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gauge14iv

gauge14iv

ICU, ER, HH, NICU, now FNP
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gauge14iv has 23 years experience and specializes in ICU, ER, HH, NICU, now FNP.

gauge14iv's Latest Activity

  1. gauge14iv

    NP Practice Owners

    Forum for sharing information about starting and operating a nurse practitioner owned practice
  2. gauge14iv

    OMG will I get sued if I continue to work here?

    NOT reporting this facility can jeopardize your license too! You have a legal obligation in most states to report this type of thing
  3. gauge14iv

    ENA position on treatment of family members?

    Some state medical boards (like Texas) have policies on treating of friends and family members - start there, because whatever goes on in a facility will need to at least mirror whatever the state's position is.
  4. gauge14iv

    Hate being a floor nurse- happier as NP?

    I don't know about slowing down as an NP! I run just as hard during a days work these days, and faster, but without all the manual lifting and labor intensive tasks. More decision making while on that run for sure. Some days are busy and easy, others are busy and difficult, but I can definately say there is no slowing down. We have to quit propagating this myth that NPs have more time to spend with patients. I don't get any more time to spend with a patient than my MD counterparts, but ALL of us take the time that is necessary when a patient needs it. Long hours charting - yes - I do a lot of charting after hours and from home. Still worth it for the simple fact that although I may be working 12 hours a day most of the time, 3 of those 12 are from home. I am closer to self employed in that I pay my own overhead and keep whats left so it makes me definitely more willing to work more as well as more efficiently. I know what it takes to break even, I wonder how I earned my salary at my first employer!
  5. gauge14iv

    scheduling and late arrivals

    We see late arrivals, we just let them know that since they are late we will need to work them back in and so there may be a wait. If you do this people are generally pretty understanding. You cant penalize the people who show up on time because someone else is late but things happen in life - the dog throws up, the kid decides to put his clothes on backwards. A little understanding and forgiveness goes a long way towards building your patient base and saving your sanity. It's really all in how the front desk handles it - sometimes you need to train them.
  6. gauge14iv

    Torn over FNP or MD...

    You have to choose Acute, Family, Pediatric, Womens Health, Adult, or Midwifery up front - in Texas anyway. Your entire program is geared to that specialty, and you are limited as to where you can practice. I have a friend for instance who is an anp - she had to go back for an FNP cert, and is basically having to do an entire program all over again except for about 8 core courses.
  7. gauge14iv

    Market for nurse practitioners in the DFW area

    The job market is great for FNP's, fewer openings for others. And the demand is increasing. I get about 2 calls a week from desperate recruiters. Salaries have gone up significantly just in the 5 years or so I have been around. Anybody who thinks an NP only makes a little more than an RN is no longer correct. Nowhere to go but up! I wouldn't have it any other way! It was SOOOO worth it!
  8. gauge14iv

    Market for nurse practitioners in the DFW area

    The job market is great for FNP's, fewer openings for others. And the demand is increasing. I get about 2 calls a week from desperate recruiters. Salaries have gone up significantly just in the 5 years or so I have been around. Anybody who thinks an NP only makes a little more than an RN is no longer correct. Nowhere to go but up! I wouldn't have it any other way! It was SOOOO worth it!
  9. I believe Trinity Valley Community College had one. Not sure whether that is still true or not.
  10. gauge14iv

    Dumb question--What do you NPs do?

    "In Texas, I can not order cough medicine with codeine as narcotics require physician signature, do you see how this affects ability to prescribe and practice." Not true - we can prescribe narcotics except for schedule II in Texas. We just need a state TDPS number and our own DEA number as well as a collaborative agreement that allows for same. Doc does not have to sign our narc Rx's however.
  11. gauge14iv

    Computer Prgrams for the Office

    I second amazing charts - and although it does not have as many bells and whistles, sometimes that is a good thing. There are a few things I wish it did or wish it did differently, but for the money it's a great deal. And you get to try it for free for 90 days. http://www.amazingcharts.com
  12. gauge14iv

    Texas Ready Nurses preparing for Hurricane Dean

    Nursing License numbers are public information available on the BNE website. There should be no privacy concerns about emailing them because any member of the public can go look yours up as long as they have your name. If you have concerns about the emails visit this link http://www.texasnurses.org/rtn/rtn.htm The TNA website is sort of goofy - just like the emails! Once you look at the website it makes sense. ETA: Yes, an alert has been posted for Hurricane Dean - I doubt they actually update the website though. Me thinks they may need help with that.
  13. Had a twinkie and a single serving carton of milk fall out from under a 500 plus pt's left breast once. eeeeeeeeeeew
  14. gauge14iv

    do grades really matter after graduation?

    Once they have a little experience, nobody will ask about their grades. It might matter when you are a new grad but it never matters again after that. In addition - there may be a few nursing students with gpa's under 3.0, but I'm betting that there are not that many.
  15. gauge14iv

    Confused about internships in Dallas area

    And you don't HAVE to apply just to internships - you can apply to any position that does not require experience. Some places only do internships for certain specialties, but not for all specialties and not for all positions. You still do orientation, but you don't do an internship.
  16. gauge14iv

    Anyone heard of any NP to MD programs?

    We may do a lot of the same things but we don't do EVERYTHING by any means. In addition - I would love to have more in depth clinical trianing, a residency and more knowledge about embryology, pharmacology, anatomy, physiology, and so much more that I become more and more acutely aware every day that I could really use. Don't get me wrong - I love being an NP and have NO desire to be an MD, but I do wish our programs were more in depth on the biology and clinical side - and less so on the philosophical and theoretical side.