Saf1

Saf1 BSN, MSN, RN, APN, APRN, NP

Urgent Care

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All Content by Saf1

  1. Hey! Urgent care nurse practitioner here. Ran into some road blocks tonight and thought y'all might have some thoughts. Patient came in tonight with severe panic attack. Not a ton we can do about this in urgent care but I can talk to them. Turns out ...
  2. Newish FNP working in urgent care. Last night one of the MAs pulled me out of an exam room for an emergency (I'm the only provider on site). Kiddo maybe 6-8 years old slumped over being carried by dad...we got him into an exam room and kiddo's breath...
  3. Anybody ever seen anything like this??

    I don't *think* so I've only seen one Tylenol od, in an adult, and that seems to be more of an hours to days sort of thing as the liver is damaged. This was very acute. The altered mental status makes me think either opiates, or something metabolic l...
  4. Anybody ever seen anything like this??

    I've been stunned at the misinformation my patients have parroted to me, especially around the vaccine. Really appreciate the resource...I'll be on the alert for symptoms of these home "treatments."
  5. Anybody ever seen anything like this??

    Honestly metabolic acidosis would make a ton of sense with the presentation (compensatory breathing pattern maybe). He'd been sick...it does make me wonder. Ivermectin never even crossed my mind but I do wonder how it might affect a little guy. Or ev...
  6. Anybody ever seen anything like this??

    I mean it's worth a shot. My dad used to be a medic with the same company maybe he knows someone.
  7. Anybody ever seen anything like this??

    Yes afebrile. In fact he felt cold. I think that's why I was having such a hard time getting a pulse ox to pick up. Would be curious what his abg looked like. We're frustratingly limited in urgent care! I may try to call but I don't even have a full ...
  8. military relocation and school, yikes!

    I was in almost your exact same situation...my husband wasn't deployed but was sent state-side TDY for 6 months. 5 weeks after he got back from that he PCS'd...while I still had a semester left of nursing school. I spent the entire last year of sch...
  9. Working night shift with kids

    We have a full-time daycare/preschool for my daughter. When I work nights my husband drops her off in the morning while I'm still at work (he has to be in before I get home), then I come home, sleep, then pick her up when I wake up. I rotate, so it...
  10. anyone else feel kinda lonely in this job?

    I've been thinking about this a lot lately too. I'm older than the OP...married, one kid. My husband works a regular M-F and my daughter is in preschool. Between the night shifts (I rotate) and weekends I feel like I spend my days off alone in an ...
  11. Confused please help!!!!!!!

    In the Air Force nurses are officers. If you want to enter the Air Force to be a nurse you would need to attend nursing school and go through some sort of commissioning program (ROTC, COTS), which can be competitive to get into depending on needs of...
  12. Fictional-Hospital Scrubs for Real-Life Nurses

    Grey's Anatomy scrubs were the only ones in the scrub store that I could consistently find in short sizes and solid colors (which I prefer over prints)...but I've never seen the show! I own three sets...
  13. Share Day after an interview

    I did a share day for my job that I started this week, and all it inolved was shadowing a nurse on the unit for a few hours. The nurse manager was off the floor for the morning, so it was just a good opportunity for me to see the sort of unit it was...
  14. May have a job & my concerns

    I feel your pain. I'm a new grad and just got hired into a critical care position starting on Monday. I'm incredibly nervous about my ability to grasp everything I'm going to need to learn. Does the hospital have a good training program? I know f...
  15. new grad RN looking for job. help!

    I've been in the exact same boat. Just got a job at St. Agnes in Baltimore. I saw today that they have two clinical nurse 1 positions, which the recruiter told me in my interview are geared to new grads. Maybe give that a shot? Good luck!
  16. "We hire in house first" Is it always the case?

    I agree with Meriwhen. After close to 100 applications I finally got an interview a couple of weeks ago and they'd planned to offer me the position, but then they got an internal applicant at the last minute and I got bumped. As frustrating as it w...
  17. Had my 1st interview, How do you control your nerves?

    I'm in your exact same boat. Had my first job interview as a nurse on Monday...seemed to go well but I'm trying not to pick it apart too much or I'll drive myself crazy . They said I should hear this week sometime...nothing so far...tomorrow is Fri...
  18. How long do you wait for a call?

    It's funny...I posted this and a few hours later I got a call for an interview. It was one I applied for not too long ago...a week or two. I've also recieved dozens of rejection e-mails (4 today!), so I hear you on just keep plugging away. Hoping ...
  19. I'm a new grad and have been applying for jobs all over the state. I've got dozens of applications out there, some of them months old, but haven't received any calls back for interviews . Just curious how long on average it takes between the time y...
  20. Holy Cross?

    Have any new grads had success applying to Holy Cross in Silver Spring recently? They've got a ton of job openings but every last one says "experience required." Most don't specify how much...I assume they're putting that there because they don't w...
  21. New Nursing Student!

    I think everyone goes through it. I remember leaving my orientation exhausted and sick to my stomach...we even had one person drop out before the day was over. It seemed impossible. It can be done though. Take some time to go over the information...
  22. Having one of those days

    I feel the exact same way every time I get one of those lovely rejection e-mails. If I'm really lucky I get two or three in one day. I tell myself it's good that they at least send an e-mail instead of just ignoring my application and leaving me to...
  23. DVT and Homan's sign

    I did a lot of clinical hours on postpartum as a student and we did Homan's on everyone -- I even remember an NCLEX practice question saying you were supposed to do it as part of a postpartum assessment. I've also heard the same stuff about it possi...
  24. Pumping at Work???

    I agree with XingtheBBB...you'll get a routine, your breasts will learn the routine...just get some good breathable bra pads for the days when the routine doesn't work out so you're not leaking through your scrubs. Had it happen to me in Air Force b...
  25. Pumping at Work???

    I wasn't a nurse at the time that I had my baby...was actually in the military but had my own office with a door that locked so it I was lucky. I established a schedule each morning of when I thought I would have time to pump and kind of planned my ...