rhiannonwolf

I passed the AANP FNP boards on December 29, 2016 and graduated from my FNP program in May of 2015, that is a full year and a half after I was done with my program. (Life got in the way with two boys with autism). I only took the exam once and passed, but I will say that if anyone has a weakness in geriatrics, get on that now. I took the online Fitzgerald course which was very helpful, but her questions in her study book are much harder than what was on the exam. I also did ALL of the questions in the APEA Q bank and studied over a four month span of time on and off. Liek is awesome for fast facts and understanding the heart and Fitzgerald also has a great review of heart sounds, S1 and S2 and what is pathologic and what is physiologic. Liek was my bible and I carried that book everywhere. Although outdated with JNC 8 guidelines and some of the USPTF guidelines for cancer screenings, overall it is the best book to study from. I will also say that the APEA Q bank mimics the questions on the AANP test I think the closest. Good luck to all!!

Abby, I just copied some of our discussion onto a word document and am trying to copy the rest and I will send it to you. Allyson But call me first

Hey Abby, what is your phone number really quick? I need to talk to you and then I think we will be done with this discussion.

LOL Brenda, you are already using Tinkerbell in your posts? You are doing well, I can't even do that. I think you are right that we should use the PICO format that you quote on page three, email it everyone else in our group and get it approved and like you said have it to Dr. Sousi by Tuesday so he can read it and hopefully approve it! I will copy the PICO that you wrote down, to a word document, excellent by the way, and who wants to officially submit this to Dr. Sousi?

Brenda, you are quick! Awesome summarization of PICO, I love it! You all are on the ball, I am still in my pajamas and have been doing pharmacology since 9:00 this morning LOL.

So I'm feeling a bit goofy now. Okay, thank you Abby for volunteering for the EBP part, what section is that again? I suggested that we use the Iowa Model because it is nursing based as I discussed on our board this week and there is also a great flow diagram of it in the book. Just a thought, what do you think Abby? :yeah:

Oh okay, LOL, PICO, you mean the articles I haven't read yet because my one hour pharmacology class has me in a tailspin right now. And by the way, I'm venting here, Nursing 731 should be a three hour credit, one hour is crap. Anyway, thank you for the clarification Abby, I am glad you have the syllabus there. I can write section two since I guess I am going to do most of the research for the articles, if that is okay with everyone. And back to the topic of NPO, so we are narrowing this puppy down to: Problem: NPO status in patients may be too long of time and we need to find through research studies what is the shortest critical window of time a patient can go under general anesthetic without eating so that he/she will not be at risk for postoperative complications such as aspiration or fluid deprevation. Once we find this information we should gather data by evaluating patient records to evaluate outcomes. If the outcomes are positive postoperatively, we can change hopsital protocols, or do I have it backwards? I think we should use the Iowa Model for the EBP because there is a great figure of it in our textbook. What do you think?

Right there with you Abby, about how things have been clarified in this class so far :angryfire. Well, I would be willing to write about the research side of the project, I think that is part two. I can do lots of it, although I don't know what PICO form means. What the heck is that? Anyone know? :icon_roll

It says up there that we have three members and three guests, I hope you are there Judith and Kamala. If you want to join the discussion, just log into allnurses.com by registering we would love your input!

Good questions Brenda. I would say that we would be developing new hospital protocols for patients with regards to how many hours and what time a patient should go 'NPO' before surgery. We could look at medical records to audit rates of aspiration and postsurgical complications for patients who have lowered fluid levels who were NPO for longer periods of time, I think that is a good idea. It may be the only way in which we could gather that kind of data.

:yeah:Sorry Abby, I'm having way to much fun with these little icons in my post, I definitely like your idea and thank you for bringing the syllabus along. I do not have it in front of me, how many sections are there to the EBP project and can you list them for us so we can hash out as to who will do what, like someone can write the intro, state the problem, summarize the research, etc. Thanks!

:yeah:Brenda, I would love to do the topic of C-sections, but I think we need to keep it braos enough to where everyone in the group could use this information we are working on since they work in different clinical areas. Most C-section patients do not undergo general anesthesia, they just recieve lumbar spinals and that would open a whole new sac-o-cats.

Abby, could you clarify the patients post operative fluid status to avoid post operative complication? Would it be too simple to state that our topic would be, what is the exact amount of time a patient has to be NPO in order to avoid asperation and complications from surgery so that we as clinical nurses can educate our patients as to the exact amount of time or critical window that they need to stop eating before they go under for anesthetic? Therefore our outcome would be I guess, and this goes along the lines of what you were saying Abby, outcomes would be lowered postsurgical patient complications, and post operative fluid status.

We also talked about who could do the editing and APA checks on our paper and Brenda stated that she is good at this.

Hey Abby!! Just keep hitting your refresh button to see what we are posting. Welcome and glad you found us. Brenda and I are here and are discussing the NPO thing. Do you have any ideas or thoughts are what angle we should approach this?