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Pediatics, Family Practice
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Dr.Naija_Queen has 8 years experience and specializes in Pediatics, Family Practice.

Dr.Naija_Queen's Latest Activity

  1. Dr.Naija_Queen

    Where can acute care pediatric nps practice

    Thanks Neuro Guy, I didn't recall reading that in the statement. It's been a while since I looked through it!
  2. Dr.Naija_Queen

    Where can acute care pediatric nps practice

    I'm an FNP who has primarily practiced in pediatric subspecialties both inpatient and outpatient. I currently work in a pediatric pulmonary clinic. I mainly see patients with asthma, allergies, and cystic fibrosis. Occasionally, I do have to admit kiddos to the hospital when their conditions worsen. Due to the concensus model and my passion for learning I have enrolled in an acute care pediatric post cert program. Prior to enrolling I discussed my preference for practicing in outpatient peds pulm with my program director. She advised me that given my current certification, getting certified as a PNP-AC would be best. I checked the PNCB website which also stated that PNP-ACs can work in outpatient specialty clinics. I was told by a few PNP-PC colleagues that PNP-ACs can only work inpatient settings or the ER. Although I've been advised by faculty, I'm kind of confused. Would I be able to continue practicing in my current role with a PNP-AC or should I change to PNP-PC? I thought PNP-PCs mainly do out patient primary care. I welcome your thoughts.
  3. Dr.Naija_Queen

    Hand off

    Sounds like the new nurse jitters. I can relate because it was hard for me to give report when I was a new nurse. After 2 months, you are still a fairly new nurse and still learning of course. It can seem intimidating when you're asked a question, but just know that the nurse wants more info. You spent the whole shift caring for the patient and I'm sure you know the patient. It's okay to read from you SBAR. You need to communicate the main thing about the patient. You're not telling their whole life story. Patient name Diagnosis (what the pt is admitted for) Treatment plan- Be brief, just the main idea Equipment (IV, Chest-tube, etc) Mental status Diet: Activity level Labs (significant or note worthy) Any changes in status Communicate responses to new meds or treatments
  4. Dr.Naija_Queen

    How to get DOT certificate

    Where I work, the time allotted for the visit is 1 hr. It usually doesn't take me that long since most pts are healthy. With paperwork included, it takes me about 20-30 minutes to do a DOT physical. If the pt has issues going on, it an take longer to get it done and it can take up to an hr.
  5. Dr.Naija_Queen

    Working for the VA

    I agree with Jules A. I know that the VA doesn't offer the highest salaries around, but I do know ones salary offer depends on years of experience, certifications, etc. I'm not sure which VA you applied to, or your specialty, but 100k sounds good for a start no matter the location. In the Midwest, my sister was offered and accepted 82k in a primary care clinic at the VA. She had about 6 months of NP experience prior to that.
  6. Dr.Naija_Queen

    Nurse Practitioner

    There was a proposal in 2004 by the AACN for the DNP to be the terminal degree for APRNs. In my area, most of the universities have d/c their MSN programs and only have DNP programs. Of course there are many programs with MSN programs with no current plans to start DNP programs. I went to a combined MSN/DNP program with the FNP track. I did this because I am still in my twenties and will be working for a while. I also didn't want to be limited to an age group. I'll be prepared no matter what the powers that be plan to do (for now anyway). I have an DNP/FNP friend who fell in love with women's health during school and now works in an ob/gyn office. She is the only NP with an FNP, while the others are WHNPs. She loves what she does, has no desire for any other specialty, and frequently has recruiters and other ob/gyn practices giving her a call because she has the experience. You asked if it is risky to get a doctorate in woman's health as an NP. Is that what you want to do for the rest of your career? I would suggest shadowing an NP working in woman's health. If you still want to go for it then good, if not, that's okay. It's always a good idea to shadow a specialty that you are interested in.
  7. Dr.Naija_Queen

    Texas Board of Nursing timeline for APRN license

    Ashonman, it took 3 months for them to process my application. However, I just wanted to get a license there and was already working as a APRN in my home state. Have you checked your application status on the TX BON website? Had I done that I would have seen which items were missing and gotten it earlier. The TX BON, also responds in 24-48 hours to emails, that was how I found out I had items needed in the first place to complete my application. Like I said at the time, I just wanted the license and had no immediate plans to relocate. I would look online or email. They do not answer the phone.
  8. Dr.Naija_Queen

    best i quit or fired story

    Sorry about the earlier typo. I meant altercation, not alteration.
  9. Dr.Naija_Queen

    best i quit or fired story

    Interesting stories, l will add one. On the unit where I worked, a particular nurse and CNA never got along. Both kept accusing the other of being lazy. One night, an argument occurred between the two over a hat that hadn't been emptied. In this argument, they called each other names that rhymed with stick and runt. After the CNA called the nurse's special needs son a "retard", the nurse smacked her, turning the argument into a physical alteration. I'm talking hair pulling, scratching, and punching. A charge nurse, nurse, and CNA that tried to break it up were all hurt. I did not attempt to stop the fight. Security was called, and they were the ones who broke up the fight. The unit manager came in, spoke with them and sent them home. The nurse continued to work there, and the CNA was fired. That was the craziest shift for me ever!
  10. Dr.Naija_Queen

    Best Cell Phone for Practitioners

    I'm an android girl. I got an iiphone 5 once and hated that I could only use Apple products with it. I prefer a large screen as well so I went to the Samsung Galaxy Note 3. You should consider your cellular provider. I was with T-moble for the longest, but switched to Verizon last year and it has been working so much faster. Also, think about the amount of space on your phone. My note has tons of space so even though I have a lot of apps it runs pretty fast. Even faster now that I've switched providers. Check with your school to see if they offer discounts with medical apps, my school had one for Lexicomp.
  11. Dr.Naija_Queen

    Doctorate vs MSN

    Thank you for your thoughts. It's not surprising to me either, but it is to some APRNs at my job who have decades of experience. The main argument is that their many years of experience should be taken into consideration in lieu of a doctorate. Some of these APRNs have over 30 years of experience. I wanted to see if any other organizations were doing this since mine had just started.
  12. Dr.Naija_Queen

    Doctorate vs MSN

    Yes it is a large organization. Sorry for the delay. It is a pediatric hospital with clinics and many specialties. There's a APRNs in every specialty. Clinical Nurse Specialists are employed as well as NPs. I'm also just noticing all of the typos in my post. Sorry about that, I typed it on a tablet.
  13. Dr.Naija_Queen

    Doctorate vs MSN

    My job recently implemented a pay scale that offers APRNs with doctorates 5%-15% pay raises than APRNs with an MSN. There are levels from NP I- NP IV. Each level depends on years of experence, research participation, involveIt isn't surprising that some of the veteran APRNs with MSNs are not happy. Has something like this happened where you work? How was it received? What are your thoughts?
  14. Dr.Naija_Queen

    Last minute clinical hours emergency!

    It's unfortunate that you won't get the full hours with the first preceptor, but remember it could always be worse. What if she couldn't offer any hours? I would just ask all of the psychiatrists you work with. They could say no, but they could say yes. You won't know if you don't ask. Also ask the preceptor if she knows of any one else that can precept, and look around your area.
  15. Dr.Naija_Queen

    What age did you complete your BSN or ASN?

    CNA: 17 BSN: 21 MSn/DNP: 26
  16. Dr.Naija_Queen

    Stupid Nurse Tricks (Or How To Look Incredibly Stupid)

    This thread is hilarious!! I'll add a story. One day when I was still on the floor as an RN, another nurse had floated to the unit. Our floor had many GI patients, and this nurse came from a cardiac floor. Later in the day, she came to me and asked where we kept our enema equipment because she had an order to give a milk & molasses enema. I showed her where it was and since this wasn't her regular unit asked if she needed help. She smiled and said no and that she had given enemas before. I remember sitting at the nurses station as she went into the pts room, and running in after hearing someone shout "What the &%$# are you doing!!!" Turns out the nurse had inserted the enema tube into the pts vagina instead of the anus. I'm not sure how much of the enema got in. I ended up caring for the pt after that (the pt banned the prior nurse from entering her room). It wasn't fun because she was suspicious after her milk & molasses douche and kept asking me questions for the rest of the shift! The pt was chubby (not obese), but I'm still not sure how she did that.