Corey Narry MSN, RN, NP

I think I need more context from the OP. What orders does he change and how does his plan deviate from your original plan? I work in a collaborative relationship with physicians. I see the patient, assess, formulate my plan and write orders. I discus...

Post MI Vfib is not uncommon. In post MI, the criteria for ICD implantation is an EF of less than 30%. I don't know what this patient's EF is prior to the MI, is the low EF a consequence of this MI? In that case, the rule is to observe over a few mon...

My opinion is that we NP's should stay within our lane and practice within the scope of our training. Having said that, in your particular situation, you are in the process of obtaining PMHNP cert, it leads me to assume that you already completed a p...

I used to be an ICU NP for over 10 years but has since switched to Cardiology in the last 3 years. I don't have access to our proning protocol at the moment but if I were the provider working on that patient, I would have placed a neck CVL prior to p...

I'd say keep looking. I work in an area where it is certainly harder for a new grad to find a job. There is just so much competition for positions and employers have the luxury to pick only those whose past experience closely match what the position ...

Oh I'm sure, in an AACN meeting I attended, we were told to report those instances so that AACN can intervene.

You have to be credentialed to be allowed to work as a provider seeing patients, doing physical exams, reviewing labs and tests, writing orders, and documenting your assessment and plan. This is an institutional requirement rather than state requirem...

Good list of the usual "heavy hitters". It is astounding how expensive these programs have gotten. Of the schools listed, seems like Pitt is the best value? Columbia seems low too but that's an expensive city to live in. Washington is reasonably pric...

This is off topic but I relate to this a lot. I am in In-Patient Cardiology and have been precepting AGACNP students from various "well known" programs. It doesn't even matter the school, some students who have been nurses for a while ceratinly are s...

Sounds like you're an AGACNP. You don't need both. There was a time in the remote past that AACN's certification was not "recognized" in some states when their exam was still fairly new. That's not true anymore. I was quite active with AACN and that ...

I started out in Med-Surg. I find that these days, not all Med-Surg units are really that broad in terms of population seen. The hospital I work for has specific Med-Surg floors for Neuro, CV, or Ortho. On occasion each of those may have overflow pat...

I work in an in-patient service where we also have different NP's caring for our patients each day they are admitted because we're not always there 24/7. Once you have been a provider for a patient on your in-patient service, you are already part of ...

Without knowing the details, I agree that there is more nuance to the MD vs NP debate. Where I work, it's easier to hire MD's for nocturnal hospitalist coverage. There are many graduates of IM residencies who prefer to do a year of nocturnal hos...

Just for a few months? is this part of a humanitarian mission, aid, or relief program? In the Philippines, the nursing profession is regulated by the Professional Regulation Commission or PRC, the government entity that oversees the Board of Nursing....

She seems remorseful. Regardless of her acts of negligence, you can't deny the fact that she will never get rid of the weight of Charlene's death on her mind which she admitted on the video. The entire process from litigation to sentencing seems to h...

I know the issues here have been beaten to death but there were system failures at Vanderbilt at the time...they were switching to an EMR that was not sync'ing with their automated medication dispensing system. Nurses were being asked to override med...

If you're interested, there is a very similar case in Florida in 2011 that didn't even garner the national attention that RV's case got. The DA was not involved and it was the decedent's family that sued. It did not lead to the nurse getting criminal...

Criminal charges for nurses who have been proven to be negligent is quite rare. There are only 2 other prior cases before RV. They both didn't end in jail time for the accused. I think the same lesson can be learned from RV's case. I am at peace with...

I also want to add that sometimes physicians mis-use NP's and don't understand our role. The fact that someone piled a bunch of results on your desk to figure out is not a role for a provider. This is like being asked to answer messages from patients...

I felt compelled to respond (after a long absence from this website) since I am working in Cardiology for over a year now after transitioning from a Critical Care NP role which I did for over 15 years! Cardiology is a broad field with various subspe...

If California BRN told you they have no preference, then neither does ANCC or AACN. It's ultimately up to your school (some even allow MD or DO as preceptor). I am precepting a student from an out-of-state institution in the Fall and was given a spec...

Derogatory and mental illness in my mind should always be mutually exclusive. There is a professional way to present a case of mental illness in a classroom without interjecting your own personal bias about it. What I got from what the OP was saying ...

I think it's unprofessional behavior on the instructor's part to speak of a patient in a teaching environment that way. I think there is a line that is sometimes crossed when a faculty member tries to present a case for the purpose of student learnin...

Not to nitpick but the original post said, no "for profit MD program" exists and the link your provided is a DO program. In effect, the original statement is true as there has been no for-profit MD program yet in existence. There has been other for-p...

I will go against the grain here and say that you should ask yourself what you really want out of your career. As it stands, ANCC will allow you to renew your FNP-BC without practice hours since they simplified their criteria and made practice hours ...