TX RN

TX RN

ICU, CV-Thoracic Sx, Internal Medicine

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All Content by TX RN

  1. Independent Practice vs Scope of Practice

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

    There is currently 3 different practice rights as an advanced practice nurse: 1. Independent 2. Collaboration 3. Supervision All above delineated by the Board of Nursing Practice Act which defines...

  2. Competent programs? NP or PA...

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

    CCRNDiva, no need to apologize. I know posting comments on internet boards leave subtleties and nuances from an otherwise friendly tone out and my reponses may seem abrasive. In an effort to keep...

  3. Competent programs? NP or PA...

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

    i'm not sure which part of my post you reference to as validating your opinion. in regards to your observation of specialty mid-level positions, pa's/np's should apply to positions which they feel...

  4. Competent programs? NP or PA...

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

    Again, no need to be offended or get defensive. #1. I'm not defending whatever the nursing profession you think is lacking in advanced nursing education. I'm simply stating an obvious alternative. #2....

  5. Competent programs? NP or PA...

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

    Okay........no need to get offended. Really, go the PA route. I don't disagree with you on the fact of NP students POSSIBLY benefiting from more clinical hours or structured standardized clinical...

  6. Smoking

    TX RN replied to CRF250Xpert's topic in Advanced Practice

    You're a sculpter chipping away. Over the past year I've had at least 5 patients that hvae come around to trying pharmacotherapy for their smoking/tobacco dependance. Yes, it is about the bottom...

  7. Competent programs? NP or PA...

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

    ^^^ THIS As a new provider you face a depth of knowledge unlike ever experienced. The most important thing you should ask yourself is how your 1st job as a NP/PA will help develop you into a...

  8. ACNP Exam

    TX RN replied to spkelly's topic in Advanced Practice

    mpomidor -- only thing I can think of is as follows: Answer the question like a provider, not a nurse. Some questions will offer choices such as, "discuss with physician first," "defer to physician,"...

  9. Waiting on my 85%

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

    I don't mean 85% of reimbursement. I'm referring to a salary that's approx 85% of what an MD with the practice expects to

  10. ICUs in Houston, TX

    TX RN replied to rrdavis86's topic in MICU, SICU

    Houston Med Center Hospital's rock. The experience there is phenomenal. Best of

  11. ACNP Exam

    TX RN replied to spkelly's topic in Advanced Practice

    Review the Barkley material. I did not attend the session but reviewed the study material and passed on my 1st try. It wasn't easy but it wasn't terrible either. Best of

  12. PSA nightmare anyone?

    TX RN replied to CRF250Xpert's topic in Advanced Practice

    I still trend it but I explain to patients that a PSA level means nothing without a prostate exam, and VICE VERSA. Velocity over level should be the focus. The USPTF recommendation does not recommend...

  13. The word is "serendipity'.

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

    I've worked with Crazy before too. Won't ever go back. I recognize Crazies a mile away now though. I learned

  14. PNP programs in the Houston area?

    TX RN replied to bayouchick02's topic in Nurse Practitioners, NP

    The FNP route should cover you. The way I see it, put up with the adult rotation and coursework. Once you have that FNP Certification you can go focus on the peds and forget all the adult mumbo

  15. Frustrating!

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

    Umm.... I would totally go over their heads. Patients come first. Rules....., yeah, they're in place to keep "fraudaluent or illegal" activities from occuring. I would absolutely challenge "rules"...

  16. OA vs Rheumatoid arthritis

    TX RN replied to Blackheartednurse's topic in General Nursing

    OA is typically unilateral. RA is usually symmtetrical, typically to the small joints. X-rays, physical exam and serological tests (RA factor, CRP and others) are used make the diagnosis. In the...

  17. Lab Interpretation

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

    +1 to what JDLC said. ^^^^ Epocrates is your

  18. Number of patients per day??

    TX RN replied to max66's topic in Nurse Practitioners, NP

    12-15 mostly chronic with a few acute visits sprinkled in the mix in a primary care clinic. The chronic care visits are 30 minutes and acute 15 minutes. We practice preventative care and do not...

  19. Got USAF HSPS, nervous about FNP role

    TX RN replied to FNPdude74's topic in Nurse Practitioners, NP

    Hey NW74. Congrats on the scholarship. I don't think I've heard of an "unofficial internship" before but then again there's more than one way to skin a cat. Here's a few suggestions that may ease...

  20. Those of you in inpatient/specialty practices...

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

    My formal training is as an ACNP. RN experience is in ICU. My current specialty is thoracic surgery. I enjoy low volume clinic days but make up for it with sometimes high acuity inpatient rounds. I...

  21. I figured out what my unit manager job really means.

    TX RN replied to SuesquatchRN's topic in Geriatric, LTC

    Sorry to hear about the tough situation. Unfortunately I've been there myself. In retrospect things seem much easier to me now than they did when I was actually in those situations. Best advice I can...

  22. MD Anderson New Grad Nurses Jan 2010

    TX RN replied to facastaneda's topic in Texas Nursing

    Great choice. Aside from MDACC being a state of Texas institution (which qualifies you for great state benefits), it's also a fabulous place to learn and work. January is not far away to not have...

  23. First Assist Program at Angelo Stae

    TX RN posted a topic in Operating Room

    I'm looking for an on-line course I can enroll in. Looking for a well structured program and came across this one. Anyone have any experience with it? Any other recommendations? I have zero OR...

  24. Corrected Serum Calcium

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

    I can probably best explain it by presenting an example. Patient W has the following lab values Na 140 K 4.0 Ca 7.4 mg/dL Albumin 1.2 g/dL Now, the question is should you replace the calcium? The...

  25. How much to LVNs REALLY make just starting out of school in SA??

    TX RN replied to smjones0130's topic in Texas Nursing

    I attended Galen back in 2000 and the total cost was just a tad over 10k. I worked ata local SA hospital right after graduation for $10.50, that's with my night shift! LOL The value in attending the...