NPinWCH

NPinWCH

Family NP, OB Nursing

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All Content by NPinWCH

  1. Suture/Staple removal in NYC

    NPinWCH replied to RNpaula's topic in General Nursing

    I believe as long as you aren't deciding if they should or shouldn't come out it is in your scope of practice. So, if you have an order to remove them then you can remove

  2. Ball State University MSN

    NPinWCH replied to ksteen's topic in Student Nurse Practitioner

    I agree with lowerylb, I'm pretty sure it would be impossible to get your clinical hours in working m-f. I worked 12 hr nights Fri, Sat and Sun so I could do clinicals and course work during the week....

  3. role of nurse tech in nursery?

    NPinWCH replied to SNB1014's topic in Ob/Gyn

    We didn't have a NICU, but in our level 1 nursery the techs would feed, change, weigh and bathe babies. They also did VS and setup/clean up for procedures such as circs. They cleaned equipment after...

  4. What are your Doses for Mag Sulfate and Pitocin at your facility?

    NPinWCH replied to live&love&heal's topic in Ob/Gyn

    MgSO4 load 4-6gms and then usually run at 2gm/hr. Pit starts at 1-2mu and increases 1-2mu every 30min. Max dose

  5. Can you teach a old dog new tricks???

    NPinWCH replied to Maco's topic in General Nursing

    I had 15 years as an OB RN and decided to become an FNP. It was, and to some extent still is, terrifying, but it has been so worth it. I was getting a bit bored in OB, now I'm constantly challenged....

  6. Wrong

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

    You're right on both, though the latter is probably a potential Hipaa violation until something actually happens. In my state, the BON clearly states that I cannot offer my medical opinion or...

  7. I feel like a idiot

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

    A formal complaint?! Has the doc NEVER done the same thing? Also, just have to say that this obviously fell through several safety check points. I mean the parents didn't say anything? The pharmacy...

  8. Postpartum pericare

    NPinWCH replied to rn4babies63's topic in Ob/Gyn

    We advise warm water peri bottle after using the bathroom, washing in bath or shower once a day and then Tucks/dermaplast/sitz baths if needed. We also offered ice packs for the first 24 hours. I...

  9. Terms used to describe APNs - what do people call you?

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

    My office calls everyone "provider" meaning that patients are asked, "Which provider are you here to see?" The parent company uses the terms physician and non-physician provider, though some people in...

  10. Working throughout a NP program?

    NPinWCH replied to jamesy7's topic in Student Nurse Practitioner

    I agree with Brylyn. I'm not saying you can't do full time school and full time work, but it's gonna be difficult. I have 2 kids and went to school part time and worked full time. Did my hours on...

  11. US nurses... what makes you do it??!! (rhetorical question alert!!!)

    NPinWCH replied to purplesteth's topic in General Nursing

    Well this isn't going to answer your question, but maybe clarify. I went straight from high school to a 4 yr university with the intent to get my BSN. When I declared my major as nursing I was...

  12. Discharging a baby with abnormal labs?

    NPinWCH replied to LuvofNursing's topic in Ob/Gyn

    I agree that the parents would make a difference, but I'm still pretty sure that I would have treated the baby based on that first set of labs and maternal history. I've seen "healthy" babies go from...

  13. Can a NP practice after graduating before taking their Boards?

    NPinWCH replied to cates08's topic in Advanced Practice

    I don't think it took long once they had everything, but at some point they misplaced my transcripts and said they never had them. By the time I had another set sent, they had relocated the transcript...

  14. Collaborative Agreement

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

    What is required to be in a collaborative agreement is different in each state, with the minimal requirements set by the BON. So, it's different for me than it is for someone in Florida or New York....

  15. Discharging a baby with abnormal labs?

    NPinWCH replied to LuvofNursing's topic in Ob/Gyn

    I'd still wait for the blood culture results before discharge and the prelim should have at least been back by the time the baby was ready for discharge. If I didn't have that last set of labs I would...

  16. Liability insurance

    NPinWCH replied to wakaro's topic in General Nursing

    Exactly what Commuter said. I don't practice without

  17. why double chart?

    NPinWCH replied to grneyes676's topic in General Nursing

    Every legal seminar I've been to made it clear that you shouldn't double chart. If there is a flowsheet; use it. Use narratives for things that can't be flowsheeted or for procedures. If you write it...

  18. Best way to space out 12-hr night shifts?

    NPinWCH replied to BD12's topic in General Nursing

    I liked having my 3 nights in a row and then 2-3 days (or more) off in between if possible. I often would work something like Mon, Tues, Weds then off until the following Tues, then work Fri, Sat....

  19. FNP/Adult vs. ACNP for cardiology office

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

    I'm an FNP in Ohio and work in primary care. My brother in law is in the same state, is an ACNP and works in CCU. I have friends who are FNPs working in hospital ICUs, or other units, but this is...

  20. Flexibility of FNP sub-specialties

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

    My 15 years of RN experience are completely in L&D/Mother-baby, but I'm now an FNP in primary care. I think all experience is helpful. I'm just starting my NP career, so I'm not thinking about...

  21. vitamin k injection in adults

    NPinWCH replied to nurse blondie93's topic in General Nursing

    First, the best route for Vit K is oral if possible. It lowers INR just as fast as IV. Second, I never order it IM if I'm ordering injected. It's sub-Q, except for newborns then IM and as far as...

  22. Considering career as NP

    NPinWCH replied to UnbrokenRN09's topic in Student Nurse Practitioner

    ok, that made me :lol2: ! i agree with your wow. i work in ohio and the bon has made a few statements about the fnp role in inpatient medicine. they haven't officially stated that fnps can't work...

  23. How much debt is reasonable for NP school?

    NPinWCH replied to junipers's topic in Advanced Practice

    I'm with mahanabay. Including my undergrad work my total debt is $65K. $115K sounds

  24. Considering career as NP

    NPinWCH replied to UnbrokenRN09's topic in Student Nurse Practitioner

    Well, if I were you I'd really consider IF you really want to be an NP if you are unsure about calling the shots. No matter where you work, working independently is part of the role. My...

  25. Incident Reporting

    NPinWCH replied to RiverNurse's topic in General Nursing

    WOW, just wow! You were right in what you did. My first thought was that maybe the mainline had backflowed into the piggyback, but since you didn't get it in report, who knows. I probably would have...