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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 pt with one of the docs in my practice. We start...

Jennicurn, feel free to PM me with questions.

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 understand how HIV/AIDS and their medication interfere w...

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 did. They said they would have done the exact sa...

Zenman, Thanks. Enjoying a nice glass of beer right now.

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 rather that they were not part of his network. A...

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 process this. I think the previous responses are gr...

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 ED positions that I came across wanted FNPs. Howeve...

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 resident. Her training and experience is complet...

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 for adults don't do FNP. Don't do it because the...

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 nurses who came from a general peds floor or med/s...

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 NP.

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 hospital. I was hired because I had the mix of my...

Thanks Juan. I never thought of that and it makes a lot of sense.

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 questions/answers, etc.). Rest is super important so that yo...

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 their website and youtube videos. The more I read/...

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 me because I was just let go from my hospital (bud...

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 arrange care with the family to avoid problems. We u...

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, I find myself reading up on peds cardiac stuff al...

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 the RN are allowed. I had an oncology pt, 4 y.o....

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 on a lot of narcotics. However, I did not know h...

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

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 setting was not able to detect an occlusion in the l...

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 director was my advisor in school. So, if it is simil...

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 nights.