BmoreCRNP

BmoreCRNP

mostly PACU

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All Content by BmoreCRNP

  1. I should have gone to med school! (rant)

    BmoreCRNP posted a topic in Nurse Practitioners, NP

    Have you ever felt like this? I am having one of those weeks right now, lol. Sometimes I feel that I missed the mark by going the nursing route. I feel that as an NP I don't have the autonomy and...

  2. Having anxiety over my decision to be an FNP

    BmoreCRNP replied to monicanurse's topic in Nurse Practitioners, NP

    It really depends on where you end up. Some NPs are being treated like the Doc's servant. Other NPs are a respected member of the team. I'm working in LTC, and that is a very interesting...

  3. Anemia: am I the only one who thinks it's all complicated?

    BmoreCRNP posted a topic in Nurse Practitioners, NP

    Hey all, new FNP here. I wanted to know if anyone had some easy or quick tips for diagnosing and treating different types of Anemia. One of the things I'm noticing is that a lot of my patients were...

  4. If I want to work in ED as NP

    BmoreCRNP replied to EDRN-2010's topic in Nurse Practitioners, NP

    What you just quoted here seems to address how Advanced Practice Nurses have to identify themselves legally. In your state they use the initials RN/NP to identify Nurse Practitioners. Where I am you...

  5. Anemia: am I the only one who thinks it's all complicated?

    BmoreCRNP replied to BmoreCRNP's topic in Nurse Practitioners, NP

    I rechecked it twice after she came back from the hospital just to make sure. Another reason I think it's the kidneys is because along with the falling H&H, her K+ has gone up and I had to give...

  6. Anemia: am I the only one who thinks it's all complicated?

    BmoreCRNP replied to BmoreCRNP's topic in Nurse Practitioners, NP

    I've noticed, for whatever reason, they don't use PO B12 in the nursing home. I know that unless someone is missing the intrinsic factor in the intestine there's no reason they shouldn't be able to...

  7. NP or MD?

    BmoreCRNP replied to RNnurse07's topic in Nurse Practitioners, NP

    Well hopefully you won't read the thread I started about this. Mine was more negative! Anyway, like everyone else said, you really have to weigh a number of things and decide what's important to...

  8. If I want to work in ED as NP

    BmoreCRNP replied to EDRN-2010's topic in Nurse Practitioners, NP

    Yeah like they said, it depends on the state. I know of some FNPs in other states who are working in the ED, however, they are mostly limited to fast track or minor cases. You really don't get much...

  9. Anemia: am I the only one who thinks it's all complicated?

    BmoreCRNP replied to BmoreCRNP's topic in Nurse Practitioners, NP

    Glad to see I'm not alone! I was beginning to think I was just stupid! (well not really, but kind of,

  10. Anemia: am I the only one who thinks it's all complicated?

    BmoreCRNP replied to BmoreCRNP's topic in Nurse Practitioners, NP

    The attending MD is involved for the most part. He is on vacation right now, so in the meantime I'm doing some investigation so to speak. I definately will need a more experienced person to help me....

  11. Anemia: am I the only one who thinks it's all complicated?

    BmoreCRNP replied to BmoreCRNP's topic in Nurse Practitioners, NP

    No, and I doubt she will go on dialysis. I work in LTC. Most of these people are not candidates for extensive treatment such as dialysis. She will not likely see a nephrologist, but be managed by...

  12. Anemia: am I the only one who thinks it's all complicated?

    BmoreCRNP replied to BmoreCRNP's topic in Nurse Practitioners, NP

    I just realized today that the retic count is separate, so I ordered it. The repeat labs showed a lower H&H. I think the Hct went from 29 to 28.4 or something like that in one week. So far the...

  13. Anemia: am I the only one who thinks it's all complicated?

    BmoreCRNP replied to BmoreCRNP's topic in Nurse Practitioners, NP

    Thaks guys, that was very helpful. Like I mentioned in the previous post, she is supposed to have labs drawn again on Monday so that I can continue my investigation. I'll let you know what I find....

  14. NP Salary vs. RN salary

    BmoreCRNP replied to Health-Nut's topic in Nurse Practitioners, NP

    The thing is, depending on the region you live in, any RN can bust their butts with overtime and make tons of money. I knew a number of nurses where I used to work in NYC who made close to 200k a...

  15. Corrected Serum Calcium

    BmoreCRNP replied to cruisin_woodward's topic in Nurse Practitioners, NP

    This was very helpful to me as well. I work in LTC, and some of my patients have low Calcium. Usually it's in the high 7's to low 8's. In addition to that, a lot of LTC patients have low albumin...

  16. NP Salary vs. RN salary

    BmoreCRNP replied to Health-Nut's topic in Nurse Practitioners, NP

    This is soo true! I would NOT go back to staff nursing for anything! Money simply is not my #1 motivator for anything in my life. It was very important to me that I improve my quality of life,...

  17. From a parent's point of view which is better MD or NP?

    BmoreCRNP replied to gagesmommy's topic in Nurse Practitioners, NP

    It depends on a few things. The scope of practice is different for NPs and MDs, and this varies by state. NPs are supposed to be competent enough to diagnose and treat common illnesses. As far as...

  18. Looking for advice from VA/MD/DC NPs

    BmoreCRNP replied to LaeDeesNP's topic in Nurse Practitioners, NP

    The area around DC tends to be expensive, especially if you want to live in nicer areas. To the west of DC are Bethesda and Potomac, both of which are very expensive. To the north are Silver Spring,...

  19. What are good area's of RN experience for FNP??

    BmoreCRNP replied to USN2UNC's topic in Nurse Practitioners, NP

    Well I have mostly PACU experience. The assessment skills, some of the meds, and dealing with acute problems helped me somewhat. Also, being exposed to patients with different chronic illnesses and...

  20. Where did you get your license, KMart

    BmoreCRNP replied to litebrightgirl's topic in Nurse Practitioners, NP

    It's possible you started with a virus that caused an exacerbation of your asthma. This is very common. If you went to minute clinic I can tell you that they have a philosophy about over-prescribing...

  21. Can NPS write prescriptions for themselves and Family?

    BmoreCRNP replied to diapason05's topic in Nurse Practitioners, NP

    I was going to say the same thing you said. I always go by the TSH. I am in LTC, so my situation is unique in that many of my patients can't tell me when they "feel" hyper/hypothyroid. Even if they...

  22. Are "real" nurses as mean as my future instructors?

    BmoreCRNP replied to Dakovich's topic in General Nursing

    See I actually agree with you and disagree with those who said "respect needs to be earned." I think that philosophy is total BS and part of the reason we can't keep nurses! You should give respect...

  23. How am I supposed to get experience if no one will hire me?

    BmoreCRNP replied to Seagate's topic in General Nursing

    I had the same problem when I first started in 1996. There were hiring freezes in many hospitals in NYC at the time. Some hospitals that were hiring new grads didn't want RNs with AS degrees! I...

  24. Why should a patient void before surgery?

    BmoreCRNP replied to TASIA305's topic in General Nursing

    One other reason is to time when the next void should take place (usually 6-8hrs). Like someone mentioned, urinary retention can be a problem with anesthesia, especially if the paralytics have been...

  25. I should have gone to med school! (rant)

    BmoreCRNP replied to BmoreCRNP's topic in Nurse Practitioners, NP

    No I had 13 years of nursing experience before I started working as an NP. I can't speak for those NPs that chose to go the BSN-MSN route without prior experience. I personally don't recommend it,...