anh06005 MSN, APRN, NP

Cardiac, Home Health, Primary Care

Member

All Content by anh06005

  1. anh06005

    Are ER Patients Getting More Ridiculous?

    We get similar needy people in primary care so it is about wherever you go really. Mom brought kid in for a cough. Was seen a couple of weeks before and give nasal steroid: Me: "So is the cough at...
  2. anh06005

    Which nursing schools can accept me?

    I'm not from California but I can say that it's impossible for anybody here to tell you what schools you can get into. All you can do is apply to any and all schools you meet admission criteria for...
  3. I know this topic is a few weeks old buuut in case anybody else reads it I'll chime in! If you applied and listed your experience as med surg then the hiring manager already knows you do not have tele...
  4. So I have been working on a cardiac/step-down unit for almost 2 years. While I enjoy what I do the atmosphere has gone downhill (FAST) the last few months. Ratios were increased, we have sicker...
  5. anh06005

    Be honest, what pt behaviors do you find annoying?

    Do they think we have some vacuum to suck poop out? Or have some secret move that only we know to make them poop RIGHT NOW?? Had a home Heath patient call with complaints of constipation. Her stomach...
  6. As some have said I'd call the BON before freaking just to see if there WAS a complaint. Even if they won't give you details they should tell you if there is one filed. If there is not one filed I'd...
  7. anh06005

    New NP-Negotiating a Salary

    I actually do my notes and the coder looks at our notes to see what we qualify for. I get a good chunk of 214's but there are times you just can't really get to that. I tried a different routine of...
  8. anh06005

    New NP-Negotiating a Salary

    I work in two clinics. One of them has 5 docs who are used to seeing an INSANE amount of patients. I am at this clinic to see walk ins but since the docs see a crazy amount the patients often want to...
  9. anh06005

    New NP-Negotiating a Salary

    This!! I just finished my first full quarter and I cost the office $3k (as in they LOST money on my work). I have been there 5 months and only started seeing and billing for my own patients about 4...
  10. anh06005

    The core of home health care..

    You're probably asking the OP but I'll respond too in case you're mulling over HH and just curious.... I left it after 3 years because I graduated and became a NP so moved over to a
  11. anh06005

    From an MD no less!!

    My thoughts as well: quantity vs quality. I especially feel this way being family practice. I am not an expert in everything. I know common issues and treatment for these but there are times I want my...
  12. I think Dr. Google can take some credit for these issues too. "I've read about *insert disease here* and it fits ALL of my symptoms. I need the work up." Had a patient say they called a "cancer...
  13. anh06005

    What nursing task do you loathe???

    Phlegm Teeth/nasty mouths (even just seeing a loose tooth wiggle) Eye injuries Nail injuries I can handle about anything else but these make me cringe just thinking about
  14. RNs and BSNs run into the same problem - it's not all about education. Yes. So much of nursing is being able to apply the knowledge you have to gain real life
  15. To add: I also think LPN's should be used to their full abilities rather than pack mules for the med cart or calling in scripts at a doctors office. If given the opportunity to gain the right...
  16. LPN programs typically take a year or so (or the one here does) so a year of prerequisites could be done pretty easily to make it an associates. If BSN became the norm for RN's then that's what...
  17. anh06005

    The core of home health care..

    I always loved those moments too! Finding a patient taking 2 beta blockers and HR in 50's (hmmmm...wonder why??). Mentally slow patient has 2 bottles of Coumadin and takes one out of each (while each...
  18. I like what some other posters have said: Associates for LPN Bachelors for RN (but with more focus on clinical like in diploma programs) Now before anybody takes it the wrong way all nurses would be...
  19. anh06005

    Jane Doe, RN, AAS, BSN, MSN, CCRN BFD

    I sign my name with only APRN. Those who need to know should understand that means I: 1) passed my certification exam to be an APRN (FNP in this case) 2) possess the appropriate degree 3) have the...
  20. anh06005

    Disappointing final clinical rotation

    And that's all you can really do! Unfortunately all units have slow times. Chances are it (PACU experience) won't contribute much to your med surg position you have waiting besides assessment and IV...
  21. anh06005

    Most ridiculous ED c/c

    Thanks Rose Queen! I couldn't remember the title of that thread but I have loved it when it pops back up to the top of the forum. I haven't worked ER so can only imagine....working primary care has...
  22. anh06005

    This is a placenta...

    I dunno about everybody else but placentas (while amazing as y'all have pointed out) are also....creepy/gross to me for some reason. Surely that cannot be the most memorable part of having a...
  23. anh06005

    Disappointing final clinical rotation

    PACU, OR, and cath lab are different beasts. You can get some cool stuff. Some action. Some coding patients. But considering you aren't dealing as much with 5 different patients with 5 different...
  24. anh06005

    Quit during orientation

    Me and about half a dozen of my classmates all worked at the same hospital - one of the largest in my state - as SNT's. When we graduated NONE of us got hired because something had happened and they...
  25. anh06005

    Follow up after annual physical

    I usually discuss things over the phone unless there are several things to discuss or something serious that may need some discussion (crazy a1c, questionable mammo, etc). If it's just general med...