ruralnurs

ruralnurs

Psych, ER, OB, M/S, teaching, FNP

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All Content by ruralnurs

  1. Information on nursing in MT?

    ruralnurs replied to AprilRNhere's topic in General Nursing

    I thought your description sounded like Libby. I have lots of family there and lived there for awhile (I was born and raised in Montana) I work in Plains, also tiny CA hospital and a long way from...

  2. Nurse manager says you can't refuse iv

    ruralnurs replied to paintedbison's topic in Ob/Gyn

    In my small facility it is definitely an option not mandated. I teach the CB classes and even with moms that come in that did not come to my class I give them my speech: You do not have to have an IV,...

  3. Information on nursing in MT?

    ruralnurs replied to AprilRNhere's topic in General Nursing

    Are you in 56 cty? Sounds like it????? I may be moving there next summer to work as an

  4. Holsitic Nursing Question

    ruralnurs replied to thinkingaboutnursing's topic in Holistic

    Kimster614, Would you mind sharing what you have found at the master's level? I am looking into advancing my degree (FNP and soon psych NP) to include more holistic and integrative medicine. What...

  5. Psych and Holistic care

    ruralnurs replied to IamRN08's topic in Holistic

    This is a very interesting thread for me. I was a psych nurse in an in-patient psych facility, then got my FNP and am now in my post master's program for psych NP. As a psych nurse I always felt...

  6. Teaching psych, what is most important/valuable?

    ruralnurs replied to ruralnurs's topic in Psychiatric

    Thanks for the ideas so far. Yes I agree about the movies. That is one reason one of the criteria they must meet is to elaborate on the movies and show what was or was not realistic. For instance I...

  7. What things do you feel set apart the great nurses from the good ones?

    ruralnurs replied to blondy2061h's topic in General Nursing

    Some very important things to be a great nurse: Be able to prioritize......see what needs your attention now and what can wait. Make a decision, if you don't know the answer, use your brain, you made...

  8. Ever had an MD document things to make you look bad?

    ruralnurs posted a topic in Ob/Gyn

    Was just working with an MD delivering a G2 P1 39 5/7 wks pt. Baby was born pale, limp, no cry and HR of 100. The MD put the babe on mom's chest, within about 45 seconds I noticed that fan that had...

  9. Ever had an MD document things to make you look bad?

    ruralnurs replied to ruralnurs's topic in Ob/Gyn

    We are a small hospital that delivers about 50 babies per year, we have a dozen RNs and only 4 of us do OB. None of us did OB in another place, we all learned here, by watching, reading books,...

  10. Ever had an MD document things to make you look bad?

    ruralnurs replied to ruralnurs's topic in Ob/Gyn

    "And I would never work with her again." This is exactly what I want to do, but that will probably mean quitting my job. I work in a tiny hospital and she is one of the two hospitalists (they switch...

  11. "Know it all"? or perform one role?

    ruralnurs replied to HeartsOpenWide's topic in Ob/Gyn

    My community is rural, actually frontier per the census. Last night I had a 16 y/o in labor, serveral med/surg type pts, a 10 y/o ER hold over suicide attempt, 29 y/o MVC DUI that had an aortic...

  12. Information on nursing in MT?

    ruralnurs replied to AprilRNhere's topic in General Nursing

    Hi, I live in Mt. Much of what you are asking depends on where you will be and what type of nursing you are in. Eastern Mt doesn't have as much in the way of mountains, still pretty in its own way...

  13. Male RN-assist with pelvic exams?

    ruralnurs replied to walnuttree91's topic in Emergency

    Very interesting and entertaining thread!!! I want to include rural facilities to the list of "If you want to pick who your care providers are, avoid-list" like the teaching facilities. We have 12...

  14. ER "One Stop"

    ruralnurs replied to insatiable's topic in Emergency

    As someone that works in the ER quite a bit, often we are our own worse enemies. If you feed a stray cat he will always be on your doorstep. EMTALA requires that a person receive a medical screening...

  15. Is this standard treatment for a new NP?

    ruralnurs replied to jrprthd96's topic in Nurse Practitioners, NP

    I too am a new NP, just beginning to practice. I did a rotation with a pediatric NP that worked with 2 pediatricians. She did most of her own stuff, room patients, injections, throat swabs, etc.,...

  16. Blood draw from IVs?

    ruralnurs replied to alkaleidi's topic in Emergency

    In my ED we all also draw from the IV if possible. It is even on our standing order for Chest Pain. If you find any evidence based info please come back and post here, I would love to see it...

  17. FNP vs. CPM?

    ruralnurs replied to Serenyd's topic in Certified Nurse-Midwives, CNM

    I think your biggest problem would be the blurring of the two scopes of practice. Even if you are not acting as an FNP in a certain situation, you could be held to a higher standard if there were any...

  18. What is on your Palm?

    ruralnurs posted a topic in Nurse Practitioners, NP

    I just got one (Palm Pilot) and am wondering what the most beneficial programs everyone has. Right now I am an FNP doing urgent care and women's health (to include prenatal care) one day a week and...

  19. Alcoholism: disease or choice?

    ruralnurs replied to HonestRN's topic in Addictions

    This is a tough one. I'm a psych nurse and supposed to be all "Its not your fault honey you can't control xxxxx " but I have trouble with the disease title. People can not quit HTN, they can not...

  20. Who is in charge of my pt

    ruralnurs replied to gonzo1's topic in General Nursing

    Had a similar situation, a guy came in bit by a rattle snake (and his drunk buddies brought the snake in to the ER too, but that's another story). we had a locums in the ER, and the hospitalist came...

  21. What exactly is Rural Nursing

    ruralnurs replied to pat8585's topic in Rural

    Not in my neck of the woods. Infact we are loosing MDs because they can go to facilities in bigger places for more $$ and less on-call time. Often these little rural hospitals struggle to survive...

  22. AANp vs ANCC

    ruralnurs replied to joyrochelle's topic in Nurse Practitioners, NP

    I took ANCC because I missed the window to take the AANP and as I am in a union it was cheaper, but............AANP is a much more politically active organization for nurse practitioners. They...

  23. What is on your Palm?

    ruralnurs replied to ruralnurs's topic in Nurse Practitioners, NP

    Thanks much guys. I never thoguht about the Spanish part of it. Being in NW Montana we don't have many Spanish speaking folks but we have had recently migrant farm workers that present and the...

  24. Rx Writing Liberties

    ruralnurs replied to Jo Dirt's topic in Nurse Practitioners, NP

    Hi ANPFNPGNP (boy you have been busy). About not writing for family. I was told in my program that this is not illegal, but frowned upon. I worked with a psychiatrist that wrote abx for friends and...

  25. Against vaccines:

    ruralnurs replied to Gavsmom's topic in General Nursing

    Quote, "Wow- thank all of you for your replies! Just wanted to clear a few things up. My anxiety disorder does not prohibit me from carrying on a job or just life in general, it actually effects ME...