VivaRN

VivaRN

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All Content by VivaRN

  1. Online FNP with focus on HIV/AIDS care

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

    Many, many NP's can and do specialize in HIV. I don't know of any programs that are that specialized and online. I focused my clinicals on HIV and took advantage of my region's AIDS Education and...

  2. The Money is my motivation

    VivaRN replied to RNDreamer's topic in General Nursing

    To add a new thought, maybe it's not your job so much as your life outside of work that needs strengthening. I have found that when I am doing activities I enjoy in my off-time, filling my cup so to...

  3. nurse safety issue - should I be worried?

    VivaRN replied to crna2b-RN's topic in General Nursing

    No blood = no

  4. Iron toxicity how often do you see?

    VivaRN replied to Blackheartednurse's topic in General Nursing

    Toxicity is more of an issue with IV iron administration. This is not something you will likely see or need to worry about. Stomach upset is common as is

  5. nurse safety issue - should I be worried?

    VivaRN replied to crna2b-RN's topic in General Nursing

    If you didn't see blood, nothing to worry about. Even if you did that would be incredibly low risk... unless it involved significant amounts in your mouth or eyes, which doesn't seem to be the case....

  6. Vulvar Intraepithelial Neoplasia

    VivaRN replied to Little Panda RN's topic in General Nursing

    Yes. Haven't had a diagnosis in any of my patients, but we definitely look for it and refer for anything abnormal. A colposcopy provider I know has diagnosed it. Best wishes in your

  7. How can I get OUT of Med Surg and into ICU, ER??

    VivaRN replied to Epona's topic in General Nursing

    It sounds to me like you are trying to escape. Afraid of being fired, maybe afraid you aren't cutting it. A natural reaction, as we all want to move away from what makes us feel bad. To echo what...

  8. Why do doctors office pay nurses pennies to work for them?

    VivaRN replied to danursern's topic in General Nursing

    Another aspect as well is that primary care offices make a lot less money on the whole than anything hospital related d/t lack of procedures (and subsequent reimbursement). Counseling a patient is...

  9. About transgendered patients

    VivaRN replied to YEGRN's topic in General Nursing

    I usually start out by saying, "these are questions we ask everyone" (and we do) What was your sex at birth? How do you identify today? Have you, or do you wish to have reassignment surgery? Are you...

  10. FNP Pay Issues

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

    You can negotiate a higher salary. I did this, with justification as to why I was worth x amount. It's worth a try before declining because the worst they can say is no. On the other side,...

  11. Post-exposure prophylaxis making me so sick!

    VivaRN replied to dancin1415's topic in General Nursing

    I have never taken these medications but do work with them on a daily basis. I am a little surprised no one gave you more information about coping with these side effects as they are common with the...

  12. Consumer directed advertising for pharms

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

    I've posted on here before about pharmaceutical company influences on prescribing behavior and such. The literature is unequivocal when it comes to accepting things from drug reps - including...

  13. I'm mad and sad(about pt's family)

    VivaRN replied to singleye's topic in General Nursing

    No need to talk to the OP about being judgmental. I remember feeling this way myself the first week in LTC in nursing school (and I wasn't the only one). We had an awesome clinical instructor who...

  14. DON said mean things about me...which I overheard.

    VivaRN replied to rehab nurse's topic in General Nursing

    This thread is originally from

  15. Taking a Pay Cut To Get Out of Nursing

    VivaRN replied to PAERRN20's topic in General Nursing

    applescruffette, what kind of work do you

  16. 1st NP job as Hospitalist? Input wanted

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

    That's a tough environment for an experienced NP, let alone a newbie. If you think you could tolerate it you could stick it out, get your ACNP and then go for greener pastures in say, 2 years. But...

  17. Have you always known you wanted to be a nurse?

    VivaRN replied to Getreal2011's topic in General Nursing

    I was pre-med like probably 80% of the freshman class... had no idea what nursing was. I took a hospice volunteer course and realized I didn't want to wait a hundred years before I could work with...

  18. How to get into HIV/AIDS nursing

    VivaRN replied to letitbe_lindsay's topic in Public, Community Health

    Join your local Association of Nurses in AIDS Care (ANAC) chapter. They can help you with what opportunities are available in your area. Another resource may be your local AIDS Education and...

  19. Quit my stressful job, now I miss it ...

    VivaRN replied to SoundofMusic's topic in General Nursing

    Not all "love of stress" has to come from your job. I have a less hectic job than I used to and it has made me a better person. When I have that hankering for excitement... I volunteer! Anything...

  20. interview i thought went well, but didn't get job!

    VivaRN replied to sCared74's topic in General Nursing

    IMHO, the federal hiring process is insane. I applied for one awhile ago, had a fabulous interview, got a preliminary offer from the manager, and then 2 wks later informed that another candidate was...

  21. Celebrities who were formerly nurses...

    VivaRN replied to Gldngrl's topic in General Nursing

    Jimmy Carter's mother, Lillian Carter, was a nurse. She also did peace corps at the age of 68. Amazing

  22. Open mouth ... Insert foot

    VivaRN replied to Meg88's topic in Nursing Humor

    A routine part of a patient's first visit at my clinic is OB/GYN history. One couple came to the wife's first appointment together. I documented that she'd had a tubal back in the 90's. The couple...

  23. Which NPs don't deal with dozens of patient per day?

    VivaRN replied to Joe NightingMale's topic in Nurse Practitioners, NP

    Just a caution, a specialty practice that sees less patients/day is not necessarily easier than seeing many patients per day. You as a provider have more to get done during the visit. The patients...

  24. Makes me so angry!

    VivaRN replied to Tarabara's topic in General Nursing

    Nurse or sex

  25. First big nursing mistake....need some support

    VivaRN replied to KSU-SN's topic in General Nursing

    As others have said, everyone makes mistakes. Anyone with experience (who is not in denial) knows this. Even more than the mistake itself, the wise folks will watch you for how you handled the...