN replied to martymoose's topic in General Nursing

    Husband in grad school, I'm the breadwinner. Once he starts working I'll make more but he'll have better

  17. Online FNP with focus on HIV/AIDS care

    VivaRN replied to SteveNNP's topic in Nurse Practitioners, NP

    Gotta say, I love that book too! Whenever I'm feeling down or discouraged I pick it up again. Love your enthusiasm for HIV care. If you want to test the waters you might try contacting your local...

  18. How common is it?

    VivaRN replied to Vtachy1's topic in General Nursing

    I'm an NP in an HIV clinic and we don't have any after-hours support. Instead, the answering machine says something like "if this is an emergency, please hang up and dial 911". The problem this...

  19. Depression after a miscarriage.

    VivaRN replied to MsGreenBeauty's topic in General Nursing

    This sounds like homework to me. To the OP: what do YOU think? What have you already thought about? What do you need further guidance

  20. Non Compliant Wound patient

    VivaRN replied to Katwel's topic in General Nursing

    1. DOCUMENT. I learned this in a documentation seminar recently, you also have document that you told the patient the consequences of refusal (informed patient that lack of follow up may result in...

  21. when you cant let it go (long vent after a crappy day)

    VivaRN replied to Sugarcoma's topic in General Nursing

    I think a lot of this is in the co-workers. If you don't feel supported and like they're going to talk about you of course it makes you anxious about every little thing. And, like others have said,...

  22. Patients that make you love your job.

    VivaRN replied to ShayRN's topic in General Nursing

    I'm an HIV NP and one patient has always stood out to me. Her serious boyfriend died from AIDS and she didn't find out until after he died that he was positive. She got tested and had HIV as well....

  23. Is your knowledge sufficient to support your prescribing?

    VivaRN replied to Besar's topic in Nurse Practitioners, NP

    I feel confident in prescribing, including controlled substances. If I'm unsure, I ask, as I'm sure all professionals do. Pharmacists are an excellent resource. It's a

  24. Difference bw Doctors and Nurses

    VivaRN replied to Bormio's topic in Nursing Humor

    doctors save lives, nurses save doctors be nice to nurses, we keep doctors from accidentally killing

  25. Share your BOOYAH moments...

    VivaRN replied to LuxCalidaNP's topic in General Nursing

    I think my best "save" so far was a walk-in patient who came to clinic c/o dizziness. She had a long hx of dizziness and had been dx'd with "low autonomic tone" by cardiology. I asked her all the...