anh06005 MSN, APRN, NP

When you say you WILL NOT TOLERATE discussion of topics you deem inappropriate what do you do when these topics come up? I do see where kraken is coming from. It does almost seem that you think you are better than some of them for being so mature. If...

OB/GYN would mean you'd need post masters certification program for midwifery. If you don't want to deliver babies women's health post masters program would open more doors in GYN clinics. You can do a lot with FNP if you have proper TRAINING in the...

If you loved working with developmentally disabled you may be able to find a RN job there. We have some developmentally disabled schools around my area who hire RN's. Possibly school nursing you'd get some as well. Or some of the private duty nursing...

STETHOSCOPES (not sure if a typo or what. I do like saying stephoscopes better though) Anyway general consensus will likely be Littmann preferred then it depends on how much you want to spend. Bare basics will likely be the Classic line of Littmann (...

I am able to use my adult stethoscope on kids easily. Youngest I've seen recently was 9 months I think. So it's probably not 100% necessary. The Littman Cardiology 3 and Master Cardio have ways to give you a peds head if you are interested in upgrad...

I wasn't sure whether to post this here or the NP forum but I figured you guys might know more overall.... I will be working partly in a new school based health clinic to open in a few weeks and I didn't realize until today that it is meant to see ki...

The more I find out about these places the more interesting they sound! The clinic we will open will have a provider 5 days a week and be open to the public (the school probably couldn't give us enough students considering how small it is). I have p...

Definitely talk about it. It sounds like you will get HHA on the job training. Usually to get certified you go through an actual accredited training program like a CNA (I'd assume). HHA work can be taught on the job but remember to ALWAYS notify the...

Around 6 months I was still nervous on my first unit (cardiac step down) as well BUT I didn't start feeling like you did until a few months later. At about 9 months I went from nights to days but shortly after this switch they bumped up our ratio and...

Yes. Anything done IV (other than an occasional IV Lasix) is usually supplied and managed by a home infusion company. I assume they will have a small bag pump and I SURE hope the patient has a PICC or other central line. The home health nurse does go...

I just came back to this on my bookmarks and resized I never really even addressed the OP.... All you can really do is remind the patient it is not time for the pain medication, try to talk and take their mind off things, etc. I they continue to get ...

If it is a PRN order it is NOT our job to give it every 4 hours. We can give it up to every 4 hours AS NEEDED. Even scheduled meds usually have a 15-30 minute window before or after the due time as it is impossible to give 5 patients 0900 meds at 090...

As others have said the AACN (college accrediting agency) can do what they want but until the STATES require a DNP (and last I heard there were ZERO that do) the MSN will still be around. As a PP mentioned it's similar to RN diploma and ASN vs BSN. B...

Nope. ZERO states are considering to make DNP entry level. ZERO. Yes there are TONS of DNP programs popping up but they are NOT necessary. MSN is still entry level for NP now and in the foreseeable future. For CRNA they are moving that way but I t...

I think we could be long lost twins. Except I'm INTJ.

I agree with getting your medical records. There should be medicine administration records and assessments with the nurses information. With it being 18 years later it's possible the nurse manager may be helpful but not sure they could give you infor...

I agree with Dranger that it is very individual but I also agree that NP's with a decent amount of bedside experience have a different take on patient issues. I am FNP and if my nurses are busy taking care of phone calls and checking patients in I w...

Check liver. Liver can affect coagulation and cause mental status change especially if ammonia levels rise

I agree with this. You NEVER know when someone may have projectile vomit or BM or how far snot can fly from a coughing trach'd patient. You want something you can clean easily and throw away if needed. During codes you sling stuff around like its nob...

I'd also like to add that when patients are ill and under stress (like in the hospital) their blood sugars can go very crazy especially if they are getting certain other meds like steroids. You're basically chasing it all over the place but it won't ...

And my clinics currently do a combination of paper and EHR as some of the old docs are resistant to the change and won't give up paper....

Paper charts typically just have tabs so I don't think there's any way to learn it besides messing with the charts in the clinic. You might ask for some sample forms you use so you become acquainted with your documentation. Make sure you have a good ...

So I have a lab coat that is embroidered (black thread) and it looks icky. Discoloration at the neck (I assume from hair oils) , at ends of sleeves and random ink around the pockets. Any of y'all have good ways to get your whites white again without...

Never thought of scotch guard! How often is good to re-starch it? And I figured OxyClean. Wasn't sure if there were any other magical things out there. How long do you usually let it soak? I never cared about my whites as a student. Now my office mak...

I'm primary care but still wanted to chime in... Had a patient come in complaining of a horrible incident (won't get into specifics) and anxiety since it occurred. Checked on the drug monitoring site and had 7 pages of oxy, hydro, Ativan, Xanax, etc....