lvan0904

lvan0904 has 6 years experience and specializes in Adult NP- post acute care.

Latest Activity

1. Career change: nursing home to primary care

   lvan0904 posted a topic in Nurse Practitioners, NP

   Hello, I have accepted a primary care NP position with a VA affiliated clinic. I have been working in a nursing home providing care to residents with acute & chronic diseases for nearly 3 years...

2. I want to move Texas as a new grad NP. Need advice

   lvan0904 replied to britt_possible's topic in Nurse Practitioners, NP

   Have you talked with any locums agencies? You could take a short term assignment in Houston or nearby region to see if you like the area before settling in permanently. I'm planning on moving to San...

3. Lateral violence. How did you handle it?

   lvan0904 replied to lvan0904's topic in Nurse Practitioners, NP

   Castelgates, To my defense, I had a rough week and I was fed up with the level of disrespect encountered at work. I would never address an NP (or anyone regardless of title/position) in the manner of...

4. Lateral violence. How did you handle it?

   lvan0904 replied to lvan0904's topic in Nurse Practitioners, NP

   Jules, I'm not fighting hard to stay in this work environment. I asked how others handled this type of experience, in hopes of learning from it and avoiding it in the future if possible. I am...

5. Lateral violence. How did you handle it?

   lvan0904 replied to lvan0904's topic in Nurse Practitioners, NP

   Mavrick, I have addressed each instance in a firm and assertive manner. There have been multiple occasions. I have first addressed the instances with staff, then went to unit managers, then went to...

6. Lateral violence. How did you handle it?

   lvan0904 replied to lvan0904's topic in Nurse Practitioners, NP

   Hello Spidey's mom, Some examples include: Confrontation on several occasions where staff raised their voices & verbalizing rude comments, refusing to follow through with my requests, gossiping,...

7. Lateral violence. How did you handle it?

   lvan0904 replied to lvan0904's topic in Nurse Practitioners, NP

   Hello Springchick 1. Yes. I've addressed it with them and the DON & administrator. I was reassured that they would address the situation on 2 separate occasions. It was implied that I was "too...

8. Lateral violence. How did you handle it?

   lvan0904 posted a topic in Nurse Practitioners, NP

   Hello, I have encountered several situations as a newer NP. I went into this field naively when I assumed that I would have a decent amount of respect from fellow NPs and among...

9. direct hours experience

   lvan0904 posted a topic in Nurse Practitioners, NP

   Hello all, I wondered what your experience was like when you obtained direct hours from an NP and or MD. I was in a busy primary care office and saw pts, provided my assessment findings, dx & tx...

10. New NP @ post acute care setting---need advice!!

    lvan0904 replied to lvan0904's topic in Nurse Practitioners, NP

    Thanks for the input OregonGNP23!!! It's comforting to know that someone else can relate to my concerns. I was starting to question whether or not I had too high of expectations for staff & for...

11. need advice again...please give input

    lvan0904 replied to lvan0904's topic in Nurse Practitioners, NP

    Would Alk Phos be elevated in the 300s from a fx? I'm just wondering.... I'm not sure if I checked her thyroid to be honest, but good point. Na level was WNL, no s/sx overhydration. Thanks Teacher...

12. need advice again...please give input

    lvan0904 replied to lvan0904's topic in Nurse Practitioners, NP

    To pt's knowledge she never had elevated liver panel labs. No previous work up (liver function) from the hospital was sent over. The elevations in Alk Phos, ALT & AST came at a surprise and the pt...

13. need advice again...please give input

    lvan0904 replied to lvan0904's topic in Nurse Practitioners, NP

    Thanks for the input. Consulted w/ collaborating doc. Statin was d/c'd & Hep B & C panel ordered- results still pending. Pt will be d/c'd home tomorrow. PCP to f/u on Friday & our labs...

14. need advice again...please give input

    lvan0904 posted a topic in Nurse Practitioners, NP

    Hello all, It's me again, the newer NP stationed at the post acute care setting....Please have mercy on me, as I have another question and I need your advice!!! A resident c/o fatigue so I ran CBC...

15. Urine dip=> + blood, negative nitrates

    lvan0904 replied to lvan0904's topic in Advanced Practice

    Thank you for being so kind!!! As a new NP I second guess myself quite a bit. To make matters more complicated, I am stationed at this nursing home by myself so I don't have another NP or an MD to...