standout22

I felt the AANP exam was basic, and similar to the NCLEX. Basically, if you adequately studied during your graduate education, prepared utilizing a proven preparatory course (i.e. Fitzgerald) then statistically you will pass the exam. Both certification exams have a >80% pass rate. Because these exams are anxiety producing, you should understand that 8 out of 10 people pass this exam. So, if you did your due diligence while attending your NP program, and have given time to complete a review course you'll pass. I studied hard during my NP program, listened/worked through the Fitzgerald program and passed with ease. Standout22, NP-C

Appreciate the replys. In the hospital I work in we only have 1:1 with CRRT, no other expectoins.

Maybe I wasn't effective in my communication during my original post, which is my fault. On a very simple level I'm curious how hospital ICUs/SICUs/MICUs staff for patients requiring Pentobarb Coma? Currently we tend to maintain a 2:1 ratio, do any hospitals maintain a 1:1 staffing ratio with these patients? I'm having trouble finding the standard, if any, and would even be interested in a link or any information that might guide me in the right direction. Thanks.

Their is another important point in protecting yourself legally that has not been mentioned yet. Reporting a medication error yourself, and not trying to cover-up or hide your medication error is of uppermost importance. This not only shows you are dedicated to the best interest of your patient, but it also shows you are accountable-which both would be looked at if the medication error was called into question at a risk management level. Also, if anyone ever does make a medication error do a CEU in that area. Even though you might already know about this medication, you can never know too much. You can review and advance your knowledge to better insure that you have the best possible chance of not making that same mistake again. This too would also be looked at in a risk management scenario.

I recently cared for a patient whom was induced in a pentobarb coma while currently on vec. This was a very sick patient. I'm curious of other hospitals standards for patients in a pentobarb coma, or a patient with a vec gtt. We have standards of care as to how to induce the coma etc., but I'm curious as to if anyone has standards of patient to nurse ratio? Does anyone here know the standards of care for ICU patients requiring pentobarb comas? I curious as the general census of other hospital ICUs and how they accomadate nurse to patient ratio. Thanks

I've worked at Providence Medical Center, wasn't fond of the place. I've had many classmates whom have worked and work at KU med, and love it! Think about whom as the Magnet Status (KU MED). KU really has an awesome education dept., and orientation program. They are a research hospital, so your practice will always be up to date. KU does offer a better night time diff. You have a chance of being on day shift at both hospitals, if that is what you desire. KU is much bigger, if the current unit you start on doesn't work out for you, you can move to another unit without question, as some of my previous classmates did. KU also has an awesome tuition reimbursment plan if you want to obtain a masters degree. Some random thoughts, but I've worked at Providence, and would not work there again.

Worked there for the length of the orientation process as a new grad. I left one week post graduation, enough said. In my time there they were investigated by the state 2 times.

No takers?

I am starting this Jan. in an Adult NP Program. I have 2 gen. questions. 1. Once graduated in the state of Kansas are NP's required to site for certification, I'ver heard both ways? 2. What is the difference between an Acute Care NP and an Adult NP? Thanks for any assistance.

I recently read an article by a DO whom talked about the flu shot, and had a few concerns. However, when I brought these concerns up with an Infection Disease MD whom I work with, and a PharmD they both said it would be beneficial to get the vaccination. You always have some risk, but like most things in healthcare you have to weigh the risk/benefit ratio.

Speaking in terms of relationships, I understand that insulin effects K+. I also understand that with increased insulin production or administration you can have a state of hypokalemia. I just don't understand why, on an intracellular level why and how does insulin production or administration decreased serum K+? I appreciate any insight and help!