TammyG

TammyG

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All Content by TammyG

  1. Passed ANCC AGPCNP

    TammyG replied to kjoyAGPCNP84's topic in Student Nurse Practitioner

    Kjoy, thank you for your very helpful post. I am graduating in a few months and plan to do exactly what you recommend, though I am only going to take 1-2 weeks off. (I am only working PRN during my...

  2. ACNP Programs?

    TammyG replied to MallysMama's topic in Student Nurse Practitioner

    Agree completely with Juan that any AGACNP program will prepare you to work in the critical care setting. Both Hopkins and Georgetown have excellent reputations in my area for their AGACNP programs....

  3. Discharge Visit Requirements?? Help

    TammyG replied to pennyrwalker's topic in Hospice, Palliative

    As the other posters stated, it can be a long process. The discharge must be safe, so you need to be sure that they have another source for DME (often that it is already in the house), they have...

  4. Hospice Nurse Practitiones

    TammyG replied to mcmetauten's topic in Student Nurse Practitioner

    I was in a similar place as you and was advised by my school to take the AG primary care versus the AG acute care program. The clinicals for acute care were all in ICUs, and I am never going to see...

  5. First clinical day as an NP student tomorrow :)

    TammyG replied to HikingEDRN's topic in Student Nurse Practitioner

    I did my assessment clinical in a group of students (5 of us I think) with a single preceptor in a busy ED. The preceptor worked upstairs and decided she'd rather go back to work, so we just hung out...

  6. NP malpractice insurance

    TammyG replied to TexasPsychNP's topic in Nurse Practitioners, NP

    Absolutely get your own malpractice, in addition to whatever your employer provides. Your employer coverage most likely does not cover license issues, for example. Always a good

  7. Hospice nurse orientation

    TammyG replied to RNmommynk's topic in Hospice, Palliative

    Most hospices have a couple days on general "stuff" that is not RN-specific -- filling out timesheets, infection control, how the company is organized, how a hospice is regulated, etc. Then there are...

  8. CCRN

    TammyG replied to shuccrn's topic in Critical Care

    I have the full set of DVDs (Laura Gasparis) available, happy to let them go for cheap. If anyone is interested, PM me. These were purchased from her website in June 2013 -- not sure if she's come...

  9. Georgetown admission-acceptance/rejection

    TammyG replied to TSM2017's topic in Post Graduate Students

    I was also rejected from Georgetown's FNP program a few years ago. I called the head of the program directly (she was also at the interview) to ask if I could stop by and discuss why, so that I could...

  10. How often BM when not eating?

    TammyG replied to LivewellRN's topic in Hospice, Palliative

    I would agree that every third day is about right. She is still producing

  11. bad bad deaths

    TammyG replied to NC29mom's topic in Hospice, Palliative

    That's an interesting scenario? What did you tell them? I would tell them, absolutely, she died comfortably. We don't know how she died, why cause the family to be upset. I was not aware that...

  12. Wound Care Interview! I have a few questions.

    TammyG replied to NJprisonrn's topic in Nurse Practitioners, NP

    That is interesting. I assume you are not WOC-certified. Your post is a week old, I would love to know how things went. If you still have time, I would recommend looking at the WOCN website...

  13. bad bad deaths

    TammyG replied to NC29mom's topic in Hospice, Palliative

    I find the worst deaths are esophageal cancers because of the pain, and patients with intestinal blockages because of the intractable nausea. Often those patients need to go to hospice house because...

  14. Standard med orders for dyspnea

    TammyG replied to hooterhorseRN's topic in Hospice, Palliative

    The doses are a little high to start, but not crazy high. But, they absolutely should have been given PRN only. You don't mention what symptoms the patient had, other than some dyspnea. You should...

  15. Do you ever second guess yourself

    TammyG replied to nowim clean's topic in Hospice, Palliative

    Of course you weren't wrong to give an ordered drug if you thought the patient was uncomfortable. There are a lot of studies demonstrating that morphine at end of life does not hasten death in the...

  16. Heartland Hospice or Seasons hospice

    TammyG replied to LvANrse80's topic in Hospice, Palliative

    I have seen good and bad for-profits and good and bad not-for-profits. I think it depends on the specific hospice. One difference that I have seen is that not-for-profits tend to have more charity...

  17. Questions about post mortem care.

    TammyG replied to ErinRose's topic in Hospice, Palliative

    I reassure the families that the funeral home will take care of the mouth and don't spend a lot of time on it. I used to roll up a towel and put it under the chin but this made the patient look very...

  18. Hospice pt in alf/morphine

    TammyG replied to lauriepat's topic in Hospice, Palliative

    2 ml of roxanol is 40 mg which could kill an opiate naive

  19. might be stupid question...

    TammyG replied to mmc51264's topic in Post Graduate Students

    Many of the local nursing schools hire clinical instructors with MSNs in nursing education and significant (15+ years) field experience. Other nursing schools will hire NPs as clinical instructors...

  20. Georgetown University application process

    TammyG replied to AshleyDiane6's topic in Student Nurse Practitioner

    I applied but didn't get in. They had a group meeting with the applicants and presented some info, then the director of the program met with each applicant individually for about ten minutes. I think...

  21. NP working as RN?

    TammyG replied to APei's topic in Nurse Practitioners, NP

    My preceptors in NP school chided me several times for calling NPs physician extenders and instructed me that "mid-level" was the correct term to use. I have seen that term numerous times and did not...

  22. question while studying....

    TammyG replied to AspenRN's topic in Hospice, Palliative

    I've never seen a hospice patient in an ICU. One the decision is made to place the patient on hospice, those interventions are no longer needed and the patient is moved to a general floor where he...

  23. Charting when you are no longer able to obtain vitals.

    TammyG replied to RivetheadGirl's topic in Hospice, Palliative

    Very interesting that your hospice does continuous care for everyone actively dying regardless of symptom burden. Any other hospices do this? We probably provide continuous care for less than 5% at...

  24. 12 Month BSN or 15 Month MSN?

    TammyG replied to sciencerer's topic in Student Nurse Practitioner

    The entry level masters programs are all the rage now. It is basically the accelerated bachelors but you get a generalist MSN. Johns Hopkins just announced that they are discontinuing their...

  25. med/surg to hospice..on-call position

    TammyG replied to srleslie's topic in Hospice, Palliative

    I am not sure how you can work nights on-call and go to clinicals for NP school. This will make you miserable. Even one call at 2 am will keep you from getting decent sleep that night. Try a...