VivaRN

VivaRN

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All Content by VivaRN

  1. Starting a new job

    Learning who was trustworthy to go to for help who wouldn't talk about me behind my back (appearances can be deceiving!) I was bright-eyed and ready to go and got ambushed by politics. Don't be too...
  2. question about pt symptoms

    In the way I've used it and heard it used, hot = acute. Try "acute abdomen." Means there is something in there (perforation? obstruction?) needing evaluation now, today, over and above the usual bad...
  3. When did you decide to become an NP?

    In nursing school all my mentors were NP's. I wanted to be like the people I looked up
  4. Please Help Me Psych Myself

    Maybe try the NP forum (under specialty - advanced
  5. Please Help Me Psych Myself

    I've been an NP for almost 2 years. I know there are a lot with more experience, but I'll take a stab at your questions. Most in demand: depends on what clinical area you want to work in? On the...
  6. Home Health a good option for fairly new grad??

    Here are some good questions to ask: 1) Can I have a longer orientation? 2) What is your patient acuity? 3) What is your expectation of my IV skills? 4) What kinds of equipment do I need to know...
  7. Home Health a good option for fairly new grad??

    Sounds really sketchy to me. Nurses are very independent in home health and have to manage vents, access ports, if there's a problem you can't just grab a co-worker. I think it would take more than...
  8. Top 15 Reasons NOT to go into Nursing

    The corporate nature of healthcare and hospital as profit-generating entity. For ambulatory care nurse practitioners (and PA's, physicians): being seen as a "producer" based on how many patients you...
  9. Pt with Unequal Pupils

    The other possibility is an old injury, had the unequal pupils been documented in the chart before or was it new? I once had a patient with unequal pupils who had a hx of a nail penetrating her
  10. NP/MPH

    I know there are a few programs out there but I can only speak from my own experience and the people I know. A lot of us didn't know what we would ultimately be doing when we set out on this path. I...
  11. are you tougher on foreign nurses?

    No. I also don't understand your approach - if you disagree with your institution's hiring practices, why take that out on your co-workers? It's not their fault they were hired. Fostering disunity...
  12. AANP Certification Exam

    Offering my condolences and encouragement to you. You will have a story of overcoming hardship for the next person in your situation. Good
  13. Why not look for an accelerated BSN program (since you already have your bachelor's), become an RN, then find a grad school to do your MSN to become a psych-mental health NP? It is not necessary to...
  14. sigma theta tau

    I am a member, had it on my resume for grad school and got a scholarship from my local chapter to attend a conference. It's just like any other professional organization, you get out of it what you...
  15. Do diversity programs work?

    The university system I am affiliated with has an amazing "raising awareness about diversity" program that I am participating in and I think they want to expand it. They're doing research on it to...
  16. Long story short, I am close to receiving a final offer from an institution that is devilish about references. In the process of fulfilling their very specific reference requirements, no other person...
  17. Need some input....please!

    If it were me I'd shoot them a nice e-mail tomorrow inquiring about the status of your application, reinforcing that you continue to be interested in the position and look forward to joining their...
  18. I've heard way too many stories of managers behaving badly, from finding out a nurse wanted to transfer to another department and blocking her behind the scenes (she found out a few months later after...
  19. When HIPAA can KILL

    I work in HIV and in my state this would be an issue for the provider managing the patient's care. A provider can disclose to the patient's sexual contacts, although the provider first has to notify...
  20. In my experience the root of a lot of this behavior (in patients without social work needs - not homeless, are not on illicit drugs) is anxiety. If a patient comes to me (I'm an NP) with a complaint...
  21. 'I love my patients!'.

    I think nursing is more about being able to maintain a professional, respectful attitude towards your patients vs. "loving" them. I don't care who you are, patients are people too and if you haven't...
  22. I need help with management....*LONG*

    I would run, not walk, away from any institution where I was asked to do something like that. Kill the patient? It's not like she's paying for the patient's care (like that is any kind of...
  23. My first RN job was Burn ICU. I was never drawn to critical care and actually wanted to work in public health, but the recruiter took me to the ICU's and I was so new (and needed a job) I never...
  24. Thanks for your reply. Thus far the sky hasn't fallen though I'm still holding my breath. She told me today she completed the reference, though nothing about what she said or what they asked about....
  25. working during clinicals

    I worked weekend option nights with no classes Monday morning. The money was great for the hours, though it was difficult going so long without a free weekend, or day when there wasn't "something."...