sethmctenn

In many states nurses are exempted from the massage practice act and can practice without a massage license. Some schools will give you credit for the A/P portion which accounts for 1/2 of most massage programs.

in FNP school, I had a preceptor who used fat to indicate fatigue in ROS. I was always afraid a patient was going to see my notes for him which use his same terminology

What I usually tell people is that while I believe E Cigs are probably less harmful than cigarettes, there is little data on the effects of the chronic glycerin exposure to the lungs from the vehicle. The nicotine we understand. As glycerin is a humectant, it may pull more moisture into the lungs. I think they can be a great way to get off smoking IF you start at an appropriate dose of nicotine AND wean the nicotine down. I usually have them do so on a 2 week to 1 month basis. I recommend that they vape nicotine free for 2 weeks to 1 month after getting off the nicotine then stop. The thing I most hate about vaping is that people feel like they can do it anywhere and I find the smells of the flavors to be offputting. I also do not want them exhaling nicotine in my presence. It's still important to go out side and not do it around your children (or me). I think the FDA will take action in the next year due to flavors being enticing to children.

I took it after a year and it wasn't anywhere near as bad as I expected. I also did the Laura Gasperis Vonfrolio DVD. I studied for about 3 days.

I've worked where massage and acupuncture were both available in the hospital and it was very helpful. 5 years ago, the sacchromyces we give C. Dificile patients was alternative medicine. Acidophilus, now often recommended with antibiotics, were alternative medicine. Fish oil was alternative medicine, and is now prescribed to many with high trigs. We should not ignore any of the tools in our tool boxes. By the way, here's a great examination of evidence based medicine Ben Goldacre: What doctors don't know about the drugs they prescribe | Video on TED.com

I don't remember my percentage but you only had to get 89 out of 150 questions right to pass because of the survey questions.

It was way easier than I expected. I watched the Laura Gasperis Vonfrolio DVDs. There were tons of swan-ganz questions that gave art line pressures, wedge pressures, CVP, and you had to know what was going on based on them. Other than that, I was surprised how much was pretty obvious to anyone with any experience at all.

A great place to start with using herbs in diet is to look at ayurvedic "kitchen cures." Graduate to Vasant Lad's textbooks if you like a basic book on the topic. That way, you have some dietary tools for supporting constitutional health and working with people that have goals about specific aspects of their health. There are some good herbal conferences out there. I try to go to Medicines From The Earth (near Asheville, NC) or Breitenbush (OR). I haven't been to the Southwest Conference but I hear it's amazing. The group that puts on Medicines and the Southwest conference have audios available from botanicalmedicine.org. That way, you can cherry pick topics of interest or areas where you need more growth. For books, consider: Herb, Nutrient, and Drug Interactions by Stargrove and Treasure (You'll need a reference. The Natural Medicines Comprehensive Database is way too conservative but is more comprehensive. I always trust Stargrove over it.) The Mood Cure by Ross Healing with Whole Foods by Pitchford Medical Herbalism by Hoffman (for reference, not that you'll be practicing as an herbalist) Nourishing Traditions by Fallon Encyclopedia of Healing foods by Murray When the Body Says no by Mate The audiocourse from Bergner on insulin resistance is helpful Herbal Education -- Beginning, Advanced, Clinical, Classroom, DistanceYou may want to pick a specific area and do lots of study on that area for a year at a time. There are so many tools out there to learn about. It's better to really delve in deeply to one modality, get to know it for a year or two than it is to try to learn a little about everything and not have deep knowledge about any one thing. Good luck! Seth

Just don't tell anyone you are taking it and give it a whirl. Think of it as a practice exam that will let you know how you need to do. Plan on taking it again. If you pass, it'll be awesome. If you don't, your pride isn't hurt. It's just to get the experience. After two years of study, you've invested a lot of time. That time is valuable. A test fee is not that much more to invest. Don't study the night before. Get up early and have a cup of coffee and a good breakfast.

We typically run a loading dose of 2.25gm then a continuous infusion at 8.3cc/hr after the loading dose.

We use Alaris pumps and typically give blood products on the pump

Is anyone using a sleep bundle of any kind. I'd love to hear what your facility is doing to encourage better quality sleep. If you have a standard order set and would consent to emailing it to me, PM me. I'll send you my outside email address. Thanks

That is a high dose for IV push. It can be given at 20mg/min but I typically add 100mg (10cc) to a 50cc NS bag and run it on a pump over an hour.

This is a great question for the risk management department at your facility. That way, you are sure that you are complying with the law and with your facility policies.

I wonder if you could look at the references for AACNs guide to placement of OG/NG tubes. Some of those articles or other articles by the same authors may be helpful.