Nurseboy1

According to Huffingtonpost: The New York City Medical Examiner has finally revealed that lack of oxygen to Joan Rivers' brain caused her death over a month ago. According to the medical examiner's report, her death was officially caused by "anoxic...

I work 12 hour nights, and I don't rotate. I don't sleep on my shifts, I sleep during the day.

You may think I'm bitter but I assure you that is not the case. The benefit of taking the longer path is getting broad experience and exposure to many different things. I'm well aware of Vanderbuilt's program, it was a program I considered applying t...

I'm curious how you meet all the requirements to take the NCLEX after just a year. If you haven't graduated from an accredited program or completed the necessary clinical hours. Much less had the time to rotate through the different areas to get expo...

As a practicing ACNP, I can tell you finding a NP position without any nursing experience will be difficult. You may want to consider a program that will allow you to become a nurse first and get some experience prior to starting the NP portion of th...

I took the exam a year ago. If you took the review and studied your plan you should do well. Best of luck

Bipap for pneumonia? Sounds like the patient needed to be intubated

I thoroughly like being a NP and would not change my career pathway. I have a good scope of practice and wide prescriptive authority. The hospital I work for compensates very well, and covers the costs of my malpractice insurance. They also provide ...

I primarily have responsibility for all the patients on our census. The nurses call me first with issues or needs for order clarifications. If I'm tied up with one patient and another patient needs help then the attending steps in. If I need help my ...

I'm an ACNP in the ICU at my hospital. I work primarily at night. Our practice model is that it is me and my attending for the whole unit. Generally I do most everything for the patients. If an admission comes I see them and take a history, I do the ...

ACNPs in my area have a pretty decent job outlook. However most hospitals around here are not going to hire a FNP into the ICU, so if ICU is what you want then you need to do an ACNP program. My salary is significantly higher than it was as a bedside...

Lol its north of 100K

I work in an teaching hospital, however the ICU that I work in is exclusively run by intensivists and NP/PAs we don't have residents in our unit.

Working with cardiac patients, I routinely place central lines on patients that have received loading doses of plavix, aspirin, brilenta, or are on infusions of heparin, integrilin or aggrastat. I even place them on patients who have received thrombo...

I am an ACNP in the ICU, I'm very hands on with the patients. I can intubate, place central lines, swans, A-lines, do bronchoscopy, chest tubes, LPs. And my salary is nothing to sneeze at. Just pointing out that there are places where NPs can have a ...

Then only 9 more years to go before I can join the COB society ADN-2004 BSN- 2006 MSN- 2014 Aspiring member of the COB society

How recently has the patient had a cardiac workup? Cor Pormonale occurs with COPD and this new apparent activity intolerance makes me concerned for heart failure. Have they had a recent ECHO? Regardless the patient's symptoms are consistent with hyp...

I'm an ACNP. I work inpatient cardiac ICU. I work with STEMIs, Heart failure, ECMO, impellas. We also take overflow from the MICU and any other general ICU patient needs.

So with the benefit of hindsight in my career, I have realized that I was very likely the same kind of nightmare to precept. While I never had HR on speed dial or anything like that, I was at times way to cocky, didn't appreciate the wisdom of my eld...

In addition to having more time off during the week, the main benefit that 12 hour shifts have for the patient is fewer handoffs. In 8 hour shifts there are 3 handoffs between providers and each one represents an opportunity for something to be misse...

At my hospital the billing department deals with the insurance companies. Our group of providers met with the billing department and structured our admission notes and daily progress notes that help meet the requirements to get the full amounts reimb...

Now that I did not know, I assumed that the sedation was provided by a nurse in the clinic. I guess that makes it a bit more shocking to me, if the anesthesiologist missed the patient going deeper.

I can empathize, the JC was at my facility once and wanted to observe a rapid response call if it happened. Of course one was called and I was the charge nurse that responded and got to deal with a decompensating liver patient and coordinate moving h...

I think Rolando is on the quick path to intubation. Bipap doesn't seem that it will likely be beneficial given his hypoxemia and most likely has an underlying process that will resolve over days rather than hours. I wonder about contacts with animal...

87 is a completely normal blood glucose. Not at all a "tad on the low side". If he is fasting so much the better his fasting BG then would be completely normal