dansingrn

dansingrn

PNP, CDE, Integrative Pain Management

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All Content by dansingrn

  1. Questions for those using a pump

    dansingrn replied to SCRN1's topic in Diabetes, Endocrine Nursing

    I don't personally have a pump but....I am a pump trainer and I've done a couple hundred pump starts. I'm so happy that you have the pump! If you don't get off to a smooth start, don't be discouraged,...

  2. How do I become a Diabetes Nurse Educator?

    dansingrn replied to angelm97m's topic in Diabetes, Endocrine Nursing

    I have taken the quote below directly from NBCDE.org, the certifying body for certified diabetes educators. When I sat for this exam, the two years I had spent as a bedside nurse on a floor that...

  3. Quick FNP/PNP Question

    dansingrn replied to revolution's topic in Nurse Practitioners, NP

    During my PNP training, one of my preceptors was FNP first, then went back for PNP for more specialization. I work in a subspecialty where the peds developmental/behavioral background is a huge...

  4. How do you spell relief?P A S S E D B O A R D S

    dansingrn replied to dansingrn's topic in Nurse Practitioners, NP

    If I hadn't gotten the "pass" feedback when I walked out of the test, I'd still be waiting to know if I passed! I still haven't received my official letter

  5. Perception of CNM's?

    dansingrn replied to CNM2B's topic in Nurse Practitioners, NP

    I also trained with a CNM for a rotation during my PNP clinicals. She was awesome. I had the privilege of attending several births with her; what an eye-opening, wonderful experience! As a nurse, her...

  6. My patient died this morning...

    dansingrn replied to vamedic4's topic in Pediatric

    That's a rough one John! It's all worth it though! We lost a long-term patient last week...haven't lost one for awhile. A real reality check for all of us on our team. Made me think back to all those...

  7. Understanding Novolog

    dansingrn replied to IngyRN's topic in Diabetes, Endocrine Nursing

    Our hospital has "room service" type menus. Kids order whatever they want from the menu when they are ready to eat. (No ready-made trays brought at a certain time!) Our menus have the carb content of...

  8. Reuse of lancets, school age child?

    dansingrn replied to linda1959's topic in Diabetes, Endocrine Nursing

    Blondy - Thanks for the link. I teach soap and water, alcohol wipes if water isn't available. The main point here is to get traces of carb off the finger. Instant hand sanitizer kills germs, but does...

  9. Reuse of lancets, school age child?

    dansingrn replied to linda1959's topic in Diabetes, Endocrine Nursing

    The take-home message in this particular point is that there is no infection risk in a patient re-using her own lancets. I am certainly sympathetic to the legal concerns of nurses. After all, I'm a...

  10. Understanding Novolog

    dansingrn replied to IngyRN's topic in Diabetes, Endocrine Nursing

    You could use the "1800 rule" as a guide to give you a reference point. Of course, this would just be for your peace of mind or a rationale if you felt you needed to verify the order with the provider...

  11. Reuse of lancets, school age child?

    dansingrn replied to linda1959's topic in Diabetes, Endocrine Nursing

    Actually, reuse of lancets is a very common practice. The newer lancets that are only 30 or 31 gauge make an extremely small puncture, as opposed to the much larger lance produced by the large lancets...

  12. Understanding Novolog

    dansingrn replied to IngyRN's topic in Diabetes, Endocrine Nursing

    Oops, I meant to say that the 6 units Humalog was to cover the meal. The additional 2 units Novolog was written as "algorithm" per the OP. Either way, still not sure why they are on

  13. Understanding Novolog

    dansingrn replied to IngyRN's topic in Diabetes, Endocrine Nursing

    The Novolog dose was likely ordered to cover the amount of carbohydrate in the meal. It is not based on the current blood glucose level. In other words, the dose is calculated in proportion to the...

  14. How do you spell relief?P A S S E D B O A R D S

    dansingrn replied to dansingrn's topic in Nurse Practitioners, NP

    I do mean the certification from PNCB (Pediatric National Certification Board). In Missouri you have to have certification by one of the national certifying bodies before you can have prescriptive...

  15. Floor paediatric nurses, do you site IVs at all?

    dansingrn replied to Djuna's topic in Pediatric

    At our children's hospital, the floor nurses put in all the

  16. Is this realistic?

    dansingrn replied to Serenyd's topic in Nurse Practitioners, NP

    A couple of my FNP friends work for the chain clinics in pharmacies. (CVS and Walgreen's have them). They make a great salary, and work 1,2 or 3 12 hour shifts per week. The women I know both left...

  17. Specialty question

    dansingrn replied to apoptotic's topic in Nurse Practitioners, NP

    Nurse practitioners in peds have three education tracks and certifications from which to choose: NNP (neonatal), PNP-PC (primary care), and PNP-AC (acute care). Many children's hospitals employ...

  18. DKA- how often do you see the same ones

    dansingrn replied to HyperRNRachel's topic in Emergency

    Have a frequent flier in now, glucose at admission 1226, bicarb undetectable. Discharge from last DKA admission? Five days ago!!!! And patient and his mom both swear he hasn't missed any insulin...

  19. Do you think NP's are "midlevels"?

    dansingrn replied to Dr. Tammy, FNP/GNP-C's topic in Nurse Practitioners, NP

    yes! says it all right there! and the term "provider" works for me. in the heirarchy of things, midlevel isn't exactly inaccurate, but if it confuses one into thinking the level of care is somehow...

  20. DKA- how often do you see the same ones

    dansingrn replied to HyperRNRachel's topic in Emergency

    With DKA frequent flyers the issue is never about basic DM education or lack of knowledge about the possibilities of dialysis, amputations, or other complications. I know we get consults from the PICU...

  21. DKA- how often do you see the same ones

    dansingrn replied to HyperRNRachel's topic in Emergency

    Unfortunately, there are many reasons kids with type 1 diabetes skip their insulin, and its not always to be thin. Depression is a huge issue with chronic disease-and when people are depressed they...

  22. Online program recommendations

    dansingrn replied to bhstarz's topic in Nurse Practitioners, NP

    as the world of technology advances, almost every area of life is affected, including education processes. i graduated in may with my msn, pnp track. i was in an online program. in my program there...

  23. Just got hired into peds!

    dansingrn replied to AR_RN's topic in Pediatric

    Good for you! Congratulations and good luck as you tackle the last of school and take boards. You're almost there! Peds is wonderful, can't imagine doing anything

  24. New nurse's daughter just diagnosed with Type 1

    dansingrn replied to bandas's topic in Diabetes, Endocrine Nursing

    Bandas - congrats on finishing school and taking boards! That's a pretty big load after those 3 sleepless nights and coming to terms with your daughter's diagnosis. I am a peds diabetes educator,...

  25. Curious...using the title "Doctor" for a DNP...

    dansingrn replied to justme1972's topic in Doctoral Nursing Degrees

    I appreciate the poster who would introduce herself to patients as "Hello, I'm Dr. so-and-so, I'm a nurse practitioner." Can't really argue that one. It seems to me that PhDs, PharmDs, JDs, whatever...