Dave ARNP

Dave ARNP

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All Content by Dave ARNP

  1. Xenical... What do you think??

    Dave ARNP replied to Monica RN,BSN's topic in General Nursing

    I think it's as effective as any of the weight loss drugs. Some of my patients haverealyl good luck with, others find no real change. I would say the average weight loss is about 20lbs. Ofcourse,...

  2. Any Independent NPs?

    Dave ARNP replied to jeffb's topic in Nurse Practitioners, NP

    I would be independent in a heartbeat. BUT... SBON regulates that and were soo far from legislation to let NP's do that, its sickening. I am in a collaborative agreement, one MD and me in a...

  3. Paxil Evil

    Dave ARNP replied to JDPARIS's topic in General Nursing

    Paxil and Prozac tie for the second place on SSRI's that are the hardest to get off of. First place would go to Effexor/XR. It can be done, it just takes proper tapering, and occasionally a switch...

  4. Epidurals and attending in house

    Dave ARNP replied to L&D_RN_OH's topic in Ob/Gyn

    No OB in house. Some live quite a bit away and if this were required, someone would have to take house call every night.

  5. Fentanyl placement?

    Dave ARNP replied to ohbet's topic in Pain Management

    TELL ME somebody didn't do this................. Please?

  6. Ideas to avoid being wrongly labled

    Dave ARNP replied to angelbear's topic in Pain Management

    Stadol and Nubain are what's called mixed opioid antagonists. Basically, you get some of the chemical structure that is like MS04, Demerol, ect... But you also get a chemical structure that is like...

  7. Ideas to avoid being wrongly labled

    Dave ARNP replied to angelbear's topic in Pain Management

    I could NEVER imagine sending a patient to ED or elsewhere, and NOT call ahead or make some sort of referral. Yes, people know who we are, and what we do, but... Can you imagine walking in and...

  8. Ideas to avoid being wrongly labled

    Dave ARNP replied to angelbear's topic in Pain Management

    For one of my pain management patients to go to ER for pain crisis, they must call my office and speak with either doc, or myself. One of us is also, ALWAYS on call. If we triage them into the ED,...

  9. Drug seeking or real pain? How do you tell?

    Dave ARNP replied to JudyPRN's topic in Pain Management

    Very good post, FGR8OUT. I've said it before, but it bares repeating. Medicine is not an exact science. If it were, we wouldn't just be PRACTICING it. Till then, patients pain is what they say it...

  10. Monitoring of Boards

    Dave ARNP replied to nyapa's topic in General Nursing

    Lucy, you got some splaining to do. What the heck is this all about???

  11. Drug seeking or real pain? How do you tell?

    Dave ARNP replied to JudyPRN's topic in Pain Management

    Pain managment is a good part of my job. I see atleast ten patients every day who's cheif complaint is pain. Are they all in pain? I'd like to think they wouldn't say they are, if they're not....

  12. Welcome to our new pain management forum

    Dave ARNP replied to Brian's topic in Pain Management

    This could turn out to be my favorite place on Allnurses! Can't wait to see how things go from here! Dave, who's moving his bags

  13. father is dying of cancer

    Dave ARNP replied to heatherbless's topic in North Carolina Nursing

    Heather, I know we've never spoken before, but I just wanted to saw how sorry I am that you are being put in this position. My prayers are certainly with you and your family. I honestly think if...

  14. Would it really benefit me?

    Dave ARNP replied to tumblebug's topic in General Nursing

    Back in the day (Well, not that long ago but...) I was a CNA. ALOT of what I learned about how to talk with patients, came from working in that job. Granted, as a NP, I don't to many of the same...

  15. Things I've learned from my ER patients...

    Dave ARNP replied to SouthernERNurse's topic in Emergency

    Unless you explain a douche to them, you really will have a woman drink it. X2. Then explain to you that she's NOT drinking another one "Those things taste da** awful!". Dave, who will never ever...

  16. I hate it when people say this...

    Dave ARNP replied to Shotzie's topic in General Nursing

    I couldn't be a nurse. If I were going to work in this field I'd want to REALLY do something and become a doctor. And my favorite. I wouldn't be a NP. I'd be a real doctor. What do I do? Play one...

  17. Funniest thing the nurse FORGOT to tell you in report

    Dave ARNP replied to Rapheal's topic in General Nursing

    Okay, strike what I said. If it comes between telling me about missing member/testicles and if they are dead. I WANNA KNOW ABOUT THE MISSING EQUIPMENT. And yes Angelbear. I DID do that. But the Doc...

  18. Pay to park?

    Dave ARNP replied to uamsrn's topic in General Nursing

    Our MD's/DO's/NP's got free parking right out from the ER doors. I think ER got this one for us, just so they can look outside, see who's on-call and track us down.

  19. Funniest thing the nurse FORGOT to tell you in report

    Dave ARNP replied to Rapheal's topic in General Nursing

    Not so much in shift report, but..... When you the nurses give report to the practitioner. PLEASE TELL ME MY PATIENT IS DEAD! It's REALLY :imbar when we code a patient who was pronounced about ten...

  20. RN to MD track

    Dave ARNP replied to rhp123's topic in General Nursing

    I was accepted to five of the five medical schools I applied to. Now, I never wanted to be a MD, this was really my parents dream, but... It never hurts to know.

  21. Can you be pro-life and an OB/GYN nurse at the same time?

    Dave ARNP replied to KarenAR's topic in Ob/Gyn

    Edited by Dave. Karen, no one can tell you that you have to assist in this procedure. Just like no one can tell me that I have to refer someone for it. Even as an Ob/Gyn, no one can tell my wife she...

  22. Most dreaded Dr.'s orders

    Dave ARNP replied to BBFRN's topic in General Nursing

    OK, if I had not had an order to do this once, I would say you're crazy. HOWEVER... while I was working on my BSN, we actually had a MD order this. Everyone thought that it would be good for a...

  23. If you started over in nursing you would do. . . .

    Dave ARNP replied to Masters's topic in Nurse Practitioners, NP

    I might have (And may still) have gotten a MSN as CRNA. I love being a NP, but something about being a CRNA has been ringing my bells.

  24. young female docs

    Dave ARNP replied to youngfemaledoc's topic in General Nursing

    "failed physician homosexuals" That goes double for MALE NP's!

  25. Being a nurse for all the wrong reasons.

    Dave ARNP replied to tgibson3770's topic in General Nursing

    Let's start a new campaign. TWEETY FOR PRESIDENT! Or atleast Nurse of the World :)