TX RN

TX RN

ICU, CV-Thoracic Sx, Internal Medicine

Member

  • Content

    255

  • Visitors

    9,198

  • Followers

    0

  • Likes

    2

All Content by TX RN

  1. Just saying no to drugs.

    TX RN replied to BlueDevil,DNP's topic in Nurse Practitioners, NP

    You know, I like the question you ask. "Are you more flexible if the patient is a health care provider?" I have had this happen to me, health care providers ask for unreasonable prescriptions. And...

  2. Help! Contract negotiation

    TX RN replied to zlo49's topic in Nurse Practitioners, NP

    Juan is right on the money with this. No pun intended. I have a moonlighting job that pays by encounter, but I am an employee so they cover malpractice, 401k and social security tax. The latter is...

  3. Now I get why experience means everything yet nothing

    TX RN replied to bsnanat2's topic in Nurse Practitioners, NP

    ^^^ This. I agree with an increase requirement in NP program clinical hours. But you can add to this STANDARDIZED clinical rotations. Not this, "find your own preceptor." Geez, looking back I am so...

  4. Now I get why experience means everything yet nothing

    TX RN replied to bsnanat2's topic in Nurse Practitioners, NP

    ZING!!!!

  5. Must-have reference books?

    TX RN replied to gapeach427's topic in Nurse Practitioners, NP

    Anyone have a good pharm reference for

  6. Going from a "retiring" certificate to a "new" certificate

    TX RN replied to traumaRUs's topic in Advanced Practice

    Last thing you need is ANCC retiring the FNP cert too. I'm ACNP but I'm also considering doing the FNP post grad cert. I work in a clinic with rounding in the mix, all adult, mostly geriatric. Trauma,...

  7. Thailand Nurse Practitioners

    TX RN replied to zenman's topic in Nurse Practitioners, NP

    A recruiting service contacted me several months back regarding an opportunity at private Singapore Hospital. I know it's not Thailand, but it's in the

  8. ANCC Consensus Model - Did everyone get their letter today?

    TX RN replied to traumaRUs's topic in Advanced Practice

    Yep, got mine as

  9. Admitting Privileges for NP's

    TX RN replied to j3j2jones's topic in Nurse Practitioners, NP

    No one said they can't. The point in contention is whether a NP can admit without a physician being assigned to the patient as dictated by federal law for the hospital to be in compliance. The...

  10. Admitting Privileges for NP's

    TX RN replied to j3j2jones's topic in Nurse Practitioners, NP

    Is this question directed at me? It's a quote from the link provided. And yes, it's pretty clear that it is CMS hospital regulations. Read the article in it's entirety, if you haven't already, it's...

  11. Admitting Privileges for NP's

    TX RN replied to j3j2jones's topic in Nurse Practitioners, NP

    "NPs are not free to take over the care of hospitalized patients on their own, however, even in permissive states like Oregon. A physician must be involved in the process of care for hospitalized...

  12. Biggest obstacle, BON or BOM?

    TX RN replied to CraigB-RN's topic in Nurse Practitioners, NP

    In Texas the BOM is the biggest hinderance. APN's in TX have to practice under delegated rights to prescribe and diagnose. Because of the delegated oversight, any time scope of practice comes into...

  13. LOST Accreditation

    TX RN replied to d419's topic in General Students

    Means you better look to transfer to a different nursing program. If a nursing program loses accreditation their graduates are not eligible to sit for licensure

  14. "If I Knew Then What I know Now" -Med/surg-to-CCU

    TX RN replied to webmansx's topic in CCU, Coronary, Cardiac

    Yes, you have to have a minimum of 2 years of critical care experience to sit for the test. You can always prepare in advance though, so you're ready to test right at the 2 year mark. Having rhythms...

  15. Frustrating!

    TX RN replied to AngelfireRN's topic in Nurse Practitioners, NP

    There's no mention of a name, so I really don't see where there's a privacy issue. Or did I miss

  16. Admitting Privileges for NP's

    TX RN replied to j3j2jones's topic in Nurse Practitioners, NP

    NP's have admitting privileges. However, as Trauma has pointed out, federal law under CMS guidelines dictates that ALL hospitalized be under the care of a physician. It doesn't mean NP's can't round...

  17. Waiting on my 85%

    TX RN posted a topic in Nurse Practitioners, NP

    So in working at an adult internal medicine clinic, over the past 6 months the following has become quite clear: 1. I see the majority of patients and take ALL the triage calls. On average see 5 for...

  18. Waiting on my 85%

    TX RN replied to TX RN's topic in Nurse Practitioners, NP

    First year with the practice. Thanks Ivan. Yeah, it's a good place to learn and work at. I definitely plan on making a strong case come evaluation time. It's time to start working on my

  19. Journal Club or M&M's for NP's?

    TX RN posted a topic in Advanced Practice

    Anyone out there part of a Journal Club or M&M group? I'm hoping to piece together information on the best way to approach implementing one (or both) for the mid-levels in my practice group. I...

  20. NP productivity pay per patient

    TX RN replied to jewelARNP's topic in Nurse Practitioners, NP

    Seems a bit low to me. A NP friend makes $35 per patient. She does not does not take any admissions but does discharge patients. Discharged patients are extra, I think $20-30 more for dictating...

  21. Journal Club or M&M's for NP's?

    TX RN replied to TX RN's topic in Advanced Practice

    Yep, JDLC, that sounds like a great gig. Either that or you're a helluva

  22. Cleaning Pts with Broken Backs

    TX RN replied to Jackfackmasta's topic in Critical Care

    Log

  23. Question re: OG tube - New in ICU

    TX RN replied to cm8816's topic in MICU, SICU

    I agree with core0 Orally intubated pt's can still aspirate with improperly placed NGT's/dobhoffs. Air leaks can be eliminated with more cuff pressure. Questionable placement of a line does not mean...

  24. AACN ACNP exam

    TX RN replied to ICURN73's topic in Nurse Practitioners, NP

    Check your' state board. Some state boards specifically list which certifying body they will accept credentialing

  25. Help finding fellowship/residency

    TX RN replied to ombar's topic in Nurse Practitioners, NP

    MD Anderson Cancer Center in Houston, TX has an oncology fellowship. See link....