TammyG

TammyG

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All Content by TammyG

  1. What Has Happened to Hospice?

    TammyG replied to Tencat12's topic in Hospice, Palliative

    A lot depends on the geographical distance and whether they are in nursing homes or at home. We had case loads no higher than 16, but they were all home patients and quite spread out. The other team...

  2. Working while in NP school

    TammyG replied to friendlylark's topic in Student Nurse Practitioner

    I went to Hopkins NP program as well but my experience was very different than Shibaowner. Pretty much everyone in my cohort worked full time (most at Hopkins medical facilities for the tuition...

  3. CHPN certification

    TammyG replied to Elle23's topic in Hospice, Palliative

    The credentialing authority did add a work requirement for the test in the last two years or so; previously there had been none. The requirement is: "Applicants must hold a current, unrestricted...

  4. CHPN certification

    TammyG replied to Elle23's topic in Hospice, Palliative

    There is no work requirement. I took the test years ago without any hospice experience (though I had oncology). It would be wonderful for you to develop a hospice service in your community. Wonder...

  5. GIP Criteria

    TammyG replied to SWBQACRN's topic in Hospice, Palliative

    There is no 48-hour period stated in the regs, I think that is a policy of your hospice. I have found the GIP criteria to be a bit variable based on the hospice. For those hospices that have their...

  6. Death Visit Protocols

    TammyG replied to Zee_RN's topic in Hospice, Palliative

    We always attend the death UNLESS it is during on-call hours and the facility pronounces the death and does not want us to come. If there is no family there, which is unfortunately often the case,...

  7. Average daily mileage

    TammyG replied to Annintenn's topic in Hospice, Palliative

    This really varies depending on your location. When I worked in the city, I averaged 30 miles, but sometimes that could take hours! In the large rural hospice where I work now, the average is...

  8. ACNP credential being retired

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

    I'm not really sure I understand the question. Do you hold any certificate now? If you do not, then your choice of program will determine whether you are eligible to test under the AG-ACNP versus...

  9. Resume

    TammyG replied to WORKIN-RN's topic in Nurse Practitioners, NP

    Almost every job that I applied to had an online application process where you had to list all your prior employment. You can't omit any job, that would be dishonest and considered wrong. Moreover,...

  10. Keeping your maiden name

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

    I was an attorney before being a nurse, and 100% of my female attorney colleagues kept their maiden name. It was the traditional thing to do and part of the culture that one kept one's name. Part of...

  11. Thinking about the next step

    TammyG replied to Workinghard123's topic in Nurse Practitioners, NP

    Hello, I don't think anyone can give you advice since you have not disclosed much about yourself. However, I would not be eager to move to the "next step" after just one year. If you do not enjoy...

  12. Taking AANP *AND* ANCC?!

    TammyG replied to MILOBRI's topic in Student Nurse Practitioner

    I can see no benefit to having both certifications and, as BostonFNP says, it is a pain in the butt to maintain them both, not to mention the cost. The only advantage that I can see to taking both...

  13. Help with clinical goals

    TammyG replied to Roseyposey's topic in Student Nurse Practitioner

    You might want to include something like becoming familiar with basic OB/GYN resources/texts, become competent in performing basic pelvic exams (that's one I really wish that I would have completed!),...

  14. Advanced Pharmacology

    TammyG replied to Bea Bea's topic in Student Nurse Practitioner

    I found that advanced patho was much more difficult than advanced pharm. The advanced patho seemed to require more in-depth understanding of its concepts, which also required more in-depth...

  15. Attorney to Nurse Career

    TammyG replied to Brett73's topic in Legal

    Hi Natalie, I left law (completely) after 20 years to become an RN. I was not interested (at that time) in combining the two careers. I LOVED LOVED LOVED being an RN. I was a floor nurse, then a...

  16. Wound care work opportunities

    TammyG replied to Leonardo Del Toro's topic in Wound, Ostomy, Continence

    It is pretty rare to see a CWOCN employed anywhere except for a hospital, because people just won't pay for it. As you noted, the RNs working at wound clinic's are uncertified. Around here, I have...

  17. Struggling with grief

    TammyG replied to Nursekim82's topic in Hospice, Palliative

    Most hospices have some type of bereavemeant meetings weekly or monthly, though some are better than others in this. Plus, you are able to receive counseling from the hospice social workers, if you...

  18. New hospice nurse: Burned out!!!

    TammyG replied to MsPrettyHospiceRN's topic in Hospice, Palliative

    Our hospice was always trying to get us to chart at the bedside. I was very uncomfortable doing that. I once had a COPD patient tell me "I need you to look at me when I talk, because it takes...

  19. New hospice nurse: Burned out!!!

    TammyG replied to MsPrettyHospiceRN's topic in Hospice, Palliative

    I agree with Nutella. Many hospice nurses burn out because their hospice is poorly run and poorly managed. I would definitely look for another agency, or consider part-time or on call (talk about...

  20. Thoughts on FNP with limited nursing experience

    TammyG replied to INN_777's topic in Student Nurse Practitioner

    I started NP school with 1 year of experience and finished with 5 years of experience. Most of my classmates had similar amounts of experience, some had much less. I think 4-5 years of acute care...

  21. How's your clinical NP experience like?

    TammyG replied to gelli.25's topic in Student Nurse Practitioner

    AG

  22. How's your clinical NP experience like?

    TammyG replied to gelli.25's topic in Student Nurse Practitioner

    My first 40-hour clinical was in an ED, and I basically just assessed patients in my own little world without having any input to the treatment team. After that, I was reviewing histories, assessing,...

  23. Attorney to Nurse Career

    TammyG replied to Brett73's topic in Legal

    Having a baby while in nursing school would be tough because you are on your feet for clinicals all the time, then will need child care after the baby is born. You really can't miss clinicals so if...

  24. PEG dressing options

    TammyG replied to jessieh13's topic in Wound, Ostomy, Continence

    With a leaky PEG, I always like to do a crusting and then use a wound pouch to keep the discharge off of the skin. If done correctly, this almost always works. I can only think that the "cotton...

  25. Hospice LPN CC Coordinator

    TammyG replied to NurseSkully34's topic in Hospice, Palliative

    Most large hospices have a continuous care staff. There is quite a lot of administrative work in coordinating who goes where each day. There is also a lot of documentation that must be done by the...