sandnnw

sandnnw BSN, MSN, EMT-B, APRN

Emergency, MCCU, Surgical/ENT, Hep Trans

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All Content by sandnnw

  1. Scope of practice in the emergency department

    Probably depends on the comfort level of each provider. I work along side a PA, we see the same thing and bounce off questions all the time. She was trained more surgically, I have been UCC/EM, so its a mixed bag. She generally asks more questio...
  2. NP Salary

    Just to piggyback, it does depend on where/how you work AND if you are a senior RN. In my case, there was very little salary increase, I'm figuring a few grand. Granted, my situation is a bit weird - I'm a fed. I was was a senior (near topped ...
  3. You will learn WHAT is important now, in 5" and in 15". Disgusting as it sounds, feces is not emergent, nor is charting and certainly not stewardess type services. Give it a few more weeks and model folks around you who have been there a few...yo...
  4. How do you figure out which imaging type is best?

    This will help you: https://acsearch.acr.org/list I find it most helpful, the articles are very interesting reading! And, who better to trust than radiologists?
  5. Experienced NP desiring VA job

    Make sure your peers respond quickly thru Vetpro
  6. Working for the VA

    And it may take three to six months before fully on board. Be patient, good things come...
  7. 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.
  8. Experienced NP desiring VA job

    Lubbock, I think you'll be fine. As a VA NP myself, it really depends upon the market and you appear to have plenty of experience. I recently interviewed six NPs, 4 with tons of experience, 1 with a year and one new grad. You'd be shocked how fo...
  9. What's your "must have" app?

    First Consult very handy as Medscape
  10. Advanced Pathophys Textbook

    Checkout boundless.com, esp if you have a tablet or don't want to spend a ton.
  11. 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 s...
  12. 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 ...
  13. 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 w...
  14. 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 st...
  15. Out of state RX

    Actually, your DEA is "practice" setting. If you work for three different employers, you should have three different DEA numbers. If you work for ONE employer at three different hospitals, then you are good to go. I'd be careful with one DEA at t...
  16. Out of state RX

    It doesn't matter where you call from. Your office, home, Russia, as long as you treat/Rx folks in your state of licensure. The exception is federal practice (e.g. VA, military, PHS, IHS) While I'm on vacation, I use my web based e-Rx software and ...
  17. Can NPs prescribe meds for off label purposes?

    Don't sweat this too much. You will find all kinds of usages for drugs, "off label" doesn't mean unsafe. A few examples from my daily experience: Droperidol, Reglan, Benedryl, Magnesium for migraine Gabapentin/Effexor for chronic pain syndromes a...
  18. VA Nurses! Have a question for you!

    Curious, why are you going from ICU to Tele? I figure you'd be a snap for an ICU job. I'm on my third hop in the VA over 12 years. Get to know the managers and keep a great attendance record, no problem if they have positions open. The low turn...
  19. I feel like I'm wasting my time :(

    yes ma'am! I had a 2.97, had been out 15 years. But... I believe I blew them away on my essay(s) and had taken three courses as a "pre" student thru the hospital, so had a 4.0 in those classes. My GRE writing was high as well. I also had smashin...
  20. ER/ED Nurse Practitioner

    Your are most welcome, ask away!
  21. What would you do?? ugh!

    MSN, wisest choice, most options, quickest
  22. Which certification, AANP or ANCC

    And neither will your patients! Take the AANP and be done with it.
  23. Specialty and DNP

    Amen. Honestly, I believe the NP programs ought to teach generalist FNP the first two years, then XNP the last year. This will give you more options.
  24. Which certification, AANP or ANCC

    Feds accept either, I took both...just in case.
  25. What's the process?

    Nutshell: Diploma, no. Transcript, yes. Test Results State License DEA/malpractice Job ??? So roughly, it takes about six months. Some states will allow you to work under your supervising physicians license. Check with your BON. Finding ...