Corey Narry MSN, RN, NP

ACNP-BC, Adult Critical Care, Cardiology

Advanced Practice Columnist / Guide

All Content by Corey Narry

  1. Corey Narry

    Good sources for learning how to interpret CTAs

    An academic center without 24/7 Radiologists? that doesn't sound
  2. Corey Narry

    Surgical NP, is this a thing?

    There are no specific or formal NP training in Surgery. Some of the Acute Care focused programs that offer AGACNP or PNP-AC may potentially provide some exposure to OR time but that is quite variable...
  3. Corey Narry

    ICU Nurse Practitioners

    It's a year long. It's a combined Critical Care and Surgical Specialties. I can discuss details in
  4. Corey Narry

    NP learning in a restrictive state

    Agree that it shouldn't matter. However, moving to another state as I have done in the past forces you to learn a whole set of rules and regulations from how to get licensed, to how prescriptive...
  5. Corey Narry

    ICU Nurse Practitioners

    There are many ICU NP groups across the country now. Many are actually surprisingly thriving in academic medical centers despite what one would assume in terms of competition with physician trainees....
  6. Corey Narry

    $200,000 salary as a RN, it's true

    A house in SF starting at >700K, yeah that's in a shady neighborhood and it probably won't qualify for a mortgage because its's
  7. It's their way of damage control because back in the late 90's and early 00's they had a long standing investigation by the feds for Medicare fraud. They were forced to pay over 600 million dollars in...
  8. Nah, HCA's been voted world's most ethical corporation for 10 years in a row....
  9. Corey Narry

    Patients of gun violence vs others

    The American College of Surgeons maintains the National Trauma Data Bank. The last report on their website is from 2016. https://www.facs.org/quality-programs/trauma/tqp/center-programs/ntdb/docpub On...
  10. Corey Narry

    Patients of gun violence vs others

    We saw a lot but I don't have numbers as this was years ago. The hospital was in an inner city with lots of gang-related violence. Trauma Centers submit their data to a national repository...that's a...
  11. Corey Narry

    Patients of gun violence vs others

    It depends. Nursing is specialized and the only time I've taken care of patients who were victims of gun shot wounds was when I worked as a staff RN in a Level I Trauma ED and in their SICU....
  12. Corey Narry

    Student nurse almost graduate help?

    I can't tell you how many rejection letters I got as a new nurse, lol. I think the decision to call is up to you. You may get good feedback from doing so. On the other hand, chances are, your...
  13. Corey Narry

    New Onset Afib

    Definitely call the provider or physician if you have concerns about what you think is a new onset a fib. Typically, what providers want to know is whether that patient is hemodynamically stable and...
  14. Corey Narry

    new to this

    Well welcome, but if you are new here and unsure of what to post, you can start by reading the ground rules which is explained in the Terms of Service: As a rule, I try to maintain a certain degree...
  15. Corey Narry

    Can I be your student?

    I actually personally asked providers to be my preceptor even the ones on the approved list by my school only because some are way too popular as a preceptor so I want to make sure I have them booked...
  16. Corey Narry

    Med carts

    I am not sure but back in the olden days of my short stint at a skilled nursing facility as an RN, we did have huge med carts that we push around like a large ice cream cart but containing no such...
  17. Corey Narry

    ICU Nurse Fired For Refusing 3rd Patient

    Even in California, there are hospitals that will skirt the rules and break the law. It's up to nurses as individuals to report. Unions are very active in California, that's one avenue for reporting...
  18. Corey Narry

    AGACDNP Career Trajectory

    BTW, since you will be going to Ann Arbor, you can find out if this program admits NP's...it's basically a residency program for PA's to train in Cardiothoracic Surgery....
  19. Corey Narry

    AGACDNP Career Trajectory

    You could totally First-assist as an NP and many NP's already do that. The question would be what your preparation is for that role so that a surgeon would hire you. NP programs tend to be short on...
  20. Corey Narry

    ICU Nurse Fired For Refusing 3rd Patient

    Not to toot California's own horn but our law states that ER patients who are deemed critically-ill must have 1:2 staffing ratio. The rest of the ratios for specific units are seen here:...
  21. Corey Narry

    ICU Nurse Fired For Refusing 3rd Patient

    LOL, I'm sure there are some "gaming" going on. I work for a state hospital in a university campus. We write orders as soon as possible to get patients out...but that's also because we are trying to...
  22. Corey Narry

    ICU Nurse Fired For Refusing 3rd Patient

    Did you mean providers should only write downgrade out of ICU orders when there is a bed available? That is not very practical and is not in line with how hospitals
  23. Corey Narry

    ICU Nurse Fired For Refusing 3rd Patient

    I agree, ICU's work really well when there's a lot of teamwork not only between the nurses but with physician buy in as well by taking the lead to send out patients who have no indication for...
  24. Corey Narry

    ICU Nurse Fired For Refusing 3rd Patient

    Julie did write to management multiple times and that was commendable of her. She felt like she was being targeted and evidence do point to the fact that she was being singled out. She likely would...