ruralnurs

ruralnurs

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

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All Content by ruralnurs

  1. Hospitalist "midlevel" service

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

    Yes I know that the term "midlevel" bothers many people. A CNM friend was once at a social gathering and introduced by a doc (that she felt she had a very good, respectful relationship with ) as a...

  2. Hospitalist "midlevel" service

    ruralnurs posted a topic in Nurse Practitioners, NP

    Hi, I am currently working in an in patient psych unit and we are looking at creating a "midlevel service". I work with another NP and a PA. We have a hospitalist psychiatrist and the administrators...

  3. Hospitalist "midlevel" service

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

    CharmedJ7, Thanks for the response. It looks as if we are going to have a service where we will be given between 4 and 6 pts to be responsible for. We will still do rounds for some of the other pts...

  4. How do you prescribe ABX in a retail clinic?

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

    "I suppose one could refund their money if they do not Rx an ABX. This would satisfy the customer monetarily and increase trust in the clinic, but then the NP is not making the clinic money, and less...

  5. ER's Turn Non-Emergencies Away?

    ruralnurs replied to mwboswell's topic in Emergency

    As mentioned in a post above, people are TRAINED to use the ED for primary care. I used to do ED and loved it and saw the same thing. If EDs used EMTALA the way it was designed it would eventually...

  6. Better psych education for FNPs?

    ruralnurs posted a topic in Nurse Practitioners, NP

    I was not sure how to name this topic. I am an FNP and just recently a psych mental health NP. I have been approached by the state university where I live to help consult on improving the mental...

  7. Where are the "normal" births?

    ruralnurs replied to what2donow's topic in Certified Nurse-Midwives, CNM

    yelnikmcwawa, Thanks for your response. I just don't know if I buy it. I agree that all women should be given all options to them, but in my limited experience I just see our nation has become a...

  8. Which NP is non-limiting to specialize in?

    ruralnurs replied to Will-B's topic in Nurse Practitioners, NP

    This is somewhat dependant on the state you live in. A FNP has a very broad scope of practice, birth to death and in my state an FNP can practice in specialty areas (I have FNP friends that work just...

  9. Where are the "normal" births?

    ruralnurs replied to what2donow's topic in Certified Nurse-Midwives, CNM

    I was an RN at a very small hospital that did not do high risk OB, so the two docs that did OB really tried to keep things as low risk as possible. They DID NOT do elective inductions and God forbid...

  10. Better psych education for FNPs?

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

    Thanks for the input BCGradnurse. I think that one of the things I hope to put into the program is simple tips and pearls. I have read someplace (don't remember where) that about 70% of anxiety and...

  11. how far do you drive

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

    I drive 75 miles one way. If I am lucky and there is no snow or ice and the deer stay off the road I can do it in an hour and 20 minutes. If not it takes longer. I left a job that I could walk to in...

  12. Better psych education for FNPs?

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

    Thanks for the response Zenman. I do think that more indepth psychological disorder education as well as psychopharm. I feel evidenced based medicine is so important and so many non-psych providers...

  13. Independent practice resources

    ruralnurs posted a topic in Nurse Entrepreneurs, Innovators

    I looked for info on the NP section but found nothing so thought I would post here. I am an FNP and recently graduated with post masters psych NP. I have a great job that allows me two 5 day...

  14. Psych nurse practitioner

    ruralnurs replied to bumblebeegaga's topic in Student Nurse Practitioner

    I recently graduated as an FNP in 2006 and just last week finished my post masters as a psych NP. I have had way more interest in me as a psych NP than an FNP. I wanted to work in out patient family...

  15. Any Nurse Practitioners work at a Medical Marijuana Referal Clinic?

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

    We have it in MT and NPs can sign for the "Green card" (as it is known here).

  16. Medical Marijuana Opinions

    ruralnurs replied to SL2014's topic in Arizona Nursing

    A doc in Montana getting in trouble for prescribing practices in relation to MMJ (AKA the "Green card" here)....

  17. Salary, days off and hours

    ruralnurs posted a topic in Nurse Practitioners, NP

    For those that are on salary...if you need a whole day off for whatever, do you have to take PTO (or wathever it is called in your organization) or do you just take the day off and you still get your...

  18. Salary, days off and hours

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

    coreo, thanks for taking the time to respond. the time off is as you explain it. if i work 2 hours i get paid for the whole day but if i need a whole day off i have to take pto. as far as 8s or 10s....

  19. How to contact NPs for shadowing

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

    when i was looking for preceptors i would find someone through advertisements (yellow pages, google the area for nps, etc.) and send them a nice letter introducing myself (resume, some personal info,...

  20. Medical Marijuana Opinions

    ruralnurs replied to SL2014's topic in Arizona Nursing

    "By placing marijuana on another scheduled medication list, doctors could more easily prescribe the potentially useful substance". But then insurance companies, and taxpayers (you and I) will be...

  21. Medical Marijuana Opinions

    ruralnurs replied to SL2014's topic in Arizona Nursing

    Would we save money? It would be taxed and expensive we know that. And most of the folks that would "need" it would be chronic pain, cancer what have you and they would probably be on Medicaid,...

  22. Straight cath vs indwelling question

    ruralnurs replied to PatsFan1969's topic in General Nursing

    not sure how i made two posts, but this one has been spell-checked! the other piece (after thinking a bit more on this) is that the way the new guidelines are, if a person does not have a uti when...

  23. Straight cath vs indwelling question

    ruralnurs replied to PatsFan1969's topic in General Nursing

    ooops

  24. Straight cath vs indwelling question

    ruralnurs replied to PatsFan1969's topic in General Nursing

    There is research out there (don't have a reference right now) that periodic strait cathing is less likly to cause infection than an indwelling catheter. This is a big thing in OB as some docs want a...

  25. Nurse Practitioner and Image Interpretation

    ruralnurs replied to cbott1's topic in Nurse Practitioners, NP

    This is so true. The PA I work with (in a small rural clinic that has an MD come a couple times per month) x-rayed a guy with suspected pneumonia. The radiologist read it as having a "rounded...