hubcaps

hubcaps

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  1. So today, I was accused of "poaching" patients by a PCP. Here's some background information. I'm an ID NP and we were referred by this PCP for a pt that needed HIV care. I've been co-managing this...
  2. Jennicurn, feel free to PM me with
  3. Why would the PCP have a better overall view? We always update any changes with the patient (e.g. diagnoses and medication). I can easily argue that we can have better overall view because we...
  4. Quick update. The PCP called one of my docs and he said he would no longer refer any of his patients to us. This was based on one patient. After reviewing the situation, my doc's agreed with what I...
  5. Zenman, Thanks. Enjoying a nice glass of beer right
  6. Thanks for the response Juan. I totally understand what you are saying. I just felt that the PCP was more focused on his self interest than the patient. He wasn't mad that I made the referrals, but...
  7. My first ever patient passed away..

    It is great that you are seeking advice from various sources because you'll get so many different responses. Everyone process death/grieves differently so there is no easy answer to how you should...
  8. FNPs in the Hospital?

    No you are not... at least right now. I am a FNP and I care for both inpatient and outpatient. If you want to do ED, FNP may be the way to go because you are trained in both peds and adults. Most...
  9. Very wrong. What I am about to say is from my experience and observations. My sister is a ped rheumatologists. I was in nursing school when she was in med school and I was a new nurse when she was a...
  10. Going a back to the original question, I would say go for a PNP program. I get asked this question a lot from my friends because I was a PICU RN and I am now a FNP. If you have no interest in caring...
  11. Staying in critical care after new grad

    I started as a new RN in the PICU. If it is what you want to do then just start off in the PICU. I've trained many new nurses and nurses transferring to the PICU. I've had the most difficulty from...
  12. Congrats! Not only does it feel good to pass, but also to realize that you don't have to take any more of these types of tests. Good luck with being a
  13. Here's a little background on myself. I'm a new grad and I just started a new job with ID. Initially, I'll be seeing patients in the clinic, but the group wants me to eventually see patients in the...
  14. FNPs doing inpatient care

    Thanks Juan. I never thought of that and it makes a lot of
  15. I agree with zenman. I wouldn't do any more practice exams/questions. If you haven't done so, look at why you may have gotten the questions wrong (e.g. weakness in certain areas, misread...
  16. Has anyone here done ICHF/baby heart mission?

    I just got accepted. I'll be going for a two week trip at the end of Sept. I'll try to post trip report. I'm a little bit afraid that I'll get hooked. Mary Jean, if you haven't already, check out...
  17. I've always wanted to do a PICU mission trip, so on a whim I applied for baby heart. I immediately got a response saying that there are some spots available for next month. The timing works out for...
  18. men in pediatrics:) thoughts?

    Hayden, I've been a PICU RN for over 5 years and I can't imagine myself being anywhere else. I rarely run into problems being a male nurse. My hospital has a lot of Muslim patients and we always...
  19. Has anyone here done ICHF/baby heart mission?

    Thanks for the quick reply. The timing is perfect for me since I'll have no commitments with work or personal life. I was actually ready to end my PICU career since I just finished my FNP. However,...
  20. Morphine PCA

    I have a question about your hospital's policy on morphine or any other narcotic PCA. Are family member every allowed in your hospital to push the button? I've always been taught that only the pt and...
  21. Morphine PCA

    Thanks everyone for the replies. Merlee I do believe that the lockout would keep this pt safe. Toddlers may be able to use a PCA, I am surprised that toddlers can use ipads and iphones. She has been...
  22. Alaris pumps

    Unfortunately that won't work with our setup. There is a disc below the chamber that is connected to the spike which prevents back
  23. Alaris pumps

    Can anyone explain the pressure limit settings? My hospital switched over to them in December and alaris failed to inform us of this option. I had a kid on a heparin drip and the default pressure...
  24. Rush MSN Program.

    The GEMs program is essentially the ABSN with 3 extra quarters. I think the extra classes and clinicals are in leadership and management. At least that's what it sounded like to me. The program...
  25. Rush starting pay

    I started in march, it is 25.25. I don't think they've raised it to 25.50. You get about $4 more for