All Content by globalRN
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APRN in scrubs?
I wear sports casual. black pants and runners. I let my work speak for itself, am clean and tidy.
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UBC Nurse Practitioner requirements?
Best to ask the school. However, IMO it likely refers to hands on patient care, making clinical decisions. As an NP, the fact that I have worked as an RN helps shape the care I provide and gives me insight what will work in practice.
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Feeling Lost As An NP
I found clinic work in general very stressful, because of overbooking, short appointments for complex patients( it was a cancer associated thrombosis clinic) and not enough support staff. I swore to never work clinic again. I now work as hem/onc NP in an outpatient clinic that provides transfusions, chemotherapy and urgent ad hoc care to the hem/onc population, including completing hospital admissions. I am much happier because I don't have the sense of 'always running behind on apt times'.
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Canadian NP moving to US!
getting board certification through ANCC or AANP will help you
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Fear of Retirement!
Hello, Laine: I'm gearing up for retirement this year too. To help me, I have hired a financial planner to provide various scenarios. I realize that I should have started planning my retirement schedule way before this, at least 2 years ahead...the only good news is that I think I am financially able to retire. I shall soon find out. This pandemic has just highlighted how important our relationship with loved ones, and our own health is: I am going to retire so I can spend more time with loved ones, and also start making my own health a priority.
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New nurse practitioner here Please help
IMO : I worked in a specialty area as a NP new grad, but it was an area I have many years of RN experience. The way patient acuity has changed in hem/onc: I would never recommend this job to a new grad NP. In fact, I strongly recommended to my organization that a posting in our department only go to an experienced NP, preferably in hem/onc but internal medicine or acute care NP also acceptable. I find that in 20 years of NP practice, promises of orientation and physician support are usually inadequate or nonexistent for new grads. A previous new grad NP left after several patient deaths occurred where patient management was the cause. I have worked in hem/onc, internal medicine, and hospitalist NP. IMO, I would not want to work in other specialty areas because I find that generally, you are on your own after brief orientations.
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Landing a RN position with Alberta Health Services
There will likely be layoffs soon for nurses. Most jobs are casual and part time.
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AHS/Covenant Health Seniority
If you are out of scope, AHS does not port your seniority, sicktime and even tries to ding you on vacation accrual. So if you are moving from Covenant Health to AHS: negotiate and remember is the move worth it?
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Getting to NP
As far as I know BC, AB and Ontario will recognize ANCC/AANP certification as an NP but whether they recognize your NP education as equivalent may be ? subject to their review. If other NPs in the same province have already had their NP programs assessed as equivalent and you had the same program: I think it is pretty straightforward. If not, and you are the first applicant from your NP Program, there may be a lot of red tape involved. If you are going to do your NP Program in the US, I recommend also writing your certification exams(ANCC or AANP).
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Who is responsible for lab results?
In my experience, it is primarily the responsibility of the person who ordered the test.
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New grad- Nephrology vs Heme/onc
Oh wow....sorry I am reading this after nearly 2 yrs! I have worked hospital acute care, medical units and specialty units of hematology/oncology as a NP. I currently work in a hem/onc daycare/triage and also in a cancer associated thrombosis subspecialty clinic as adult NP
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Dear Alberta nurses...
Hellohobbit: What did you decide? Employer sponsored education usually has a catch...you may need to work at least a year or pay back the prorated cost of education. Having said that, specialty areas are a good place to learn...there is usually overtime...and you are picking up marketable skills and experience which will improve your job prospects in the future
- Video RN screaming, dragged into police car d/t refused blood draw on unconscious patient!
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Fellow NPs: What's your strategy for retirement?
i am hoping to scale back to 2 days a week in 2018 after I turn 57. I keep my benefits at a FTE: 0.4, get out of the house and have an opportunity to do some critical thinking and provide care. I have 5 days off a week. I am hoping for a nonclinic job....hate being timecrunched and being alloted
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New grad- Nephrology vs Heme/onc
I am not a big fan of nephrology patients....in my opinion, they r usually 'difficult' Hem/onc patients on the other hand....r my favorite patient population to work with
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Happy with your credentials?
ditto to what BeckyBrown NP just wrote.
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How common is chemo through peripheral IV?
Still fairly common if the chemotx has a finite # of cycles or is every 3 wks or longer. If the patient has good peripheral veins or the patient declines to have a port or a PICC
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I cried with a pt .....
Well, now many of my oncology patients are my age or younger. Definitely pulls on your heart strings!!
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Is the Grass Really Greener on the CNP side?
For the RNs who ask me if it is worth being an NP: I always ask them if they are currently happy in their job position as an RN. If so, I don't recommend NP.
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How do you feel about having other nurses as patients?
I do give them some extra attention, if desired, as a professional courtesy. I find dentists, as a group, to be the most difficult patients, with nurses(especially the senior 65 yr + nurses) the next most difficult. I find family members who are lawyers can be the most difficult family members...some are 'know it alls' and confrontational.
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smelly kid
If the kid washes daily....how come he still smells? Definitely will impact his social interactions... Poor kid. Isnt this more a social work kinda issue?
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Anyone seen an MI from septic shock?
Dec 9 by Euro_Sepsis I can easily see a non-stentable NSTEMI due to myocardial vasospam or demand ischemia in any kind of shock. Lev likes this. Euro_Sepsis has been a member since Sep '09. Posts: 11 Likes: 2 Reply Quote Like? [*] #40 Dec 9 by chare Likely not an MI. Acute illness, other than cardiac, can cause increase in troponin levels. Agree. Seen this. Cardiology agreed
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Undecided future NP in need of suggestions
Yes there is high demand for psych NPs....but like any specialty...it is best if you come from that specialty as a RN. For myself, I would never apply for a cardiology, nephrology NP position because that isnt my comfort zone. When u r the NP in a specialty area....u need to know what u r doing!!
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Experienced NPs
NP experience: 15 yrs in 2017
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Pharmaceutical reps in the clinic
this is usually a clinical provider dinner...no companions invited/expected