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Emergency, MCCU, Surgical/ENT, Hep Trans
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sandnnw has 20 years experience and specializes in Emergency, MCCU, Surgical/ENT, Hep Trans.

You don't have time, although if you buy me lunch...we'll talk!

sandnnw's Latest Activity

  1. sandnnw

    Need a medication convertion app.

  2. sandnnw

    Working for the VA

    And it may take three to six months before fully on board. Be patient, good things come...
  3. sandnnw

    VA NPs malpractice coverage question

    I do not have coverage. I have been named in three suits and never asked for a deposition. I am threatened for liable several times per year, usually over narcotics or antibiotics. Oh how I LOVE being a NP! Especially a VA NP.
  4. sandnnw

    What's your "must have" app?

    First Consult very handy as Medscape
  5. sandnnw

    Straight to FNP or work full-time first?

    This article was handed out to us during my first semester during grad school (VU) Rich ER. Does RN experience relate to NP clinical skills?Nurse Pract. 2005 Dec;30(12):53-6. After studying, observing and now living alongside the e/-e NPs...I don't see anything to worry about.
  6. sandnnw

    Would you do it over again?

    Either are fine, I've worked alongside a PA my entire NP career. I believe (my opinion only) that PAs are more surgically and broadly prepared for just about any job out of school. As Ivan noted, it's going to be a load to go thru a PA program vs NP school without much difference in pay after graduation. I'd look at your geographics and examine all options. I don't believe you can go wrong either way.
  7. sandnnw

    Can anyone recommend a good procedures book?

    Essential-Orthopaedics-Expert-Consult My FAVORITE currently reading on the bookshelf. The color images and expert information cannot be beat.
  8. sandnnw

    current Adult NP considering FNP??

    Another ANP here. I thought about the same thing! Took me ~6 months to even find a job. They even offered to pay to send me back to school, but i declined as I did not plan on staying with that employer. Sounds funny, but I've heard the saying when you take a job, do so with the consideration of where you are headed next, ironic, but that's how it worked out for me. Even now, in my second job, I think about and plan for my next job even though I have no idea where or who I want to work for. There are jobs out there for ANPs. Internal Medicine, Cardiology and Endo are huge and going to get larger over the next 10-20 years, not to mention the amount of NP retirements coming soon. In a burn unit, I think your skills would be in high demand from either the Trauma or Plastics side. Sounds like you work for a larger, metro medical center. There has to be a ton of NPs and you might find that its "who" vs "what" you know that matters.
  9. sandnnw

    ANP scope of practice (or ANP/WHNPs out there practicing)

    Another ANP here. Your correct, GYN care is very limited in the ANP world and I think its so for a purpose. We covered the PAP, STDs and BCPs and that's about it. This is why we have WHNP! Imagine a WHNP applying for an urgent care position? I started in an urgent care alongside an MD and/or PA with understanding of 12+ patients. It worked. Now in an adult ED. Most of my ANP friends work in Cardiology, ENDO and Internal Medicine. As far as revamping, i believe it's in name only. We did a fair amount of Gero work in my ANP program and about half my patients are > 65. Best of luck!
  10. sandnnw

    iPad almost 2 years later

    I too still am enamored with my Pad. Only concern is the weight with extended use. Kinda painful if I'm reading a lot and I have to position myself in the recliner to just simply rest my hands. There are several cases that help and don't add too much weight. I prefer the portfolio/flip type cases, color/style abound. I own the original iPad and the speed/battery are still quite acceptable. I am curious how apple intends to improve on the third model, weight must surely be considered as my wife's iPad 2 did not add much when I compare side by side, daily use. I find myself rarely using my iMac or wife's MBP, again, rarely. There simply is no reason as I do not print that much. I have a iPhone as well and still prefer using the Pad. I have not used the Kindle nor Nook products. Have quickly looked at a Nook, seems pretty svelte to me, but not being integrated with my other Apple products/software limits use for me personally. If I had to buy a gift for a friend, I'd probably look at a Fire or Nook. The price cannot be beat. For a stronger upgrade, the Galaxy products seem to be the top choice from what I have seen/read. Were I not a Mac head, the Galaxy 7" would be most appealing. For healthcare folks, the iPad software choices cannot be beat. I rarely pick up my large text books anymore! Never a PDR. My $0.02, Regards.
  11. sandnnw

    Pharmacy Guide for phone???

  12. sandnnw

    What would you do?? ugh!

    MSN, wisest choice, most options, quickest
  13. sandnnw

    NP's working at teaching hospitals

    ED NP here. Like you, I can "take" who or whatever I want as well. The reality is, I was hired to move the lower acuity patients and that is my primary goal. Before I was hired, our waiting times in the ED was an average of nearly 6 hours. That has been cut in half over the past year. Most of the time, I do not get to chose who I see. I have three clinic rooms off the Main ED and usually 2-3 times a week, I move a patient or two onward to a monitored bed in the ED, keeping them myself and mostly admitting them. Out of courtesy, I inform the ED attending of my plan for admission and perform all the tasks myself. I see no real difference between how many providers are in the ED. BTW, I also have a dedicated ED RN helping me.
  14. sandnnw

    Emergency NP References

    Medscape has now started offering their "mobile" reference on-line. Seems faster and more thorough than Epocrates. Your ED ought to have an institution online reference contract. If so, hopefully it will be My Athens. TONS of references and text with full search and specialties. There is one particular app, "Visual Dx" for DERM that I just can't get enough of. As well, My Athens links to the McGraw Hill on-line database and gives you access to all the major EM texts. Too much to read while at work, but what's so great - I can read at home...even on the iPad! UpToDate is great for weird stuff and on the cusp opinions I still use Wiki sometimes...I know, I know!
  15. sandnnw

    Was going to earn my NP, but not anymore.

    Wow, interesting. So does this apply to "Dr. Phil" and the DCs, DPTs, DPharm DAud, PsyD and PhDs? A bit silly and I'm sure some attorneys would find discriminatory. It's amazing how much time our legislators have on their hands these days. Let's go pick on a hand full of NPs who think they are real "doctors." Never mind they have earned a doctorate degree.
  16. sandnnw

    Cardiology NP.. ANP or ACNP?

    Either. A lot depends upon your clinicals as well. I'd suggest the ACNP as you will get a lot more of the acute cardiac (inpatient) versus maintenance with the ANP. I'm an ANP that focused on Cards and asked for an inpatient rotation. Very interesting as I floated from the clinic, cath labs, echo lab, lipid clinic, device and heart failure. All of my preceptors, but one, were ACNPs. When we discussed this issue, they advised ACNP as many of them went back for post-masters from CNS and FNP. There is opportunity in Cardiology, esp if you work alongside an interventionalist or EP doc. Best of Luck!

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