marty6001

marty6001 EdD, EMT-P, APRN

ER, Critical Care, Paramedicine

Member

All Content by marty6001

  1. I respectfully disagree with you. Being a RN first directly correlates how you prepare for, and practice as an APRN, at least in the acute care track. I worked as an ICU nurse before finishing my...
  2. CCRN

    Sure have.. I advocate it for anyone working in critcal care. Some hospitals are even paying folks more who have
  3. How high have you titrated levophed?

    The other day I ordered the Levo at 50mcg on a patient with a ruptured thoracic aorta... It bought us time for the family to get in... usually however, once its at 10mcg time to add a second agent and...
  4. ET size HELP!

    Yup, its printed on the ETT itself... If wiped off, easiest way is to get a 7 7.5 and 8 and measure diameters of the
  5. Levophed vs. Neo

    Here's the difference as I see it... Neo is pure alpha effect. Therefore it is used for vessel constriction and can quickly damage the kidneys,etc.. I typically use Neo for short term hypotension...
  6. Abusive and Cruel Clinical Instructors: Why??

    i wrote this as an article, but i think it fits here as well... i would love some feedback from the students in this thread.. dear clinical student, i am your soon-to-be instructor. know that i love...
  7. Abusive and Cruel Clinical Instructors: Why??

    Katie, Be careful thinking that your instructors are out to get you. I've been teaching for 4 1/2 years now and have met hundreds of preceptors and instructors. I can tell you that ones that single...
  8. ACNP recertification

    KK Thanks.. My first recert so I wasn't sure.. I have put in the hours for #5, and I guess I'll just CE the
  9. ACNP recertification

    is coming up next year for me. Am I reading right that if I teach clinical in my specialty for 240 hours over the 5 years that I am covered?? Just curious if I can double up #5 or not.
  10. What does prescribe only mean?

    When I worked in the ED I would dispense all the time. But now in the ICU I never
  11. Abusive and Cruel Clinical Instructors: Why??

    I've been a clinical instructor for the past 4 years and struggled early on with what kind of instructor I wanted to be. There has to be discipline for the safety of the patient, but where is the line...
  12. Question for Practicing NPs

    I didn't "want' to be a doctor, but while I was in school finishing my APRN, I heard from a lot of residents how awful my decision was to get my ACNP... Yes.. Awful how I had 24 hours of clinical vs...
  13. Find the highest acuity unit you can do while in school and work there... The sicker the patient, the more you'll learn and be able to apply where-ever you end
  14. What does prescribe only mean?

    Yes, prescribe vs prescribe and
  15. I also interpret all the Xrays that come through the ICU off shift, as we have no radiologist on to do it. the CT scans get read off site and I get the report, but I also first look them before...
  16. So I had a quick question, as I do not recall this from my student days. What are the requirements to be able to teach CEU's to nursing staff? I am an APRN in a 12 bed ICU, and they are all very...
  17. Corny question

    I have mine written out as RN, MSN, ACNP-BC.. There are new articles out there that say to put the MSN before RN, but this is how I was used to it, so this is how I wrote mine out. Hope that helps. *I...
  18. Silly question re: lab coats

    Long coat here as
  19. Young -- should pursue NP or MD?

    sorry i didn't answer your question in my last post. i am an acute care nurse practitioner and an adjunct professor of nursing. the reality is that apn's, through national and state nursing boards and...
  20. Young -- should pursue NP or MD?

    I apoligize if I offended you with my post. As I am beginning to find in all aspects of life, all people want to do is argue and disagree. I will back out of this post. Thank
  21. Grad school feedback

    I am a Yale grad and had no issue with either finding a job or paying back my student loans. The programs in Connecticut are varied and all offer something different. I think you need to take some...
  22. MbEIN in UCONN

    While I can't tell you too much about the UCONN program, I did graduate from the Yale RN to MSN program. I find that these programs in general attract older students who have already had careers and...
  23. Young -- should pursue NP or MD?

    While I admire your enthuisam regarding PA's, APRN's also can change specialities almost as easy. As an acute care APRN, I have a variety of in and outpatient specialities I can choose from, as well...
  24. I really need some input on this. I accepted a position at a hospital early last summer, and it took until a week ago to be cleared to practice. I could not start the position until I was totally...
  25. st segment monitoring

    Hey, with such a low MB, the troponins are probably trending down. I agree with getting an older ECG to check if the changes are new. I also think you need to explore their recent history to see if...