core0

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All Content by core0

  1. core0

    Nurses & Insurance

    core0 replied to RN_MishMish's topic in General Nursing

    I think that having malpractice making you is mostly a myth. Probably one of the LNCs here can make a more definitive statement. However, I would carry malpractice insurance for exactly the reason...
  2. core0

    Nursing Student has questions

    core0 replied to NStiger88's topic in Operating Room

    Lets see I do the work up on the patient. I do the pre-op H&P. I order the labs and get the consent. I get to the room before the surgeon and make sure everything that they need is there. I...
  3. core0

    This is really getting under my skin

    core0 replied to jennjen512's topic in General Nursing

    Just to point out that the title nurse is not protected in all states. The title RN and the use of registered nurse is protected in pretty much every state. A quick perusal of the Alabama practice act...
  4. core0

    How long between graduation and elgibility to take test

    core0 replied to NHRNmomof3's topic in Nurse Practitioners, NP

    Remember that after getting certification you still need a license. After that if you want to work in a hospital you need to be credentialed. This leaves out getting on insurance panels if necessary....
  5. core0

    Differences (Educative/Clinical) between NP & PA

    core0 replied to jstuben's topic in Nurse Practitioners, NP

    And the PA profession thanks you for your informed decision making:rolleyes:. David Carpenter,
  6. core0

    Pancreatitis...with no pain?

    core0 replied to lovingtheunloved's topic in General Nursing

    Its true that 25 y/o don't get cancer all the time. But if you work at a tertiary center it feels like it. If I remember the incidence of pancreatic cancer in that age group is something on the order...
  7. core0

    Pancreatitis...with no pain?

    core0 replied to lovingtheunloved's topic in General Nursing

    If she's nice and has several adorable kids it approaches 100% unfortunately:(. David Carpenter,
  8. core0

    Pancreatitis...with no pain?

    core0 replied to lovingtheunloved's topic in General Nursing

    I would be worried about cancer here. Thats another place where you see increased lipase. Any jaundice? David Carpenter,
  9. core0

    Pancreatitis...with no pain?

    core0 replied to lovingtheunloved's topic in General Nursing

    Then how is the diagnosis made? Is this elevated Lipase and Amylase or do you have radiographic evidence. If its just an elevated lipase then there are a lot of other things that can elevate it...
  10. core0

    Pharmacology question

    core0 replied to JEKA's topic in Nurse Practitioners, NP

    For coverage the Sanford guide is pretty much made for this: http://www.sanfordguide.com/ As far as PO > IV equivalents most drug guides cover this if they are not the same ie epocrates etc. David...
  11. core0

    Experience with Distance Ed NP programs

    core0 replied to Dr. Tammy, FNP/GNP-C's topic in Nurse Practitioners, NP

    i won't address the politics. just to point out that both the uc davis and stanford programs were designed as pa programs under the medex model (which could be considered one of the first distance...
  12. core0

    Experience with Distance Ed NP programs

    core0 replied to Dr. Tammy, FNP/GNP-C's topic in Nurse Practitioners, NP

    UC Davis has a PA program housed in the school of medicine. Because of California BON regulations, RNs that took the coursework were allowed to become licensed as FNPs. With the changes in Medicare...
  13. core0

    Experience with Distance Ed NP programs

    core0 replied to Dr. Tammy, FNP/GNP-C's topic in Nurse Practitioners, NP

    Actually my comment is in response to this: Its pretty easy to work full time and attend a non-existent FNP program. David Carpenter,
  14. core0

    Experience with Distance Ed NP programs

    core0 replied to Dr. Tammy, FNP/GNP-C's topic in Nurse Practitioners, NP

    From that page: "Pending the successful completion of the approval processes, the Betty Irene Moore School of Nursing at UC Davis anticipates admitting its first students in master and doctorate...
  15. core0

    Experience with Distance Ed NP programs

    core0 replied to Dr. Tammy, FNP/GNP-C's topic in Nurse Practitioners, NP

    Actually given that UC Davis doesn't have a school of nursing it really doesn't say much for their program. David Carpenter,
  16. core0

    DNP vs APN with MS in "other"

    core0 replied to jfailla's topic in Doctoral Nursing Degrees

    One little problem with this. Medicare. The medicare rules are as follows: Hold an active license as a registered nurse, authorized to perform the services of a clinical nurse specialist, in the state...
  17. core0

    Should I get ICU experience bfore ACNP

    core0 replied to shortlittleRN's topic in Nurse Practitioners, NP

    our hospital credentialing says 18 an up for anp and acnp. not sure where this came from. david carpenter,
  18. core0

    can APN give written orders to RN?

    core0 replied to tleigh7097's topic in Nurse Practitioners, NP

    The issue I have is this is a verbal order that you have no way of verifying. It doesn't matter if its a physician or an APN. Either they give the VO themselves or sign the orders. David Carpenter,...
  19. core0

    First Assist question! David C. I need help!

    core0 replied to BrandiannRN's topic in Nurse Practitioners, NP

    Its not under JC regulations. A hospital has the right to decide which providers have which privileges pretty much without oversight. The only real rule is they cannot use privileging to deny...
  20. core0

    First Assist question! David C. I need help!

    core0 replied to BrandiannRN's topic in Nurse Practitioners, NP

    You are correct on the bachelors requirement. I was looking at the original proposed certification requirements. As far as RNFA vs. CRNFA it depends on the hospital. From a Medicare standpoint there...
  21. core0

    First Assist question! David C. I need help!

    core0 replied to BrandiannRN's topic in Nurse Practitioners, NP

    Actually if you look at the requirements they are cumulative. You have to have an RN license You must either have your CNOR or NP You must have 2000 hours as an RNFA You must have a bachelors degree...
  22. core0

    Methadone

    core0 replied to MrsMommaRN's topic in General Nursing

    If they are on the right dose of opiate they won't withdrawl. Withdrawl is simply not having as many opiate receptors bound as they are used to. The issue is getting the dose right. Not enough and...
  23. core0

    Methadone

    core0 replied to MrsMommaRN's topic in General Nursing

    prison medicine is indeed different. as to using methadone with other narcotics. it can be done, but if you are prescribing this you have to ask should it be done. post surgical cases in patients with...
  24. core0

    Methadone

    core0 replied to MrsMommaRN's topic in General Nursing

    methadone here is being used for chronic pain. it is a long acting opiate receptor antagonist similar to oxycontin or fentanyl patches. the way that you can usually distinguish this is by the bid or...
  25. core0

    Methadone

    core0 replied to MrsMommaRN's topic in General Nursing

    the problem is the methadone. methadone is an excellent medicine for chronic pain which is presumably what your patient was on it for. however, when you have an acute exacerbation of pain it causes...