fuegorama

Great explanations above. Thanks.

Dutchgirl. Thank you for your attentiveness and concern for your pt. Without a full H&P it is impossible to deduce the logic here. However, allow me to hypothesize that this pt. is actually benefitting from his/her HTN. The numbers you give are...

As long as there is an Electronic Medical Record that sounds great. If there isn't one at your house please ask for it.

1.I'd like to see nursing return to a patient-centered focus rather than a nursing-centered focus. 2.I'd like to see the recognition of the profession that what is required right now is clogs on the ground, not two additional years of theory to be "...

Full on the above. It's your co-workers who were basically spectating at your situation. You transferred from nurse to pt. when you first reported symptoms/were recognized as being in distress. Cookies make nice-nice, but I hope some of your co-worke...

I hear ya. It sounds like this guy has some serious pathology.

Why? Can anyone give a cogent answer as to what benefit this will have on healthcare?

Aiight- I hear y'all. The doc the OP writes about is obviously a tremendous git that either is carrying a large chunk of the facility, is politically protected enough to continue his behavior, or is treading the floors on his last days. Laughing upr...

Hi- I am sorry you are having such a tough start. Welcome to the mythical world of APN. You are promised the world, but as your post clearly demonstrates, you have not been given the tools to achieve your goals. Learning the practice of medicine tak...

This is another viewpoint: http://www.nursingworld.org/ojin/topic28/tpc28_2.htm

Hey there- What you have described is pseudocyesis. I understand how ticked off you must be after rallying to give this woman and her potential kiddos the best shot, but ya gotta know she is one sick not-a-momma. Pseudo pregnancy is actually pretty ...

Thanks and back at ya.

Caldje- Thank you for your thoughts. You have brought up a practice model that simply cannot be possible. What you propose is a design in which an already fractured system becomes even more splintered. Who do you want taking care of you on your "sick...

We each have our opinions on CNA (my abbreviation). This is one place where we will just disagree. This beautifully illustrates the trickle down aspect of medical education. Research and best practice patterns flow majoritively from physician led ...

[edit at 1109 7/15/06 est per request of mod. i have kept the citations intact in hopes that some readers will take the time to look at these articles. if this is inadequate or continues to violate the tos i would appreciate being informed. thank you...

Brownrice-Don't give up!! We can still save her. As a student doctor I own my mistakes. Now recognizing the sinister potential of this neoplasm I readily admit we should have started with a massive debulking. This was an error. It is my responsibili...

Great post. I agree with about 85% of what you are saying...except: 1.physician salaries are plummeting at the same time our school debts are skyrocketing 2.the provider shortage is a myth These are both topics that could lead to another couple of 11...

I'm not the prettiest ham around, but I think this may be directed at me. I did not come to the boards to be "divisive". I post here in an attempt to give what I believe is a fairly unique perspective. RN turned DO. I am a fan, cheerleader, patient...

This is not true. I respect and enjoy working with nurses/nursing. I AM A NURSE!! A good bit of my angst here is stemming from my belief that nursing is stretching far from its primary role that is direct, bedside, patient-based care. This most recen...

And you would be wrong. There are fresh-faced master's holders right now that are being employed in ED fast tracks across the country one month after graduation. There are NPs being put into clinics with no clinical experience outside of their shadow...

Actually, I didn't generalize. the NP model was built on nurses that had years of clinical experience prior to seeking a a higher degree of training leading to advanced practice. Today, this generation is fading away. The majority of NPs being churne...

Agreed. However, the days of the money stupid doc are dying. We frankly are not paid that much anymore. Money management has become a part of some schools' curriculum and the MBA is now a common addition to the educational vitae of many physicians. W...

What do you mean by "more powerful". What else do you require? Nurses essentially run healthcare in this country. They are by far the most powerful lobbying group with members heavily invested in the AHA, JCAHO etc. What will all of this power do f...

Yeah you're right. I won't paraphrase. I'll just quote. "The first ND program was established as an entry-level practice doctorate analogous to the MD and did not provide specialty preparation." Out of context? Yep. Is the spirit the same? Yep. Nowh...

Hi. First time posting. I was a nurse. I am now finishing my third year of medical school. I have been watching the evolution of the DNP with interest and a lot of concern. A significant amount of the noise in the medical world surrounding the pro...