EastCoast

Hi. Jumping in. As a previous bedside nurse on the ICU i found rounds helpful. Learning. Building relationships. Establishing credibility. I also felt as a Nurse Manager that your patient's call light was everyone's call light. Rounds i think are ...

Hi. I actually work as an NP in HTN and nephrology. This is what I tell my HTN people who don't think they need an evaluation. Kidney failure is a direct consequence of poorly (note not even uncontrolled) B/P. Dialysis is a tragic consequence for ...

In response to the last post...I understand your desire to accelerate your career and I wish you good luck. However, I think that a NP is better served getting their nursing degree.......working as an RN and once they have that down getting their NP...

Appreciate clarification of Program terminology but on the same note.. why not DNP instead of DrNP? or why not DrNS instead of DNS. IMO the small 'r' after the "D" make a difference in peoples perception. For instance, why isn't there heated debate a...

I'm looking at Columbia's outline and it doesn't mention too much about changing the overall plan for administration, scholary work or policy making. In fact it seems to focus on the primary care gap that needs to be filled. Currently, NP's (the r...

Hmmm, Well, it's not the money, it's not the time, I think it comes down to my belief that we are not a cohesive enough group from state to state and that it is created in the realm of 'academia' rather than clinical. I also know that there is no gu...

I agree with this last paragraph except for your very first sentence. You may be mistaken for a doctor because you haven't introduced yourself prior to your encounter. So if you get a DrNP will you clarify the difference or feel 'well...i am after a...

Bridge program: RN---licencse---MSN---boards--NP only clinical is academic. No non acadmeic nursing required prior to obtaining np. Get done with school...pooof... you're an NP.

Markdanurse, I think we share the exact same opinion but I think you read my post different than i intended.. I was actually agreeing with your post but asking the age old question of why people like to say 'that's more clinical hours than a PA needs...

Why do people always compare PA school clincal hours to NP clincal hours. A good NP program that requires nurses to be nurses first will likely require less clincal because the person brings the clincal with them. It doesn't mean it's a bad program...

I think that Siri you sum it up logically via a process of learning and working and applying your previous knowledge to make decisions in an independent manner. But people continue to miss this holy point. Those who have no background and have not ...

Well said Mardanurse. Again the posts from people who want to just go to NP school for the glory and authority (IMO) have little knowledge of the guts of nursing. A chimpanzee can draw an ABG and perform tasks. In fact many of the things that are pr...

Patrick, I think that is what so many of us feel. However, those who have never really been nurses in the same way that we have, can not understand this. Very recently my famiy member called (who is a nurse) and asked as a favor that I precept so...

Let me sum up my thoughts exactly: As an NP you will be responsible for people's lives. It's not that easy. It's not about how motiviated one is in their desire to accept responsibilty. But oh boy, it's a big responsiblity that will sometimes wak...

Clearly, you have yet to work as an NP and therefore you do not understand what I mean when you have to sort through things over the telephone in the middle of the nite and you have only the RN to help you. TO take it as a 'hostile' post is clearly ...

Zenman, I think our thoughts are the same i just communicated mine differently. If you've been a nurse long enough you know what i mean. Not the 'smart' one who has thousands of letters after her/his name and has climbed the almightly clincal ladder...

URI offers Chem II as Chem 112 However, it also has lab which is Chem 114. It is definitely a step up from Chem 101. I know that the URI has 2 summer sessions> one will start this monday. CCRI has a very strong nursing program and produces wonde...

I agree. If a nurse with crappy experience calls me during the nite and can't give me a 'gut' feeling of whether the patient looks good / bad/ or inbetween then in short my patient is screwed. I don't want a 'smart' nurse on the end of the phone. I...

hi again, I also meant to say that the dialysis nurses will likelyl know this patient better than the fmaily does and will be a very good resource for you. There is usually a social worker who should get involved in this as well. I feel bad for your...

RE:What Zenman said. I completely agree and somehow missed that in the previous post. I think you will struggle to be a 'good' NP as you are limited in your experience. Dealing with difficult patients,tough families, learning the ropes, having a b...

I work all but 4 days a month. So that's the bad part. My background as a bedside nurse was critical care, then i went on to school and did administration as director of critical care and emergency room. Currently, I see office patients who are my ...

I would likely say that if it is an emergency repair then perfusion to the kidney has been compromised by shock. Even short intervals of hypotension can lead to renal ischemia. Also, if they clamped the aorta during surgery for any length of time th...

1. If the patient goes to dialysis the center will have a current list of his meds. It's likely he goes either mon/wed/fri or tues/thurs/sat. Find out first thing tomorrow what center he goes to and where and then call them and make sure they know...

http://www.emedicine.com/med/topic2956.htm I'm sure you will get a dozen responses, however, this does a nice job of giving the theory and is quite straightforward. I learned swans a long time ago and i still carry around in my bag an article writte...

THough the patient has gotten by for 2 days with this ABG I think that the pO2 of 48 is concerning. If this was my patient i'd do the following... repeat the ABG. It's alarming to see a pO 2 of 48 without significant change in PH even with compens...