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marty6001

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. 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.
  2. 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).
  3. 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.
  4. marty6001

    Dear Nursing Student

    How's clinical going for you?? Hoping it's everything you thought it would be!!!
  5. 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.
  6. 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.
  7. 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!!!
  8. 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!!!
  9. marty6001

    Just let go from job and can't focus on boards!

    Just remember... your going to pass your boards soon and not have to worry about this ever again. That being said, if it's a wrongful termination you have action if you choose to persue it.
  10. marty6001

    Unpaid internship to gain NP experience

    I took a job in a large teaching hospital as a new grad ACNP. Sure it was for less money, but the experience of rounding daily was invaluable. Have you looked into this? I don't know where you live, but if there is a city close-by, take a job there. I went to the ED first, then moved on to an intensivist position. Perhaps you could find something similiar?? Play into your years of critcial care experience as an OR nurse!! Good luck!!
  11. marty6001

    Shocked by new grads at job fair

    The profession is in trouble... I've been a nurse for 10 years now. I was trained in the old school way. Look good, act professional, and make a difference every day. I was also hired by my first clinical preceptor the day I graduated with my masters to come teach nursing as she saw the fire and passion I have for this profession. Would that I were there that day. Your a better nurse than I as I would have stopped each group of new graduates and calmly (I hope) explain to them how disappointing they are to dress/look/behave in this way... Shameful really...
  12. marty6001

    6th Nursing Caption Contest - Win $100

    Think our preceptor will find us up here???
  13. marty6001

    Advice needed for a nervous ICU newbie

    I went right into the ICU as a new grad. I have never replicated the fear and paranoia I had those first few months when I thought everything I did was going to kill my patient. I worked as an ICU nurse for 5 years before finishing my acure care NP and loved every second of it. Take small steps. Learn one new thing everyday. If you can, work night shift (it gives you more free time to look up your patient, including patho, treatment, signs/symptoms), and realize you are in a great place to make a difference in someone's life. The best advice I ever got was from my preceptor in nursing school who said to me, it always could be worse, it could be you in the bed. That calms me down everytime I feel out of control. Good luck and keep us posted!!!
  14. marty6001

    CCRN...so close!!!

    I sat for my CCRN 10 years ago and my CMC 8 years ago and still remember both exams like it was yesterday. I also did review courses but what really helped me was my clinical experiences... I remember a question about reversing Ativan and had just had a patient who needed it reversed a week before... I would say 80% of the test was directly related to patients I had cared for. Otherwise I found the pass CCRN book to be very helpful. GOOD LUCK!!! and let us know WHEN you passed!!!