GoodNP

GoodNP

Cardiology, Research, Family Practice

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All Content by GoodNP

  1. Considering Quitting my Job

    GoodNP replied to Marianna5's topic in Disaster Preparation

    Agreed. Who knows how comparable this is to covid19, but for influenza aerosols surgical masks not inferior to n95: https://www.sciencedaily.com/releases/2019/09/190903134732.htm Also, I've been...

  2. NP's how are you these days?

    GoodNP replied to Corey Narry's topic in Nurse Practitioners, NP

    Another primary care update: No patients. Went from seeing 22-25/day down to 10 (2 in person, 8 virtual visits). Hospital owned group is laying off half the clinic in the next few

  3. NP's how are you these days?

    GoodNP replied to Corey Narry's topic in Nurse Practitioners, NP

    primary care here - not sure about my colleagues, but I, too, am not initiating prescriptions for ACE's. Still giving ARBs as I haven't seen them specifically called out in the literature, and besides...

  4. NP's how are you these days?

    GoodNP replied to Corey Narry's topic in Nurse Practitioners, NP

    Primary care: Lots of patients with cough, some shortness of breath here and there, but few with fever. Only one patient that I had a high level of suspicion due to domestic travel to an area with...

  5. HUGE step forward for NP's!!!

    GoodNP replied to MikeFNPC's topic in Nurse Practitioners, NP

    It seems to me like a win-win considering most NP/PAs are employed by physicians or physician groups anyway. Whether a privately owned practice or a large corporation such as HCA, the revenue...

  6. HUGE step forward for NP's!!!

    GoodNP replied to MikeFNPC's topic in Nurse Practitioners, NP

    ?

  7. HUGE step forward for NP's!!!

    GoodNP replied to MikeFNPC's topic in Nurse Practitioners, NP

    Many great points in this thread. I definitely agree that physician education and training is superior to NPs'. It always astounds (read: embarrasses) me when NPs or PAs compare themselves on equal...

  8. Are Braids Professional?

    GoodNP replied to POB21's topic in Nursing Professionalism

    They look clean and neat, to me that looks professional. Only thing is when you're bending down for example, it seems your hair would fall into the workspace and/or other people's personal space. But...

  9. Are prisoners denied necessities? CNN article

    GoodNP posted a topic in Correctional

    This article on CNN caught my attention this morning and really got me fired up. Why women in Arizona are sending a state representative pads and tampons - CNN Are you kidding me? What kind of...

  10. How to be a good NP preceptor

    GoodNP posted a topic in Nurse Practitioners, NP

    Any tips? In family practice. I will be taking an NP student from an accredited and respected school. She is already an ACNP. We've had some bad experiences with NP students in the past, but those...

  11. How to be a good NP preceptor

    GoodNP replied to GoodNP's topic in Nurse Practitioners, NP

    Thank

  12. Salt water rinses

    GoodNP replied to KeeperOfTheIceRN's topic in School

    Salt water gargles are great for pharyngitis - as I was taught the hypertonic solution helps improve tonsillar and pharyngeal edema, thereby relieving some pain. Also the saline and the agitation of...

  13. Nurse Sick and FIRED: Exploring Nursing Absenteeism

    GoodNP replied to allnurses's topic in General Nursing

    An extremely generous policy. One wonders how this is financially

  14. Nurse Sick and FIRED: Exploring Nursing Absenteeism

    GoodNP replied to allnurses's topic in General Nursing

    Way more often than not I've gone to work sick. Illness is just not black and white. Most commonly when we refer to work absences due to illness we are refering to URIs - overwhelmingly viral, and...

  15. Working in a small practice, and the employees are rude.

    GoodNP replied to SoundofMusic's topic in Advanced Practice

    Some a-hole people will treat you the way you allow them to. This may not be good advice, I'm just telling how I might handle it: Have a very low tolerance. If you ask her to do something, see that...

  16. FNP Clinical Question.. What do you actually do during a physical exam?

    GoodNP replied to shurtlea's topic in Advanced Practice

    Yes. If you're billing a preventive care visit Z00.00 or Z00.01, it is to include a full head to toe, including cranial nerves, pulses, thyroid, reflexes, etc. In my experience, the PE is least time...

  17. Patient-Nurse Culture Matching

    GoodNP replied to perfexion's topic in General Nursing

    You say "it's a cultural thing" rather than drug seeking. Would you mind elaborating on what "it" is. I'm genuinely curious as to how Bangladeshi culture affects pain tolerance and pain expression....

  18. Shocked by MD attitude

    GoodNP replied to FullGlass's topic in Nurse Practitioners, NP

    I'm just being candid, and I mean this constructively. Referring patients to the ED is at times absolutely necessary, but as I'm sure you already know, it is undesirable when it is not necessary. You...

  19. Tearing my hair out over noncompliant DM2 patients!

    GoodNP replied to FullGlass's topic in Nurse Practitioners, NP

    It is a very tiny part of the equation. Fast food and crappy stores only survive in places like Detroit (which btw is hardly representative of the nation at large) because the demand is there. Even...

  20. Tearing my hair out over noncompliant DM2 patients!

    GoodNP replied to FullGlass's topic in Nurse Practitioners, NP

    I wish people would stop perpetuating the myth that people don't eat healthy because they either can't afford it or don't have access to it. There are numerous studies that demonstrate otherwise. A...

  21. Tearing my hair out over noncompliant DM2 patients!

    GoodNP replied to FullGlass's topic in Nurse Practitioners, NP

    Honestly, I fear it is too late to help a whole generation of people. I am shifting my focus to the kids. Let's teach them from a young to love fresh, whole foods so that when they're older eating...

  22. Tearing my hair out over noncompliant DM2 patients!

    GoodNP replied to FullGlass's topic in Nurse Practitioners, NP

    Bottom line: personal choices. I too have seen addiction ruin lives and relationships in my own family, enough to know that the addict has to be the one to make a change. Nobody can do it for him....

  23. Tearing my hair out over noncompliant DM2 patients!

    GoodNP replied to FullGlass's topic in Nurse Practitioners, NP

    Powerful stuff. There are studies to support this statement. Which Foods May Be Addictive? The Roles of Processing, Fat Content, and Glycemic Load I may find some way to incorporate this finding into...

  24. Tearing my hair out over noncompliant DM2 patients!

    GoodNP replied to FullGlass's topic in Nurse Practitioners, NP

    After practicing as an FNP for 4+ yrs in one of the top 5 fattest cities in the country, I am losing my motivation to help these people. It makes me sad because there was a time I enthusiastically and...

  25. Primary Care Compensation Increasing

    GoodNP replied to FullGlass's topic in Nurse Practitioners, NP

    Including productivity and holiday bonuses, I made >$120k in 2017 in family practice, but they worked me