NPinWCH

NPinWCH

Family NP, OB Nursing

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All Content by NPinWCH

  1. General questions regarding FNP vs. WHNP

    NPinWCH replied to Noah'sRNMom's topic in Student Nurse Practitioner

    My question is: How do you know your NP went to an online school? I graduated from an online NP program, but from a brick and mortar school. They have both online and traditional NP programs. My...

  2. Is it possible to work 40hrs while in ANP online program?

    NPinWCH replied to majik91's topic in Student Nurse Practitioner

    I think you've gotten some excellent advice. I worked full time, three 12 hour shifts, and I went to school part time, but probably could have gone to school full time and worked full time for the...

  3. Familiarity breeds contempt

    NPinWCH replied to Conqueror+'s topic in Nurse Practitioners, NP

    The other NP I work with and I both use our first name, but then the entire office is on a first name basis. The MAs, RNs, office manager and yes, even the docs go by their first names with each...

  4. Talk to me about spontaneous pushing

    NPinWCH replied to Kath27's topic in Ob/Gyn

    I totally agree with you and did point out that some patient's with epidurals might need some guidance. I don't believe in "PUSH PUSH PUSH" count to ten either. Guidance is different than directed....

  5. What would you have done??

    NPinWCH replied to Sun0408's topic in General Nursing

    I don't do inpatient med, but I'm with you. I would have held the labetolol and the clonidine especially and increased the drip and then waited the hour or so for the doc. OR I would have called him,...

  6. OB for ED nurses

    NPinWCH replied to Cleveland ED Nurse's topic in Ob/Gyn

    When they closed my unit, a few of us OB nurses put together a crash course for the ER staff. I'm also an NRP instructor and we certified all the ER staff as well. Since the ER inherited our equipment...

  7. Besides education & pay, difference between a NP & RN?

    NPinWCH replied to xInspiredx's topic in Student Nurse Practitioner

    As an RN I assessed the patient and documented my findings so that the medical provider (MD or NP) could follow up with their orders for treatment and medications. I would also give these medications...

  8. FNP - Their Own Clinic - California

    NPinWCH replied to EzraRn's topic in Nurse Practitioners, NP

    I don't know, since I'm not in California, but in Ohio the answer is

  9. Med Surg experience a must?

    NPinWCH replied to SaraStrong's topic in General Nursing

    Helpful? Probably. Needed? No. I started in L&D right out of school, never had any med-surg experience and am now an

  10. Does anyone like night shift?

    NPinWCH replied to gohogs's topic in General Nursing

    I loved nights, even after I moved to days I missed night shift. The thing I liked the most about it was that I had more autonomy on nights. Also a big perk is that with no management around there was...

  11. States restricting FNPs rounding on inpatients

    NPinWCH replied to Adenium's topic in Nurse Practitioners, NP

    Ohio is exactly like core0 says. I'm an FNP. If I want to practice as an ACNP, I must obtain a post masters certification to do so. Granted, as an FNP I can practice in the same roles as a PNP, ANP,...

  12. Cytotec and fetal monitoring

    NPinWCH replied to obtech2nurse's topic in Ob/Gyn

    I can't imagine doing both Cytotec AND pit!! Maybe, for a demise...maybe, but why take that risk! We didn't even use cervidil and pit together. And I second the question about placing crushed...

  13. Female Education Reduces Infant and Childhood Deaths

    NPinWCH replied to NRSKarenRN's topic in Ob/Gyn

    Not the best graphs I agree, but years of schooling is on the vertical axis with 0 at the bottom and 15 yrs at the top and number of deaths to children under 5 is the horizontal axis. The thicker the...

  14. Terminated because of a dirty drug screen (all drugs were prescribed btw).

    NPinWCH replied to randb83172's topic in General Nursing

    Just because they were in her system does not mean she was using them while at work. However, if there is reason to believe the nurse was impaired while working AND that is the reason a test is...

  15. Talk to me about spontaneous pushing

    NPinWCH replied to Kath27's topic in Ob/Gyn

    Spontaneous pushing is great...for patient's without epidurals. When a patient has an epidural they often don't feel enough to start pushing or need help finding the right muscles to push with since...

  16. Can you give additional doses of a PRN to increase an already given dose to a range?

    NPinWCH replied to suanna's topic in General Nursing

    I'm in Ohio as well, and when I was doing bedside nursing I would give the 4mg, reassess in 10min (for an IV med 30-45 for PO) and if needed give more. If I gave the second dose within an hr from the...

  17. Cytotec and fetal monitoring

    NPinWCH replied to obtech2nurse's topic in Ob/Gyn

    When I was doing OB our policy was a reactive strip prior to administration, oral dose of Cytotec and then 2 hours of continuous monitoring followed by a minimum of 15min of continuous EFM/hr for the...

  18. States restricting FNPs rounding on inpatients

    NPinWCH replied to Adenium's topic in Nurse Practitioners, NP

    I'm in Ohio. So far there is no hard and fast rule, just a reccomendation from the BON and it only pertains to non ACNPs working in INPATIENT settings. FNPs call round on their own patients who are...

  19. What area of nursing did you work in before becoming a NP?

    NPinWCH replied to Spoiled1's topic in Nurse Practitioners, NP

    OB, all 15 years in L&D, mother-baby and nursery. Now, I'm an

  20. NP relocation bonus/stipend

    NPinWCH replied to NurseKJ's topic in Nurse Practitioners, NP

    Yes, between Cinci and Columbus and options are always good. Check into Healthsource, they are pretty much based out of the Cinci area. If you live/go to school out there I'm sure you've run into...

  21. how would define happiness

    NPinWCH replied to Blackheartednurse's topic in Nursing Student Assistance

    How would define happiness? Happiness is being able to see the positive even when there is negative. Happiness is a choice you make every day; let the negative get you down, or strive to overcome it....

  22. NP relocation bonus/stipend

    NPinWCH replied to NurseKJ's topic in Nurse Practitioners, NP

    I'm in a small rural family practice that is part of a larger group of practices in

  23. NP clinical hours

    NPinWCH replied to mrmike's topic in Student Nurse Practitioner

    All good points, but I will point out that while the semester is about 15 weeks we usually didn't get clearance to start clinicals until after the semester started. Sometimes it wasn't until about the...

  24. NP relocation bonus/stipend

    NPinWCH replied to NurseKJ's topic in Nurse Practitioners, NP

    I didn't need to relocate, but the relocation expense option was available. It was $5K upfront relocation assistance (with 2 yr commitment) or you could get a $20K interest free loan to be paid back...

  25. NP clinical hours

    NPinWCH replied to mrmike's topic in Student Nurse Practitioner

    I'm a Family NP and my clinical hours were about that, sometimes a bit more, but I worked fulltime and went to school part time. The shift depends on the clinical site and your preceptor. My hours...