sandnnw

sandnnw BSN, MSN, EMT-B, APRN

Emergency, MCCU, Surgical/ENT, Hep Trans

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All Content by sandnnw

  1. emergency preparedness NP

    sandnnw replied to wileoutgirl's topic in Nurse Practitioners, NP

    It's not there per se. Vandy's School of Nursing houses the National Center for Emergency Preparedness. You enter the ACNP program, as at Pitt, the clinical director will design the program for...

  2. Issues with my school, Samuel Merritt University

    sandnnw replied to NP-OnMyOwn's topic in Student Nurse Practitioner

    Sounds like your heart is in the right place, but use your head. As a graduate of the program, it is your responsibility to help build it up for future students, faculty and community supporters. I...

  3. Adult NP + Prenatal Care

    sandnnw replied to MNNAngel's topic in Nurse Practitioners, NP

    ANP here, once they pop POS, Turf! But, if your super is an OB/Gyn and signs off on you skills, go for it. I'd check with your state practice acts, just to be sure. I never injected a joint in...

  4. Issues with my school, Samuel Merritt University

    sandnnw replied to NP-OnMyOwn's topic in Student Nurse Practitioner

    I'll ask the question everyone wants to: Why did you stick with the program? It's one thing to trash a graduate school that you left, quite another as a

  5. emergency preparedness NP

    sandnnw replied to wileoutgirl's topic in Nurse Practitioners, NP

    Vanderbilt

  6. Staff meeting

    sandnnw replied to pedspnp's topic in Nurse Practitioners, NP

    Fussing about rapid strep tests? Oh my. Wait until insurance companies STOP reimbursement because you failed to do one,

  7. Struggling NP student

    sandnnw replied to lvICU's topic in Student Nurse Practitioner

    Your level of anxiety is perfectly normal. I can remember standing in front of an Pulmonary/CC or Cardiology Attending, several per day/week, helping present and discuss ICU patients. There was a...

  8. What all ER nurses need to watch.... soooo funny

    sandnnw replied to MassED's topic in Emergency

    on the money,

  9. How do you prescribe ABX in a retail clinic?

    sandnnw replied to criticalHP's topic in Nurse Practitioners, NP

    Amen! And, it makes him look like a hero, you like a turd! But, at least we can sleep better at night, knowing we followed researched based

  10. Need info PLEASE!: Least competitive NP schools

    sandnnw replied to natyloo's topic in Student Nurse Practitioner

    look at

  11. Which school for NP?

    sandnnw replied to KentuckyRN2Be's topic in Student Nurse Practitioner

    Vandy grad here. I'll say this, I attended the local, cheapest BSN program and found my education to be exhausting, overwhelming at times and very rigid. Vanderbilt was a "breath of fresh air" for...

  12. How do you prescribe ABX in a retail clinic?

    sandnnw replied to criticalHP's topic in Nurse Practitioners, NP

    Good answers everyone. I'll chime in here with your "gut" also plays a role. I NEVER give anyone an Abx within the first week, unless they have some type of objective finding, and even then there...

  13. Organization help for new grad

    sandnnw replied to Blessedx3's topic in Nurse Practitioners, NP

    Your EMR should help with organization. If you are not using one, I suggest pushing it in your office, Practice Fusion appears to be the leading brand, plays nice with most lab vendors,...

  14. What are the most common medical reference tools you use- Pros and Cons?

    sandnnw replied to syncrhodes's topic in Nurse Practitioners, NP

    Don't forget Medscape Mobile. I have recently been given a copy of the Washington Manual, I'm impressed. Epoc on-line offers a wealth of info as well, more than the mobile unit. Ditto on...

  15. Considering career as NP

    sandnnw replied to UnbrokenRN09's topic in Student Nurse Practitioner

    What? ANP's disappear? oh me, hope not! I've just begun to have a blast, and now...I'm going to disappear!!! Yikes, don't tell my

  16. Lack of DEA# when working in the hospital (ED)

    sandnnw replied to SkiBumNP's topic in Nurse Practitioners, NP

    Can you forward the order or note to the provider? I usually add my supervising MD on all CII's and multiple Rx that I'm personally concerned about (e.g. Lortab/Xanax). As well, I'd get a Rx pad,...

  17. ER NP Vacancy

    sandnnw replied to mwboswell's topic in Nurse Practitioners, NP

    This is difficult to answer as there are so many factors regarding employment. Here's my quick list (not in any order) 1. Shift (I currently work 1100-1900) with assurance this will slide toward...

  18. radiology book ??

    sandnnw replied to reeya's topic in Nurse Practitioners, NP

    See the post below, "Hospital based NP -- useless with image interpretation" I also use the web site:

  19. Temporary NP position?

    sandnnw replied to max66's topic in Nurse Practitioners, NP

    Some practices just need temp help, think surgery or maternity leave. I wouldn't have a problem traveling, if you will. I know Maxim even offers a government program to help staff for NPs who are...

  20. How long until you were pretty good at IV starts?

    sandnnw replied to sweetER's topic in Emergency

    Took me about a year. Start slow, use #22 and #20's on the larger veins. A lot of this is confidence and practice, but as mentioned previously, some folks are just difficult sticks! I have...

  21. Prescribing narcotics in the va system

    sandnnw replied to retiredarmynp's topic in Nurse Practitioners, NP

    Interesting how the VA works, eh? In this case, it may have more to do with your state license. I write for narcotics almost every hour at the VA, no co-signer, no restrictions. I'm surprised by...

  22. Lab Coat NP Embroidery

    sandnnw replied to FNPdude74's topic in Nurse Practitioners, NP

    First Last NP Says it

  23. Hospital based NP--useless with image interpretation.

    sandnnw replied to kanzi monkey's topic in Nurse Practitioners, NP

    You are not alone. The newer software packages help, contrast as noted above. I've seen fellows punt to radiologists, don't feel too bad. When I have a few moments, I practice looking and...

  24. Working in ICU vs OR?

    sandnnw replied to nicrn7's topic in Nurse Practitioners, NP

    Sounds like she's having trouble getting hired, period. I vote for SICU. You'll still get exposure with the Surgeons (impressing them) and learning a ton of hands on skills. I would look at trying...

  25. Is the "book" with Fitzgerald CDs different from her review book?

    sandnnw replied to labbio's topic in Nurse Practitioners, NP

    Everything on my CD was in her book, but I will admit, she is very funny to listen to. She has "duh moments" that I still catch myself saying at work. Worth buying, great for traveling back and...