Spacklehead

Spacklehead MSN, NP

Emergency, Cardiac, PAT/SPU, Urgent Care

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All Content by Spacklehead

  1. What counts as experience?

    Yep, any type of direct patient care as an RN will count as "RN experience" in a hospital's eyes. Be it LTC, doctor's office, clinic, etc. Good
  2. WBC 19, Lactic Acid 3.2, but not septic?

    Also, did they check cardiac enzymes,
  3. WBC 19, Lactic Acid 3.2, but not septic?

    I was just going to ask if your pt was on metformin for the DM! That is one of the serious side effects of taking metformin - how was the kidney and liver
  4. When did you decide to become an NP?

    It was gradual progression for me. The more I learned, the more confident I became, and the more I wanted to do, - especially in the ED, and I started looking into programs. I initially considered...
  5. NP Licensure and endorsement?

    You really have to check the Board of Nursing's Web site in the state where you wish to practice as an FNP to see what their requirements are. Some states do not require one to sit for the AANP or...
  6. Grad School References

    Another vote for asking the schools to which you are applying. Both of mine wanted at least one MSN and a
  7. Nursing School Rankings???

    I honestly always take those rankings with a grain of salt. I've heard those ranking aren't necessarily reliable on how good a program truly is - but that's just my 2
  8. What else can you do with ER experience?

    ED experience is a big help if you would like to transfer to any of the critical care areas in the future. You will already have the ACLS, PALS, rhythm interpretation classes completed; as well as...
  9. Graduation Songs

    "These are the Days" - 10,000
  10. Legal Documentation

    Technically, you are altering a medical record by going back and writing in new info - so I would agree that it is wrong (but I am by far not a legal person). Just my thoughts on it. Also, there is no...
  11. should I quit my job for school

    Crystalchen, I would think that your facility would be happy to keep you on staff - and it is entirely up to you if you want to mention your return to school for dropping down to per diem status. You...
  12. should I quit my job for school

    Are you able to drop down to per diem? I did mostly per diem while in my NP program and it worked out very well. I was able to set my work schedule around when papers/exams were due and worked...
  13. Is it legal to call yourself "Nurse" when you in fact are not?

    Another resource you might consider consulting is your state ANA. They might actually act quicker than your state BON regarding the issue. I could see them writing a very factual and...
  14. Please stay up on your CEUs (NOT a medical assistant bash)

    Thanks, much appreciated! I found two different sources just now (neither were studies, however) that stated two different things. One said not to massage since it can add to the patient's...
  15. Please stay up on your CEUs (NOT a medical assistant bash)

    This is exactly why I'm curious to see the research. I want to know why any injection area should not be massaged if the manufacturer of the drug does not specifically state that it shouldn't be (I...
  16. Please stay up on your CEUs (NOT a medical assistant bash)

    Not to harp on this, but I'm just curious after thinking about what you learned about IM injections in your OP - do you have links to evidence-based research that state IM injections (in general)...
  17. Please stay up on your CEUs (NOT a medical assistant bash)

    I have given too many injections to count via SQ/IM routes and have sometimes had blood trickle out like that upon needle withdrawal (well, actually I would catch it with the alcohol pad or gauze...
  18. Incident report for infiltrated vein?

    I agree with the other posters who stated it is odd that it will be going in your file. As LA student nurse stated, your manager gets them, reviews them, then fowards them to risk management. I have...
  19. What can I do now?

    Not that this is the issue here, and I could be way of base for I don't know much about derm - but some of the procedures you stated you did are outside of the scope of a RN which you still would...
  20. What is it like starting out as an NP?

    Anytime! :) I am in the Middle-Atlantic area; my starting hourly rate as a new-grad NP with RN experience put me on par with what an experienced per-diem RN would make for the same hospital system -...
  21. Healthcare Reform-ER

    Actually, the majority of people who do use the ED are insured - whether it be through Medicaid, Medicare or private insurance carriers. No, they will not turn potential ED patients away; they can't...
  22. What is it like starting out as an NP?

    I think the answer to your question depends upon which area of the country you live in. For example, where I live there are a lot of open NP positions; however, most of them require at least 1-2...
  23. FNP CERT EXAM

    I agree with carachel. I took the ANCC exam back in November and until I received my results after the computer shut off, I had no idea if I passed or failed - it was that frustrating! I felt the...
  24. The worst code you've seen?

    An otherwise healthy infant who should not have died - enough said. The infant's face is permanently engraved on my
  25. New FNPs Finding Jobs?

    I should also add that I did not begin my job search until after New