TammyG

TammyG

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All Content by TammyG

  1. New Grad Job Offers Advice

    TammyG replied to newFNP2015's topic in Advanced Practice

    I agree with take two aspirin. In my area, pain management has to pay more to NPs because nobody wants it. No matter what the MD said, no matter how many certifications he has, you will be seeing 25...

  2. Question for those of you who precept NP students

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

    Jules A raises a good point. Many NPs prefer to precept only students with experience in their specialty or their environment or with their population because they do not enjoy teaching remedial are...

  3. Is employer-provided malpractice enough coverage?

    TammyG replied to christinaFNP4's topic in Nurse Practitioners, NP

    It is much less common for employed NPs to purchase their own coverage than it is for employed RNs. In part this is because many states require that all prescribing providers carry their own...

  4. 1 yrWhat to do

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

    The minute clinic seems to be a great job for people with a ton of outpatient experience, who have seen everything, and who are not looking for a challenge. The few people that I knew who appreciated...

  5. Negotiating Salary - Suggestions

    TammyG replied to hik9258's topic in Nurse Practitioners, NP

    A lot of practices will give you a bonus based on Billings over a certain amount, or some other productivity measure. These can be tricky to figure out and you probably will not reach the bonus level...

  6. In home assessments

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

    I have had several friends with these jobs and they all seem to love them. I interviewed with an agency after I graduated but decided not to take the job. I really wanted an initial job out of school...

  7. Nurse in room for hemorrhoid checks?

    TammyG replied to anh06005's topic in Nurse Practitioners, NP

    We always use a chaperone for any assessment of the pelvic, groin, or breast area. Regardless of the sex of the provider. It is just what we do. I am surprised that they are our practices where this...

  8. Independent contractors

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

    I have had several friends in jobs like these, and they guilt you into accepting a lot more work than you're comfortable with. Stick to your guns with respect to your

  9. Nervous to take AANP again

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

    The test is extremely difficult and no fun. One friend of mine was having trouble passing registered for both the AANP and the ANCC which she felt gave her twice the chance to pass. The ANCC has a lot...

  10. Company Dynamics, Family Dynamics, Burnout

    TammyG replied to UpTheLadder12's topic in Hospice, Palliative

    The case manager seems to have a pretty limited role in managing the care of these patients, which seems to be contributing to the unwieldy nature of the care, the frequent calls from the family, and...

  11. Hoping for some professional feedback on a product.

    TammyG replied to EllyW's topic in Hospice, Palliative

    No way would I put that device in someone's rectum. I'm even a little surprised that that is within the scope of an RN

  12. Accepting an infant in to hospice, new experience, ADVICE please!

    TammyG replied to Amburgerz12's topic in Hospice, Palliative

    My hospice takes many peds and infant cases, although we have very few peds – experienced nurses on staff and most of them are in another region. I subsequently found out that many hospices...

  13. On call?

    TammyG replied to lifelearningrn's topic in Hospice, Palliative

    It sounds like your hospice is in a bad spot when the on-call nurse is out, and they have no backup plan, so they institute the mandatory overtime. They certainly should have told you about this when...

  14. Is hospice on the down swing?

    TammyG replied to Nash3222's topic in Hospice, Palliative

    My hospice saw a downflux in census over the last two years, largely due to the increase in live discharge as required by the additional CMS scrutiny. However, at the same time, hospice is becoming...

  15. Angels

    TammyG replied to nursecathi's topic in Hospice, Palliative

    I usually just respond "I love doing this work" or "it is an honor to be here today" or something like that. The family is very stressed and very appreciative for any help. Family members will often...

  16. CHPPN/CHPN exam-HELP!

    TammyG replied to elb3006's topic in Hospice, Palliative

    The only study material that I am aware of is the core curriculum and the study guide, both of which are published by HPNA. The study guide contains sample questions and was very helpful. This is...

  17. Night shift or day shift ?

    TammyG replied to Bailando's topic in Medical Assistant, CNA/MA

    I found night shift much easier in terms of quieter unit, less patient demands, less doctor demands, and a chance to read the charts and really learn. However, it is hell as far as your personal life...

  18. Beating a dead horse but ANP primary vs acute

    TammyG replied to Knight Owl's topic in Student Nurse Practitioner

    I recently graduated with an NP-primary care, but I know that the acute care folks spent all their clinicals in ICUs and basically trained to be intensivists. They did not have any clinicals in...

  19. Taking Patients down to the Morgue

    TammyG replied to cd365c's topic in Hospice, Palliative

    When I was working oncology and making lots of trips to the morgue, I noticed that the other nurse and I usually had very upbeat, lighthearted talk on the way down. We did not make jokes at the...

  20. Problems with IV starts/blood draws

    TammyG replied to ClaraRedheart's topic in Medical-Surgical

    If you do look it up, it is spelled

  21. Treat diabetes?

    TammyG replied to nursecathi's topic in Hospice, Palliative

    Generally, we would treat diabetes if the patient wanted it treated and until the patient was at EOL. Although our MDs would write the orders for the diabetic medication, we would not pay for it, and...

  22. Taking Patients down to the Morgue

    TammyG replied to cd365c's topic in Hospice, Palliative

    I have worked in several facilities and, in every case, we had to take the deceased patient to the morgue. Security met us there and there were various protocols that they had to go through. Every...

  23. Negotiating Salary -- Do it!

    TammyG replied to juschillin's topic in Advanced Practice

    Like most things in life, it will work out fine. I wasn't entirely happy with a number of things about the job, luckily there are lots of other jobs in my area. I am not sure I am going to try to...

  24. What specialty do you want to work in

    TammyG replied to sauce's topic in Student Nurse Practitioner

    No home health or

  25. Negotiating Salary -- Do it!

    TammyG replied to juschillin's topic in Advanced Practice

    I countered because I thought I could get more money and the salary offer was under market for this area. I had received another offer for $20,000 higher, though the work was not what I wanted. And,...