lvan0904

lvan0904

Adult NP- post acute care

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All Content by lvan0904

  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 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...

  5. 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...

  6. 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...

  7. 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,...

  8. 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...

  9. 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...

  10. 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...

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

    lvan0904 posted a topic in Nurse Practitioners, NP

    Hello everybody, I am a new NP, been on the job since 11/2013 at post acute care in a small nursing home. Although I enjoy seeing residents and meeting the challenges of my job, I am ready to pull my...

  12. 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...

  13. 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...

  14. 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...

  15. 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...

  16. Urine dip=> + blood, negative nitrates

    lvan0904 posted a topic in Advanced Practice

    Hello, I am almost too embarrassed to ask this question, but still bold enough to do so- even though I may get mocked or criticized by some readers. So here it goes: I am a new Adult NP working in a...

  17. 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...

  18. New NP's....What was your job offer?

    lvan0904 replied to TheDude77's topic in Nurse Practitioners, NP

    November 2013, Ohio, post-acute care $88,000. No weekends, no on

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

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

    Thank you traumaRUs. I appreciate your feedback. I am coming from a hospital background and the post acute care setting is managed quite differently. They use paper charting and the rules and...

  20. Urine dip=> + blood, negative nitrates

    lvan0904 replied to lvan0904's topic in Advanced Practice

    Thank you. I am following up w/ this resident tomorrow. It was a long day and I was starting to question my treatment approach. Thanks again for the input. I'm sure I'll be posting more questions in...

  21. new NP starting job at nursing home

    lvan0904 posted a topic in Nurse Practitioners, NP

    Hello everyone Wondering if I could get some advice as I will be starting a new job at a nursing home (recent grad ANP 5/2013). I am wrapping up with my direct hours (500) and will begin my...

  22. Collaborating physician problems

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

    I wish you all of the best in finding a job that fits your needs. Sounds like you shouldn't take what happened to you personal as this physician doesn't have the best track record w/ other NPs &...

  23. Disrespectful

    lvan0904 replied to martymoose's topic in Patient, Colleague Relations

    I had a patient complain that I "didn't make good eye contact" and I "seemed busy". Really? I seemed busy? Probably because I had 6 patients with barely any help from ancillary staff. Forgive the lack...

  24. NP with question about salary off - 80K too low?

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

    I have been interviewing in Akron OH and I have been offered $85,000 with no tuition reimbursement. We negotiated the salary and vacation time ($80 to $85K and 2 weeks to 4 weeks vacation/year) but I...

  25. Can anyone relate to delay in providing employee contract?

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

    I was told that I could start in July, then they told me that hospital privileges can take months to process so I should be able to start in Sept. or October (which I can understand). But I still did...