globalRN

globalRN

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All Content by globalRN

  1. All these NPs making less than RNs?

    We see a lot of patients with established dx of dementia, who are delirious on admission to hospital for a variety of reasons. For sundowning, trazadone is one of our choices....starting with low...
  2. The only thing I wish I had done differently....was to not work fulltime when my kids were younger(preschool and primary school) I was a RN then. Having said that, my NP career was able to fund a lot...
  3. Crying at work

    You will find that certain situations will touch you and bring tears to your eyes. I don't think that that necessarily means one is
  4. Travel from home to work

    I used to work 10 minutes commute from home but the work was increasingly hectic and stressful with huge patient loads=lots of unpaid overtime, no coffee time taken, and even answered calls/pages on...
  5. NPs working with chiropractors

    I see a chiropractor. He is the best at diagnosing MSK problems and is effective at solving them. He uses clinical exam to show you the effects of before and after....no voodoo
  6. LP with chemo in peds

    I don't believe that it has ever been proven that lying down after an LP decreases side effects of headaches, etc. If it is the patient's first time...good idea. If they have had many...hydration and...
  7. Anyone Else with Pay/Benefits Cuts?

    Our wages were frozen for 3 yrs and still counting. Our education weeks and funding may be on the block which is equivalent to several thousand dollars a yr. We work many uncompensated overtime hours...
  8. A fnp as a hospitalist?

    I am a FNP and have worked hospitalist NP for 9+yrs. Prior to that I worked Hem/onc and was a hematology NP for 3 yrs. Many yrs as a RN before NP. There was still a steep learning curve for...
  9. Nurse Practitioners satisfaction

    My colleagues are all looking for other job opportunities...some non-NP but definitely not hospitalist NP. Why? The patient load is unrealistic and the changes which ask you to do more with less time...
  10. LP with chemo in peds

    In my previous job as a hem/onc NP, I did LPs and IT chemo for ALL patients in an outpatient setting. They were adults. As soon as I was done and had put a bandaid over the LP site, my patients were...
  11. Chemotherapy/blood transfusion via PICC

    Vancomycin is also an antibiotic that we try not to run peripherally,(damages veins). Since you have a PICC, I'd use that. Was it not possible to run everything through the PICC lumens? One would be...
  12. I work as a NP on a hospital care team. I don't see how that would 'ruin' you. I think it would strengthen your experience with a variety of patient issues, and improve your skill set as an
  13. Protocol for resigning

    your position sounds to be a 'casual position' with no benefits, vacation or sick time or contract. There is no notice required with a casual position. You could choose to give 2 weeks notice since...
  14. How to take action when a bone mets patient has pain

    as previous posters suggested: narcotics, decadron, palliative radiation and pamridronate
  15. Is it ever ok to quit without notice?

    If she asked for 2 weeks notice, which you offered....u should be good How bout a suit for harassment, hostile work environment etc? It is never a good idea to leave without notice...that may be taken...
  16. Time

    You will never be on schedule if you allow patients to voice all their issues, Primary care: I think it is quite reasonable to ask the patient which concern is the priority and to address one or two...
  17. Oncology question

    definitely the NHL patient. NHL is treated with chemo often like leukemias so that would make the patient more vulnerable. breast cancer patients with mets often still have ok immune
  18. I work acute care: mainly complex geriatric patients with multiple comorbidities and social/family issues. We see 22+ patients a day. One day there were 6 discharges or transfers and 4 new patients....
  19. Average nurse practitioner retirement age

    I am 52 and have worked as an NP fulltime or nearly fulltime since 2002. I plan to 'retire' in 2-5 yrs. I would like to work 2 days a week after that for a couple more years until I don't want to...
  20. BC RN wanting to practice in AB

    I had a BC RN licence while I worked my masters clinical practicum as an NP student. I had not worked in Canada for pay for the last 5 yrs I had worked as an RN in another country. CARNA tried to tell...
  21. Where are you from?

    I was born in Calgary, lived most of my adult life in Vancouver, BC, moved to Hong KONG in the 1990's Moved back to Alberta in 2002 and still here. BSN from UBC and MS from
  22. I got my dream job!

    Congratulations! Oncology nursing is very
  23. So many chiefs....

    I think u were quite right to do what u did. The office management sounds scary...like a lawsuit waiting to happen. Time to look for another job is what I
  24. what is concierge
  25. question for nephrology NPs

    I am a FNP with 9 yrs of NP experience, 3 in adult hem/onc, 5 in hospitalized family practice adult patients, 1 yr in internal medicine hospital care of adult patients. I have many years of medical...