CRF250Xpert

CAM is Complementary and Alternative Medicine

Get to work at 0500 to read all labs and write notes based on those for the staff to get with the pt for yz and f/u. Read al of the notes from staf for me - med refills, referral request etc. Read all notes from referral providers. see 16 routine appointment and 4 to 6 acutes plus walk-ins, hopefully get a few minor procedures done during the day and catch a few more involved ones to schedule for another day. Rinse lather repeat. Every day is groudhog day all over again. Except when on call, then I get to do it 24/7 for a week. Be careful what you ask for...

Timing. I wanted to go to med school, but I had to make choices that were best for everyone in the family and for my career. I still wish I'd gone MD, but life isn't always all about what I want.

Yep - if the pay isn't right - why waste everyone's time? I'm too old to care about anything else. Work is work...and my time and skills generate RVUs.

I think you should look back and remember why you became a FNP. I personally couldn't stand the 12 hour days 7 days a week in the ER and being on call 24/7 in the OR - voila - I work m-f in a 0730 to 1630 clinic. If you became a FNP to work 24/7, then it sounds like your dream job. If not...

Well, it's not very popular, but I fully believe that the biggest problem in nursing is that it's run by nurses. Using terms that MDs understand like "residency" would give automatic credibility. Getting rid of the 43 levels of "nursing" from CNA up to NP doesn't help at all. I'm a FNP and see the exact same PTs as my MD counterpart, but I know he has no idea what all of those levels of nurses are - and frankly doesn't care. A nurse is a nurse is a nurse wasn't invented by me or my MD counterparts. I personally wish my title had anything but "nurse" in tht title. Good luck.

I pretty much spend my whole day thinking, "I wonder what Orem would do?" Then I wake up, realize I have a ton of pt's to see, Dx,Rx plan, etc - such much work - so little time for theory reflections and comparrison. Probably why I spend my day in an exam room and not a classroom.

If full disclosure, 100% PC, and all source awareness is the goal, you better get the legal office to prepare a 500 page booklet. Recall that we use things like salmon sperm, urine, fungi, etc to make meds...

Have an active duty cadre with a CAC log onto AMS. Go to officer assignments. Search by AFSC and O1 through O3. This will give you a list of the places that actually have the job for which you trained. If you put down bases that you like, but the USAF doesn't have your job, you'll end up sad that you got the 1st place the USAF needed a warm body instead of a place on your list.

I'm very certain it's against the law to lie so a patient can commit fruad and sit at home (or at his real illegal under the table job)with his hand out. Maybe call the cops and turn them in? I work my butt off; I'd rather my tax dollar pay his prison upkeep than his welfare. What i have done in the past is refer the pt to the speiclist that deemed the pt "unfit for work". If they have back pain and see ortho, neurosurgery or Pain mgmt - I send them there to get the letter signed - I refuse to sign nonsense stating a living human being is completely incapable of work. Such humans are intubated and sedated - not out in public.

We use an EMR that I can pull all of my coding off of for real numbers.

I wish you nothing but the best. I think theory stuff is all done tongue-in-cheek, but it sure makes the PhD's feel necessary. I've had coworker MDs ask me if they could get a copy of an article I referenced, but I've never been asked about (becasue nobody in medicine has ever heard of) nursing theories.

I read Medscape while sitting at traffic lights. I feel very up to date since I read every day. Waiting all year for a big trip to a confernce and have to digest tons of input isn't a good fit for me. I get new info every day in small doses. Epocrates has docalerts, Medscape has Medalerts and CME. The way I see it, I am always evolving instead of getting updated once a year. Sidebar: A cop did take great interest in what I was doing last week - I was reading about the latest thoughts on how we undertreat gout. It was a red light - no driving and reading.

Apples and Oranges. It's very hard for a RN to understand what a NP does (impossible, IMO). Here's a good read: Doctor burnout: Nearly half of physicians report symptoms â€" USATODAY.com

wish I could help, but I went to a school.