CRF250Xpert

CRF250Xpert

ICU, ER, OR, FNP

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All Content by CRF250Xpert

  1. Why is it so hard to find a preceptor?

    As a FNP, I work 12 to 14 hours a day. My employer stopped allowing reduced patient load to help teach ACLS, BLS, precept, etc. If I have to carry a full load - when do I have time to help precept?...
  2. Joining the military and getting pigeon-holed

    As mentioned, work in critical care in the civilian world and put it on your resume to join the military. You'll likely get a critical care slot if you want one. I walked off of the street into a...
  3. Reserves/Guard Nursing w/ Perm Profile

    Laura, I write Narsums that start the MEB process for a living. We don't automatically kick out anyone for the inability to perform an aerobic component. I don't think we'd allow them to enter, but...
  4. AST and ALT levels after open heart surgery

    Was this the surgeon who was explaining that elevated enzymes were an incidental finding and completely unrelated to AVR? I used to work ICU with a CT surgeon who claimed everything was an incidental...
  5. Is this acceptable behavior I think not

    People think I am a pain -but you MUST let everyone involved know: The only reason they have jobs is because YOU came in to work today and YOU see patinets and YOU Dx and generate RVUs. EVERYONE...
  6. What kinds of patients do you see?

    I work family practice which is heavy on psych and fat. I've heard every reason under the sun why a person can't shove less food in his pie hole, walk anywhere, or get off of the couch and stop...
  7. I hope schools are starting to realize that the DNP is a much better suited degree for BSN and NP. I knew a PhD RN who never worked a day in her life - she just went to school then started teaching...
  8. DEA Wait Time

    I don't recall it being any more than 2 to 4 weeks. Make sure you scan a copy and save it as a pdf. You might need it every so often. I still dig out old documents from time to time. Keep...
  9. Any USAF Surgical Nurses Out There?

    I did it. It's a cake job. Awesome hours, 0600 to 1530. It's not very cerebral though - anyone can be trained to look for stuff - I never could figure out what about the OR ever required any...
  10. Post-Master's FNP versus Med School

    That spells: M e d S c h o o l I was forced to do FNP due to career, age, obligations, finances, etc. I regret it every time I see my paycheck. I pull the same hours, same pateints, same...
  11. Stress in grad school

    Good advice. Just make it a point to complete the 28 hours of obligations in every 24 hour period and one day you'll wake up headed to graduation. Time
  12. Curious about advanced practice skills

    A RN can't diagnose and generate RVUs for me. A RN can't sew, cut, debride, excise, reduce, biopsy - well a very few very specifc ones with specialty RN Certs can under my supervision. Remember,...
  13. Is ANCC easier than AANP?

    They both stink. Pass one and get tons of CME is my advice. I do CME from Medscape on my phone everytime I wait for something. I'd rather not take the exam
  14. FNP and military wife

    The VA pays well and has a great PCMH program. We are a mil family and my wife and I are licensed n multiple states. Just start getting your licensure done as soon as you find out where your next...
  15. Good family clinical guideline book

    I like my Ferri's 5 in one book, but more frequently than not I find myself using Medscape on my phone for quick stuff and Up To Date for stuff I really need to
  16. Will working as a stripper affect my Air Force nursing potential?

    I personally think we have a hot stripper shortage in the A.D. USAF nursing field. Bring your
  17. NPs practicing as DRs

    We've been using the term "Doctor" for people that never went to medical school for hundreds of years and somehow if I ask folks to call me Doctor I am cheapening "the meaning" of the title? That...
  18. SCALE DRAMA

    I've been known to tell all of my patients that make a comment about our scale being inaccurate, "yep, I think ours adds about 25 pounds". The only time I discuss weight anymore is when the BMI is...
  19. New grad NP working as floor nurse

    Is it fear that has the OP looking at getting "experience"? If so, the only way to get experience as a NP is to go be a NP. My nurses are great, but they are great at being RNs - they don't know my...
  20. To answer your question on credit - the 2 years of prior service only going to get you 2 years of prior service. No O-1E pay until you break 4 years
  21. Looking for advice! NP vs. MD

    Sorry, but I can't let that slide. Every lazy sack of crap wanting something for nothing is exactly why the healthcare system and the rest of what used to be this great nation is in the
  22. Smoking

    Is anyone spending more than 2 seconds addressing smoking during a visit? My employer requires discussion, etc. I personally ask, "do you smoke" "do you want to quit" and done. I personally don't...
  23. Looking for advice! NP vs. MD

    As a FNP - I like my job, but if I could start all over - I'd be a dermatologist or plastic surgeon/ENT/OMFS (probably not OMFS as that life can suck too). If you want to be an MD - go be an MD. If...
  24. Silly or not, there are very powerful players who don't want you to ever tell a patient that you are a doctor - you better get an ear to the ground before they strip away your...
  25. Journal Club or M&M's for NP's?

    we don't round, but Ihave been trying to get an M&M going since I got here. We would all benefit from presenting difficult cases and good catches from subtle clues. It helps the inner sleuth in...