TheFuture09

Can someone advise on which one if choosing for this as a bigger reference book for in office. I will still get the smaller ones mentioned. I know they are similar, but which is preferred by you if you choose to respond. 1. FERRIS CLINICAL ADVISER 2. CURRENT MEDICAL DIAGNOSIS AND TREATMENT Thank you Thanks for your feedback! I really appreciate it.

Thank you for your feedback. I do appreciate it. Good to have! Will look into it for sure.

Wow! This looks like the type of book I am looking for. I like the organization. It kind of is similar to "Current Medical Diagnosis and Treatment book" Have you personally used it or do you currently use it now? Good day! Oh do you think its to big in size? Does it help you alot in day to day clinic ?

I will check this out. I really appreciate your feedback. Thank you!

Can anyone recommend a good reference book to have in clinic for family medicine/primary care? I really need something good. Something that can give you good quick clinical guidance when needed? I do have Epocrates, but just like to have my hands physically on things sometimes Thank you

Medicare Wellness exams, is a thing now. Can anybody provide any helpful templates/links or give me any pointers on how to go about? Thank you

Question I have a question for TEXAS nurses. When working under a private doctor, even with your DEA what are some medications you will Not give? Also, what are some clinical things to clarify with a private doctor to avoid confusion in the future? Thank you

I have a question for Texas nurses, ma’s, providers; because it’s become a concern. 1. Can medical assistants “draw up” vaccines in Texas ie: COVID 19 vaccines???? According to my research they are trained and checked off drawing and administration. I just want to clarify due to some stating “I can administer but I can’t draw”. FYI; in this setting there is an LVN RN and NP present as well. I don’t see a clear answer to this on TEXAS board of nursing and just want to see if someone could show me where or assist. Thank you

Sooo question, Your actively treating PCOS patients in your family medicine clinic and endocrine disorders? I don’t know, I think your being somewhat unrealistic in your comments. I am only asking for guidance and direction when it does come to referring-not everyone practice the same. Yes I would check all those other items; but I will also let them check in with a GYN/Endocrine according to abnormalities in labs/imaging/test to explore all options best for them. There is a reason they are specialist as well.

There are different reasons why we can and should send to specialist after we have done what we are comfortable doing. It is at our own digression depending “on the scenario”. the scenario was stated above. Thing such as Irregular menses, heavy menses, amenorrhea, etc

Yes I do know why I did. Is there a problem with just wanting more clarity? I am asking a question for people who want to help. thank you Thanks for the information. Truly appreciated. Just wanted some clarity for direction when it comes to this kind of patient.

Yes! Always! Just want to see if someone can help me differentiate a little better. I know they can refuse; but for my own knowing of direction to take it helps to have a little mental picture of which direction for those particular labs. Sometimes the labs are kinda mixed a little elevation of each.

Question to my Nurse Practitioners in family medicine: I often have this question. How do I know when to send patient to endocrinologist vs gynecologist? I am always confused. I check thing such as: LH and FSH PROLACTIN DHEA TESTOSTERONE LEVELS when checking these ; and they are elevated; where do I send the patient. Simple terms please. example: elevated DHEA AND IRREGULAR MENSES thank you

Good idea. Thanks for responding-I will def consider just doing urinalysis. What about Leukocyte of 75 and no symptoms. Or protein of 2+ ; when are you concerned about leukocytes and proteins?

Understood! So basically I should tell her to come back when her menses has completely cleared? I guess for me I panic sometimes when I see that and want to be more calm about it.

Can I also add an elevated Leukocytes , what level is to high on a urine dip that warrants a urinalysis? ie: Leukocyte of 75

I am not a bedside nurse. Advanced Practice Provider. Yes, makes sense in regards to recent menstrual. Thanks!

Hello nurses, This is for those who would like to help. I just want genuine people to answer. When receiving a urine dipstick results back in a family medicine clinical setting! What do I do about blood. For example Blood 3 ERY/MicroL. All other things normal. She did end her period about 2 days prior to this blood work. I just want to know when do I need to do a full urinalysis and when I should be like the urine "looks good". If someone can explain this to me I would really appreciate you. I don't like to see these things and be panicked! thank you.

I like how you put this! and CONGRATS on your DNP and PHD! I do want to do it, I just don't want pressure like sensations. I don't mind starting a family first-like doing it slowly! Opening my businesses outside of healthcare ! I don't know if I have any interest in going into administration/publishing honestly...its nice but I don't care for the politics that comes with any of that life.

WOW!! I do like how you put that. I think I feel some of your way to. As I said—sometimes I consider PHD in public health and things of that sort as well. Just me! I feel a mental pressure you get when people are running towards DNP—but I don’t usually hear a purpose or them moving anywhere in leadership within their institution and etc. I get it, long term “just in case”. We will see! I have never thought it was good to just copy others without my own purpose.

Yes I want a terminal degree, but not for a title only. Before DNP got famous I did not think I would go for that. Maybe a PHD one day down the line. No, I have not seen to many say they are paying much more for it. Even in bigger institutions. Being called doctor—yes! Not bad, but I am still an NP. I can’t disagree that respect won’t be granted—but I also respect any NP because I know what they do and they don’t have to have a DNP to earn my respect. Although I get what your saying as far as respect in other ways. I also know a few DNP that has not worked a day as a NP. Not that they can’t get experience down the line, but I take pride in my about 5 years of knowing what I am doing confidently as a clinician.

Good morning. Thanks for your message. I am in my early 30’s. I live in a busy city-suburb city in Texas. Yes people are getting their DNP. Not everyone but Most def some. A lot of reasons I hear is for titleee; very few tell me they actually want to go up in leadership within their institution Or be an educator. I don’t want to do neither of those. My own clinic, maybe! I feel like it makes me nervous, but it’s something I don’t truly want to do. I can work as an NP and get places I need to get and open businesses I would like to open. Just saying! I am not saying I will never go back, but I don’t want to be extremely stressed about it. I rather start a family first and do it slowly at one point in life I do. I have about 5 years experience as an NP.

Hello there Just a question. I am currently an FNP. I honestly had no interest in going for my DNP in the speed or with the stress level of my BSN / MSN. So basically I might do it, but it would be slowly and at my own pace. Now, considering I don't plan to teaching in academia and I don't want to go up with leadership in my institution (not that I don't want to within my group, clinic, but not within the whole institution), is there a reason For me to do this DNP?? To be honest when chatting with colleagues I get a sense of "I'm doing it because of a title". Which I don't want to do. Will this be REQUIRED at some point? How should I take getting my DNP?

Hello my colleagues I was just wondering if anybody had any information regarding “AANP” CEUS. I went the family medicine route. I am always seeing/finding CEUS that are for or approved by ANCC. My certificate is time for renewal and I just need guidance. I am getting nervous! Where do you get most of your CEUs? Where can I get appropriate CEUS for AANP? I have not always had a job so it was not easy for me to go to conferences using CEUS. Please message me or respond to me. Thanks.

Thanks. I am not sure if we have a mentorship program ; but I will ask around and try to get connected to organizations, no problem. I have heard about it! I will look into and try to sign up. Thanks a bunch Not a bad suggestion will see where I can find organizations that support. Thanks