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marty6001 EdD, EMT-P, APRN

ER, Critical Care, Paramedicine
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marty6001 has 18 years experience as a EdD, EMT-P, APRN and specializes in ER, Critical Care, Paramedicine.

marty6001's Latest Activity

  1. I'm sorry but I am fuming over that response saying she likely had a hypercoagulable disorder. We are nurses, healthcare professionals, and trusted by the population. That comment was dismissive and frankly dangerous. And just in case reading it in the news makes more sense, here is the article today on the arrest warrant, where it was made clear that the patient had a right leg DVT and was found to have bilateral PEs. Truxillo sustained abrasions to the back of her neck and tore her ACL, requiring surgery for repair. After the attack, she went to the emergency room, where she was treated and released. Truxillo returned to the hospital on April 11 to be seen in the emergency room and was admitted to the ICU complaining of trouble breathing. The warrant states Truxillo went into cardiac arrest multiple times and could not be revived. She died just after 1 a.m. on Thursday, April 11. Preliminary autopsy results released Monday, April 15 show Truxillo died of a blood clot in her right leg and a pulmonary embolism, a blood clot that had formed in or traveled to her lungs. On Tuesday, April 16, East Baton Rouge Coroner Dr. William “Beau” Clark said the nurse’s death will be investigated as a homicide and that she did indeed die due to the injuries sustained when she was attacked by Guillory. The coroner’s report says she died from the pulmonary embolism caused by the injury to her leg. The warrant provides more details about her death as well, saying the autopsy showed contusions to her head and blood clots in her right leg. Her official cause of death is a bilateral pulmonary thromboemboli (traveling blood clot) caused by a deep vein thrombosis in her right leg from the traumatic knee injury she sustained when attacked by Guillory.
  2. Hey Jory, I don't mean to sound argumentative, but as an APRN and CNM you would know that DVTs are caused by virchow's triad, and the triad speaks to endothelial injury and stasis of blood flow (in this case from immobility) as significant risks of DVT. Could she have a hypercoagulable state, sure... but to make a broad statement that blood clots, I assume you read the original article and saw it was a DVT, killing someone after "something like this" is extremely rare, is not only unfounded (https://pdfs.semanticscholar.org/b747/8999a5738ccfdfe5bdb9101176d5e452d93d.pdf) <-- just one article I found in a lit search about ACL and DVT, but also frankly a little insulting based on what you should know about DVT/PE and virchow's triad. As a nurse and now APRN who has been hit, kicked, spit on, bitten, tackled, pushed more times than I care to remember and/or count, I would never be so dismissive and make such a statement like this saying the person "most likely" had a coagulation disorder with zero proof.
  3. marty6001

    My Defining Moment As A Nurse

    Thanks for all the kind words. My wife and I are both nurses and we never really knew what it felt like to be on the other end of news. It was an eye-opening experience that has changed the way I practice as a nurse. Again, I appreciate all the comments.
  4. marty6001

    Maximizing potential income

    If you ask me, teach. I work as a nurse practitioner 3 nights a week in my ICU practice and also took a part-time lecturer position to give back to the profession (and the money is great as well).
  5. marty6001

    My Defining Moment As A Nurse

    My most defining professional moment in my career came about not when I was with a patient, but when we were home with our newborn daughter. The call came at 4:47pm on a Wednesday. We had brought our daughter home after an extremely uneventful birth. Our second child, she had come out the exact opposite of our son. Eyes open, awake, staring at us as if to say, "Yeah, I am here." After three days we went home and began our second trip through exhaustion, night feedings, diaper changes, and everything else that goes into raising a baby. At 4:47 pm it all came to a halt, and despite over a decade of critical care experience, I was for the first time paralyzed with fear. "Your baby failed the heel stick, and may have Galactosemia. You'll receive a call from the Geneticist later today, but until then stop feeding your baby any milk products." That was it. As we waited for the geneticist to call, my professional brain kicked in. I remember the oddly humorous thought I had that why would the pediatrician call to say my daughter has a disease named after a video game? I began researching Galactosemia. Liver failure. Sepsis. Death. Symptoms in the first few days of life (I missed the importance of this one, as it was week 8). Death. My child suddenly was dying, and I couldn't stop it. It brought me back to so many conversations I have had with patient's families regarding death and dying. I used to almost brag about how much I liked, and how good I was at end of life discussions and care with families. At 4:47 pm that changed. The funny thing was, I completely missed that symptoms begin a few days after birth when the baby drinks milk, and yet my child had drunk milk for 8 weeks with no issues. How easy it is to miss cues, clues, and even blatant slaps in the face from information when we as nurses have been trained to sniff out these clues better than smoky the bear smells fire. My child, after a year of doctor visits, blood work, and monitoring turned out to have a variant of Galactosemia that would not affect her life in anyway other than her husband would need to be tested before they have children. For a year, I assessed her sleeping, eating habits, drinking habits. I snuck into her room to watch her breathe. I coddled her, hugged her more than I had my son, and told her I loved her a million times. I paid more attention to her than I do my own patients. And it changed me, and my professional practice as a nurse. No longer do I gloat about my end of life care. No longer do I complain when it's busy, complain when I am burdened, or have to stay late, or write an extra note, or bail out someone else's patient who needs ICU care. As a nurse practitioner, I save lives. I used to take it for granted. Now, it defines and fulfills me.
  6. marty6001

    Acute care/ ICU APNs, how long...

    My first position as an ACNP was in an inner city emergency department. I started seeing patients the first day on the job as an extra "intern". I remained an "intern" for six weeks before moving up in my position and given more autonomy. My second and current position as an ACNP was in a critical care unit. As I had 4 years as an ICU nurse and 2 as an emergency department ACNP I was on days for 4 weeks then let loose to cover night shifts. The four weeks basically cleared my mandatory procedures. I was shaky for about a year before I felt comfortable in the ED. The second year went much better as I wasn't afraid or nervous to say I don't know anymore... Hang in there!!
  7. marty6001

    Interesting Physician Perspective On NPs

    Great story... Except for using the term mid-level. While it's an accepted term in the medical community I remember reading a position statement from the ANA refusing to use the term... Personally it makes me cringe to hear it when anyone in my hospital uses it... A losing battle I know but I can fight the good fight right???
  8. marty6001

    Ph.D or EdD

    I choose an Ed.D in Nursing as my doctorate. I believe it's a personal decision based on what you want to do with it. While I like doing research and have been published, I really enjoy being in front of a class much more... I am an APRN but there is no need for a DNP for me as I am at my terminal position and can't imagine being let go for not having a DNP.
  9. marty6001

    Do patients question your expertise?

    Being an APRN I've found that if I wear scrubs to work they ask when the doctor is coming to see them... If I wear a shirt and tie I have to explain that I'm not the doctor, I'm the APRN, to which they usually say, "same thing"... LOL
  10. marty6001

    Dear Nursing Student

    How's clinical going for you?? Hoping it's everything you thought it would be!!!
  11. marty6001

    Your opinion of the DNP

    "If you are an MSN prepared NP are you pursuing or considering pursuing a DNP? If yes, why?" With my current student loan burden and my position as an intensivist APRN locked down, there is no way I would go back to complete my DNP. I think grandfathering us all in would be a much easier, and cost effective route for us.
  12. marty6001

    Cant seem to find work!

    Use your clinical rotations in your resume. Any procedures you may have been a part of, special patient populations, and/or any real life experience. Be persistant with HR, call, call, and call again. Also, any units you did a rotation on, go introduce yourself to the nurse manager now that your out of school. Let them know who much you enjoyed the unit and if they are hiring. Good luck!!!
  13. marty6001

    Share those precious last minutes, they deserve it...

    I never think anyone would want to hear my stories. You all humble me. You really do. Thanks for all the kind words!!!
  14. marty6001

    Stuttering Stupid Nurse

    Keep this in the front of your mind. Your patients need you. They don't care if you have short hair or long. If your tall or short. If you stutter or not. They care only that you are professional, intelligent, caring, and can help. People, especially nurses, who want to single other out for their flaws are in the wrong profession. You are a nurse. You make a difference in people's lives just by showing up for work everyday.... Ignore ignorance and in fact, I would report the person who made that comment to HR.
  15. marty6001

    Failed the AANP and ANCC

    Get out there, take another review class and pass those boards!!! Remember no one in an interview will ask you: So how many times did you take the boards!!! If you really want it, make it happen!!!
  16. marty6001

    Career choice - Please Help

    The beauty of being a nurse. Try one. If you don't like it you can always go back and get a post-doc or in some circumstances if it's in your scope of practice take a job in the other!!!