Neuro Guy NP

Neuro Guy NP DNP, PhD, APRN

Vascular Neurology and Neurocritical Care

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All Content by Neuro Guy NP

  1. NP preceptor needed in Southeast Georgia

    I actually transferred to a school that arranges clinicals for its students. Also I'm no longer FNP student, I'm now in an ACNP program with hopes of enrolling in RNFA program after
  2. NP preceptor needed in Southeast Georgia

    I'm actually transferring to a good brick and mortar school in my city that arranges my preceptors but allows me to work out my schedule. Thanks
  3. metabolic acidosis and tachypnea

    It sunds like respiratory acidosis to me too due to the carbon dioxide level. However, the bicarbonate level wasn't mentioned so we really don't have a complete
  4. What the what??

    Realize that "sella turcica" is a Latin phrase. In classical Latin, a "c" before and "e" or "i" is pronounced as a "k" such that her pronunciation is technically most accurate. I realize that's not...
  5. Medication administration in deltoid muscle

    If they want you to give in the deltoid you could give 1 mL in one deltoid muscle and 1 mL in the other, that's what I was told to do with irritating substances like iron, so perhaps you could try...
  6. I'm all for less stress and all that jazz. If you're that distressed, go somewhere else. However: I always say that meditation is necessary before making such changes. As the old adage goes: 'better...
  7. How do you work????

    #2 is an ideal situation. Being comfortable in such a situation is something all must learn to do because nurses are valuable members of the team. We should not complain about those doctors who do not...
  8. CNA's Applying heat

    Well, I can't say as to whether it is legal or not in FL, but I don't see a problem, provided that the pt does not have pathophys causing decreased sensation such as diabetes, PAD or something like...
  9. So do you really...

    To me, a full head to toe should be done when the patient is first admitted to the hospital, perhaps before discharge or so. Also, I might do a full head to upon admission to the floor when the...
  10. Tracheostomy Suctioning Sterile?

    Trach suctioning not a sterile procedure!!!!!!!?????????? You want to avoid introducing bacteria into the sterile lower respiratory tract like some of the other posters have said. I was taught in...
  11. My LTC experience doesnt count :( HELP!!

    I, too, have heard numerous times that LTC experience is not considered "real nursing experience". My facility I suspect would view it this way. I am not exactly sure why. I have been trying to make...
  12. PICC Lines And TPN

    You are correct. I don't know what I was thinking. I must have been thinking about a single lumen PICC. A previous poster mentioned that. Woops! I never like to spread incorrect info. Thanks for the...
  13. PICC Lines And TPN

    At my facility, the people putting in PICCs are nurses who are PICC trained. When there is a triple lumen and we want to give them an IV push drug we pause the TPN, flush with 10 cc saline and push...
  14. In need of encouragement.

    Feelings of inadequacy can sometimes happen, especially in nursing, where school is only a first step to becoming a nurse. The medical field is something that takes many years to master. Don't feel...
  15. Labored Breathing?

    Well, if O2 sats and other vital signs are normal, I don't see an indication to worry. This patient is lethargic r/t his condition. You did not mention the disease this patient has, so I don't know if...
  16. Help with A/P II

    Go to the professor who teaches the class and ask them to override the system by manually putting you in. It couldn't hurt to ask. Explain your
  17. PCT/ Nursing Student Tech scope of practice?

    At my hospital, the only major trauma hospital for 150-200 miles, the requirement to be a PCT is that you either have taken a PCT certificate program at a technical school, or are and ADN or BSN...
  18. why double chart?

    At my facility, some nurses will double chart - once on the COW (computer on wheels), and once on paper in the MD's progress notes so that the MD or NP will actually take the time to look at the...
  19. True, combativeness does not necessarily equal psychosis, but Haldol can be given to control behavioral disturbances in individuals that are not necessarily psychotic. Haldol and other antipsychotics...
  20. CNA scope of practice

    The PCTs in our facility simply ask if the patient is in pain and have the nurse follow up. They do not chart pain level, though it is a fifth vital sign because the nurse needs to do this in order to...
  21. Need Advice.

    Try to find references from experienced nurses who like you, charge nurses, or your former preceptor when you were on orientation. Also get references from professors who remember you. Best
  22. New nurse dilema

    Just tell them that you appreciate the offer, but are obliged to accept the offer. Don't feel bad about doing it either, because you have to look out for you. Of course, I wouldn't try to apply there...
  23. New nurse dilema

    No, never let them no directly that you have other interviews. A discerning hiring manager should already have figured that out. If you say that, then it could come off as giving the impression that...
  24. Do you do venipunctures as a nurse?

    Wow! I am suprised. My nursing school (BSN) has students do everything possible under the sun! IVs, Foleys, blood draws, cultures, wound care, anything that could possibly come up. I think all nursing...
  25. Degrees That Employers Want

    Go ahead and get your BSN now while you have time. From other people's experience, I know that it can be much harder to do things while you are juggling full time work and other commitments. Just...