NPinWCH

NPinWCH

Family NP, OB Nursing

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All Content by NPinWCH

  1. Abruption pattern

    NPinWCH replied to KrnLet's topic in Ob/Gyn

    If you keep in mind that blood acts as an irritant, then it helps to understand what you might see. Yes, the strip has a bit of a hyperstim look to it and might be accompanied by some decreased...

  2. How are pitocin orders written at your facility?

    NPinWCH replied to newbiepnp's topic in Ob/Gyn

    Not working in OB anymore, but will answer from past experience. When I first started OB, every doc wrote the orders differently. They were all over the place some were start at 3mu, increase by 3mu...

  3. Is The Doctor Missing It? Stepping on Doc's Toes

    NPinWCH replied to Kooky Korky's topic in General Nursing

    Contact risk management and start going up the chain of command. Do you have care conferences? Can you get family involved? If the second patient is mentally incompetent where is his POA? Get them...

  4. Beginning first Primary Care position in June, HELP!

    NPinWCH replied to Destined2sing's topic in Nurse Practitioners, NP

    First, congrats on the job! I'm a brand new NP myself, though I'm an FNP, most of my 15 yrs RN experience is in L&D and nursery. I just started my first ever NP position in a FQHC in rural Ohio...

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

    NPinWCH replied to cates08's topic in Advanced Practice

    In Ohio, where I am, you can't get your certificate of authority (basically your NP license) until you have passed your boards. You can apply before you test and on the BON website it will say,...

  6. Recording output from a CTT drainage

    NPinWCH replied to jlsr's topic in General Nursing

    Czech flag has a blue triangle with white and blue stripes. http://www.mapsofworld.com/flags/czech-republic-flag.html Pretty sure it's Philippine

  7. Have you CYA if you make a "note" that a patient won't follow policy?

    NPinWCH replied to peeweedelivery's topic in Ob/Gyn

    If it came down to the mother wanting one thing that the father something else the first thing I'd do is ask if they had questions, give them info if needed and let them discuss it together privately....

  8. Have you CYA if you make a "note" that a patient won't follow policy?

    NPinWCH replied to peeweedelivery's topic in Ob/Gyn

    I agree and in my first post stated that you can never go wrong following policy. I also agree the manager was wrong to tell her to violate policy. I never expected ANYONE I worked with to violate a...

  9. GUM! Can you chew it on shift?

    NPinWCH replied to SummitRN's topic in Nursing Professionalism

    Part of me can't believe this thread is still going. I find it crazy, and yes, I have responded to it twice, so obviously I'm crazy too I'm not sure I understand how judgmental some people have been....

  10. Job market reality for new nurses

    NPinWCH replied to DNS on the go's topic in Job Search, Interview, Resume

    I feel the schools need to slow down their admissions, but it comes down to the all mighty dollar and nursing students mean more tuition $$. It's really sad for those like your students, many of whom...

  11. Have you CYA if you make a "note" that a patient won't follow policy?

    NPinWCH replied to peeweedelivery's topic in Ob/Gyn

    Orders are often covered by policies are they not? A doc may order a treatment/med, but there is a policy in place for how to preform that treatment or give that med. Double checks on meds, how to mix...

  12. What does a Nurse Practitioner do?

    NPinWCH replied to sergel02's topic in Nurse Practitioners, NP

    I empathize with how you felt when your doc made that comment, but as an NP I can see his point especially if you were there on a walk in day. Walk-in days are set up to be quick, usually for things...

  13. Hep B

    NPinWCH replied to sheilav's topic in General Nursing

    Review allergies and any prior reaction to vaccinations with them prior to administration, make sure there is a signed consent and you should be fine. I don't always have complete histories on...

  14. Have you CYA if you make a "note" that a patient won't follow policy?

    NPinWCH replied to peeweedelivery's topic in Ob/Gyn

    Well if the supervisor, manager or administrator was available at 11pm then maybe they would have been involved, as it was they weren't available and my nursing judgment was to let the man carry his...

  15. What does a Nurse Practitioner do?

    NPinWCH replied to sergel02's topic in Nurse Practitioners, NP

    I work in family practice and yes, I am busy, but since I'm new I'm still slowish, but my office allows me to decide how much time I spend with each patient. Of course, part of my compensation, above...

  16. Have you CYA if you make a "note" that a patient won't follow policy?

    NPinWCH replied to peeweedelivery's topic in Ob/Gyn

    Okay, well I have let a few fathers carry their babies from OR to the newborn nursery before. The first one was a lawyer and he and his wife had lost several pregnancies. This was their first and they...

  17. GUM! Can you chew it on shift?

    NPinWCH replied to SummitRN's topic in Nursing Professionalism

    I am a gum chewer, but I do it discreetly, tuck it against my cheek when talking with patients and do most of my chewing while doing paperwork. I just wanted to add a few things in support of gum...

  18. Recording output from a CTT drainage

    NPinWCH replied to jlsr's topic in General Nursing

    I think it's the flag of the

  19. ATS & TT administration

    NPinWCH replied to jlsr's topic in General Nursing

    I have no idea why you can't give it after noon. That sounds like an institutional policy as the previous poster said. I don't know what your policy is for anti-serum and toxoid use since some give...

  20. Masters Entry Programs - Is a BSN necessary to practice as an NP in some states?

    NPinWCH replied to junipers's topic in Advanced Practice

    I don't understand why anyone would look at the BSN for an advanced practice RN with a Master's degree. I mean no one asked me where I received my undergrad or what it was in, honestly no one asked...

  21. Masters Entry Programs - Is a BSN necessary to practice as an NP in some states?

    NPinWCH replied to junipers's topic in Advanced Practice

    I don't know about all states, but I can't see how you would need a BSN if you have the MSN. I know Yale issues a certificate of some kind that meets the Connecticut Board of Nursing's requirement to...

  22. Effect of water or medication on Fasting Blood Sugar and Lipid Profile Test

    NPinWCH replied to jlsr's topic in General Nursing

    I always tell my patients that they can drink water prior to a lipid panel and water isn't going to affect the glucose either. I also tell my patients to take all their routine medications the morning...

  23. Tylenol max/safe dosage

    NPinWCH replied to Gabby-RN's topic in General Nursing

    I agree with several comments. First, he's been over the max dose for the past 10 days?! That's crazy! Second, if he is using that much medication for breakthru he needs a higher dose of his...

  24. teen pregnancy

    NPinWCH replied to RNmilwife's topic in Ob/Gyn

    Other than what has already been stated how about working in OB, labor/delivery, postpartum or nursery? I know I did and trust me, there were PLENTY of teens to work with. I also taught childbirth ed...

  25. Impossible for me to be able to do what I have a desire for....

    NPinWCH replied to heyheyhey's topic in General Nursing

    Ok, I hate to say this since I feel that nursing experience is important, but have you considered a direct entry PA or NP program? Since you already have a bachelor degree you qualify. I did my NP...