TammyG

TammyG

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All Content by TammyG

  1. Help me understand the different types of NP programs (ACNP vs FNP etc)

    TammyG replied to nfdfiremedic's topic in Student Nurse Practitioner

    I graduated with an Adult-Geriatric Primary Care MSN, and I was concerned that hospitals wouldn't consider me for hospital based (non-intensivist) positions. But I had no trouble being offered...

  2. First clinical ever next week!

    TammyG replied to Linette18's topic in Hospice, Palliative

    I frequently had nursing students with me and they actually did a lot -- lots of assessments, helping with daily care, death visits, the works. You will see a large number of different diagnoses and...

  3. Passing AANP boards

    TammyG replied to Karegem143's topic in Student Nurse Practitioner

    I am taking the test next week. I wasn't nervous until today, maybe because it is getting closer. I am so SICK of studying that I just want to get it over

  4. Nursing student BSN

    TammyG replied to stef.tipton's topic in Student Nurse Practitioner

    It is hard to answer whether any endeavor is "worth it" in a vacuum. It depends on what type of work you want to do, what type of responsibility you would like, your own personal values on education,...

  5. So what's the one piece of advice you wish someone told you...

    TammyG replied to vampiregirl's topic in Hospice, Palliative

    Case management was definitely the hardest part for me to get my arms around, especially because they seem to add new requirements daily. There are just SO many things you have to learn, I think that...

  6. Just got APRN license, still working as RN. Which license to sign with?

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

    ArrowRN is correct that an NP practicing in an RN role will most likely be held to the standard of a reasonably prudent RN. In the RN role, you will not be diagnosing or prescribing. However, an...

  7. Scoring High 40s on APEA Q Bank..

    TammyG replied to Gdschild's topic in Student Nurse Practitioner

    If I were getting 40's, I would definitely be a little nervous. I have also been taking the APEA question bank and have been getting 76-78%. The website said anything under 79% was "questionable" and...

  8. Hospice patient requests to smoke

    TammyG replied to eatenalive365's topic in Hospice, Palliative

    Lots of interesting issues here. It seems that hospice patients at LTCs who want to smoke are generally treated like any other LTC patient that wants to smoke, which is generally the right thing to...

  9. Hospice patient on methadone

    TammyG replied to Kerber's topic in Hospice, Palliative

    No one. The point is what he is not taking. The OP suspects that he is selling methadone which is being provided by the hospice. The hospice cannot knowingly standby and let this

  10. Credentialing Question

    TammyG replied to onc1979's topic in Nurse Practitioners, NP

    I doubt any facility will guarantee an offer without checking references and ensuring that you can be credentialed. What is the offer conditional on? If it is conditional on your references and...

  11. Skills refresher

    TammyG replied to Furies Fire's topic in Hospice, Palliative

    We do a lot of PCAs so mediport access, subcutaneous access, PICC line bandage changes and access and flushing. TPN hanging. Lots of foleys. Occasional venipuncture. Lots of wound care...

  12. for nurses w/ CHPN certification

    TammyG replied to rubysasha's topic in Hospice, Palliative

    Just call them up. They answer the phone right away and will let you know the

  13. Hospice patient on methadone

    TammyG replied to Kerber's topic in Hospice, Palliative

    Nothing. Let your supervisor know what is going on. If your agency is going to keep him, you might want to go through the same steps that are used at a pain clinic or palliative clinic -- have him...

  14. Continuous Care

    TammyG replied to jennifer_gail's topic in Hospice, Palliative

    The best advice I can give is to ask the family to clarify the goals of care. You might not want to just walk in and say "what are your goals of care?" but you can get cues from the family. Remember...

  15. Tampons & Stomas

    TammyG replied to Turtle in scrubs's topic in Wound, Ostomy, Continence

    This was actually discussed at my WOC class, because many people had used this method. The instructors stated that it is best never to put anything in the stoma, and did not recommend it. I haven't...

  16. Is this typical for a wound care nurse position?

    TammyG replied to pn5437's topic in Wound, Ostomy, Continence

    The LTC wound nurses around here are all LPNs, and they are very good because they see so many wounds daily. But they all document as far as I know. The WC MD only comes by once per week, and of...

  17. Wound Cleaning Techniques

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

    Oh, my, that is not good. As yesitslaura says, you don't want to scrub wounds because you will rub out the new granulation tissue, which is just one or two cells thick, and the wound will never heal....

  18. WCC vs WOCN vs CWS

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

    WOCN is open only to BSN-level RNs, so that option would not be available for

  19. Online WOCN training

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

    LogCabinMom, WebWoc has a list of preceptors in each region that have been pre-approved. For wounds, I found my own preceptor and then had that preceptor approved by the program. But for ostomy and...

  20. Approaching tough subjects with the boss

    TammyG replied to Butterflyxx0621's topic in Hospice, Palliative

    That is the history of employer – employee relations in the United States. The only leverage that the 0P (Or, for that matter, any employee) has is to threaten to quit if the terms and...

  21. Taking pts with me to another compan

    TammyG replied to holistic1028's topic in Hospice, Palliative

    Absolutely true that she will upset people at her old employer. In fact, her new employer may not want her to take on these patients because it might hurt the relationship between the two hospices....

  22. Advice on going to Grad school right after undergrad

    TammyG replied to casslynch5's topic in Student Nurse Practitioner

    I applied for grad school right out of BSN school, but I worked full time during the five years it took me to ear my MSN/NP degree. By the time I was ready for clinicals, I had a couple years of...

  23. Taking pts with me to another compan

    TammyG replied to holistic1028's topic in Hospice, Palliative

    I see nothing at all unethical or illegal about suggesting that patients transfer with you. I do not think that most hospices have employment agreements with their RNs -- I have worked for several...

  24. Client is grieving. How to be tactful?

    TammyG replied to Helen_'s topic in Hospice, Palliative

    It was polite and kind of you not to ask for pay at the time of death. But you are absolutely entitled to pay, and the client's family probably feels awful about forgetting to pay you. I am sure...

  25. The Last Dose

    TammyG replied to KatePasa's topic in Hospice, Palliative

    I was always happy when I could give the last dose -- because I know I kept the patient comfortable while they took their last breath. That is why I became a hospice nurse, to give people good...