Corey Narry MSN, RN, NP

ACNP-BC, Adult Critical Care, Cardiology

Advanced Practice Columnist / Guide

All Content by Corey Narry

  1. Corey Narry

    Critical Care fellowship

    Can you reach out to AACN? they have a lot of tools for these kinds of
  2. Corey Narry

    PCU/Step-down

    I work in California and as a provider, the patients admitted in step down are either "acute care" meaning 4:1 staffing vs "transitional care" which is 3:1
  3. Trauma is a specialty that is not limited to the ED and not all ED's are trauma centers. Emergency physicians help stabilize a trauma patient in the ED but ultimately Trauma Surgeons take over their...
  4. Corey Narry

    RN to NNP BRIDGE programs

    Agree with above. But I would also say that if you find a local program that is reasonably priced, you could potentially meet with a program director and maybe get a direct admission to the NNP...
  5. Corey Narry

    Palliative NP

    Our in-Pt Palliative Care NP's are not acute care trained. That is not to say an ACNP can not do Palliative Care because I am friends with an ACNP who did Adult Critical Care NP for many years and is...
  6. I work as an in-pt NP in San Francisco. I also have a lot of RN and NP years under my belt. The place I work for is under a CNA union contract for all nursing positions including advanced practice and...
  7. Corey Narry

    Emergency Neurological Life Support (ENLS) Exam

    I've taken it as part of a requirement when I worked as an ICU NP covering the Neuro-ICU's as a consult. It is not that hard but does require some time commitment. The courses are all online and the...
  8. Corey Narry

    Psych NP working remote in Mexico

    The short answer is it is possible. Many physicians who do remote work live in an area outside of the jurisdiction where their patients live. For NP's, you'd have to figure out a few things: does the...
  9. It's a great specialty. The attendings all the way to the residents were a joy to work with. I would have stayed if I wasn't young and wanting some adrenaline jolt here and
  10. Same reason why I'm not attracted to the out-pt side of Cardiology...you basically have to play therapist to patients who are still having chest pain despite multiple negative stress tests and...
  11. I've had a long career as an NP beginning in 2004 when I took a job in Physical Medicine and Rehab which was a great specialty with great people but it wasn't a great fit for my personality who...
  12. Corey Narry

    Calculating the Worth of the NP assignment

    What state are you in? I know some of the answers to your question as far as where I work but not the fine details. We have an office of Advanced Practice that oversees all NP's, PA's, CNM's, and...
  13. Corey Narry

    Calculating the Worth of the NP assignment

    If your assignment is to figure out how your organization utilizes NP's, I think you have to do the legwork and make calls and establish contacts within your organization. If you work in a hospital,...
  14. Corey Narry

    No respect as an NP?

    I like your answer aok7. OP, I would consider a career coach of some type if you can afford it rather than getting a DNP. I know you feel your youth is working against you but you can overcome that...
  15. Corey Narry

    Can a PNP do botox?

    You should research your state law surrounding cosmetic treatments and who is allowed to order these treatments independently. For instance, in California only physicians can order botox injections...
  16. Corey Narry

    NP Inpatient Float Pool

    Do you have a union? A similar tactic was being introduced at some point where I work where some NP's were being asked to work in short staffed departments to "cross train" with training on the fly....
  17. Corey Narry

    NP w/ Hospital Medicine

    I work in an in-patient Cardiology service where we are the primary team very similar to how a Hospital Medicine service runs. There are 3 NP teams under one Cardiologist attending. On day shift, our...
  18. Corey Narry

    Emory WHNP vs USF FNP?

    You have a very specific goal in mind! Is that realistic in your job market? I'm surprised Emory does not arrange clinical placements. If they can not do this important NP Program role, I would say...
  19. Corey Narry

    Disagreeing with your supervising doctor

    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,...
  20. 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?...
  21. Corey Narry

    ACNP in Psych Hospital?

    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...
  22. Corey Narry

    Access while Proning

    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...
  23. Corey Narry

    Can I even work as an NP at this point?

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

    Credentialing

    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...