Corey Narry MSN, RN, NP

APRN, Adult Critical Care, Cardiology

Advanced Practice Columnist / Guide

About Corey Narry

Corey Narry has 32 years experience as a MSN, RN, NP and specializes in APRN, Adult Critical Care, Cardiology.


BSN (1991)     MSN/ACNP (2003)

 

Latest Activity

  1. 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 takes into account the entire nursing career year...
  2. 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 state you're seeing patients in have Full Practice...
  3. 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 there.
  4. 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 coronary angio's. There is a physiologic reason for it bu...
  5. 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 thrived in high acuity specialties with active acute car...
  6. 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 CRNA's. There is a director in charge of that office. ...
  7. 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, can you ask the NP's there if they can point you to...
  8. 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 with a sense of "power" and ownership of your role a...
  9. 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 and nurses (including NP's) and PA's can administer ...
  10. 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. Needless to say, the union was called, job descript...
  11. 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 cap per NP is 8-10 patients. We currently do not h...
  12. 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 it's not worth it to spend money there. If they can'...
  13. 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, assess, formulate my plan and write orders. I discus...
  14. Corey Narry

    Anterior Stemi w/ successful ppci then develop self limiting vfib?

    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...
  15. 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 leads me to assume that you already completed a p...