TammyG

TammyG

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All Content by TammyG

  1. When to begin looking for job??

    TammyG replied to Missy89's topic in Nurse Practitioners, NP

    Many (in some places, most) places will not consider your resume unless you are licensed in that

  2. rescue meds...or not.

    TammyG replied to johnys's topic in Hospice, Palliative

    This is an awful situation. Many states require or at least permit emergency medication kits to be on-site at SNFs and often even specify the contents. These kits are allowed under DEA and CMS...

  3. SNF who provides supplies?

    TammyG replied to NC29mom's topic in Hospice, Palliative

    We always provide supplies to SNF patients. Hospice service includes the provision of "medical supplies" to patients regardless of location. Most of the SNFs have a separate charge (in addition to...

  4. The Death Knell Of Hospices Everywhere

    TammyG replied to chordringer's topic in Hospice, Palliative

    I work for a large not-for-profit hospice, and we generally pay for most meds not related to the hospice diagnosis. Meds we regularly exclude are things like insulin and anti-diabetic drugs, BPH...

  5. In FNP program, delay or push through?

    TammyG replied to EverGraceRN's topic in Student Nurse Practitioner

    I had a similar decision to make a few years ago, and chose to wait a year to start clinicals. I am glad I did. I was in a better frame of mind and better financial situation to cut back my work...

  6. Hospice failure

    TammyG replied to sr2121's topic in Hospice, Palliative

    I also am confused by the HMD's actions. Many of our patients still see their own AMDs and AMDs send in orders all the time. Our HMDs welcome this. Don't get it. I agree with toomuchbaloney that...

  7. Accepted. Your thoughts on my situation?

    TammyG replied to Avenger1's topic in Nurse Practitioners, NP

    Can you have your cake and eat it too? Go to school but still work part or full time as a firefighter? There are many NP roles that have an element of the first-responder excitement that you enjoy...

  8. aspiration and NPO status

    TammyG replied to NC29mom's topic in Hospice, Palliative

    We never write NPO orders, even with aspiration risk. Of course we caution against feeding when a patient becomes unable to swallow at EOL. But if the patient wants to eat, even with aspiration risk,...

  9. Newer Nurse trying to follow heart

    TammyG replied to kota110's topic in Hospice, Palliative

    I had similar experiences to Makeitwork when I was a floor nurse. I usually volunteered when we had a vent wean or when a family had to be called in the middle of the night. I just felt it was...

  10. Revoking and Hospitalization

    TammyG replied to Kabin's topic in Hospice, Palliative

    The hospice has the choice of either paying the hospital bill or asking the patient to revoke. There are times with small hospitalization bills that we do not revoke. Or, if the patient is charity...

  11. Requiring Bedside Experience for NP

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

    My own view is that some RN experience is helpful to understand the medical system in general, how hospitals work, how orders are written, looking at patient management systems, etc. Plus, the...

  12. Frustrated with Case management

    TammyG replied to GundeRN's topic in Hospice, Palliative

    We usually get a PRN nurse in to handle the case loads of the people that are out sick or on vacation or whatever, though sometimes that doesn't work out due to budgets, availability,

  13. Passed both AANP and ANCC for AGNP

    TammyG replied to Bumashes's topic in Student Nurse Practitioner

    Bumashes, thank you for your very helpful post about the certification tests. It did not occur to me to take both and I don't know anyone who did that. I am planning to take 2 months off after...

  14. What is/was your job going through grad school?

    TammyG replied to 403RN's topic in Student Nurse Practitioner

    Most of my class works 3-12s at the hospital affiliated with the nursing school, and get 100% tuition reimbursement. But they are pretty much miserable. Given that we have two full days of clinical...

  15. Advanced Health Assessment

    TammyG replied to OCRN3's topic in Student Nurse Practitioner

    I did not take health assessment on-line, but my school does offer it on-line. You are required to do 40 hours of clinical with a preceptor during the semester to practice assessment skills, or if...

  16. Which schools have Advanced Pharmacology Online?

    TammyG replied to funfunfun550's topic in Student Nurse Practitioner

    Johns Hopkins offers both pharm and patho at the graduate level on-line to matriculated students. I did fine in patho, don't think I learned that much in pharm

  17. Experience needed for Hospice Nurse

    TammyG replied to peaceful2100's topic in Hospice, Palliative

    I agree with Chopwood, we use SQ ports instead. You will get training in all that stuff

  18. Experience needed for Hospice Nurse

    TammyG replied to peaceful2100's topic in Hospice, Palliative

    I don't see any need to go back to the hospital to get more adult med-surg experience, if that is what you were thinking. People come to hospice with all kinds of experience. There is very little...

  19. can gangrene be a hospice diagnosis

    TammyG replied to WDALEY's topic in Hospice, Palliative

    Edmia is right, it is an MD decision. We have many patients with some amount of gangrene, they almost all have diagnoses of vascular disease of one type or

  20. CNS vs NP vs CWOCN-AP

    TammyG replied to mrosette's topic in Wound, Ostomy, Continence

    You need to complete either an NP, CNS, Or CRNA program to be eligible to sit for the CWOCN-AP. Check out the exam handbook. You do not need prescriptive

  21. AGNP vs FNP

    TammyG replied to flipper628's topic in Student Nurse Practitioner

    Zmansc, all good points. At my school, FNP is a full additional semester. But the main reason is, I don't want to do a clinical in the nursery, and I don't want to do a clinical with children, and I...

  22. AGNP vs FNP

    TammyG replied to flipper628's topic in Student Nurse Practitioner

    Why not? Does it effect your ability to

  23. AGNP vs FNP

    TammyG replied to flipper628's topic in Student Nurse Practitioner

    Flipper628, I am not sure what to tell you. I am in the same boat. I figure I can always work as an RN if I can't find a job. And I have confidence in my ability to figure out what to do to find an...

  24. AGNP vs FNP

    TammyG replied to flipper628's topic in Student Nurse Practitioner

    When I was applying for schools, I knew that I had no interest in working with babies, doing well women, OB or peds, and so going the FNP route just made no sense for me. Even if those jobs are more...

  25. Pain medicine and bone mets

    TammyG replied to esrun00's topic in Hospice, Palliative

    We often go up to MS Contin q8 hours if the patient is having end-of-dose failure at q12 hours. I think that is pretty common. I have never seen MS Contin ordered q4 hours