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NPOaftermidnight MSN, RN, NP

Pediatrics, Women’s Health
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NPOaftermidnight has 8 years experience as a MSN, RN, NP and specializes in Pediatrics, Women’s Health.

NPOaftermidnight's Latest Activity

  1. NPOaftermidnight

    Medication Error During A Code

    I remember so well what it was like as a new nurse in the ICU, I feel your pain! But the good news is that you are going to be a better nurse because of this. Mistakes were made on multiple levels here, the important part is that the patient wasn’t harmed. You’ll feel better about this as time goes on, but I guarantee you’ll never make a similar mistake!
  2. NPOaftermidnight

    Starting FNP Program, HELP!

    I had to find my own preceptors in school. I worked for a large teaching hospital so I used the employee directory to find NPs and contact them. They were all supportive and happy to help! My classmates were so valuable while in school. I would find a group and support each other!
  3. NPOaftermidnight

    FNP to WHNP?

    Hello! I’m an FNP working in OBGYN. Our practice actually prefers FNPs because they find them better suited to address all of our patients’ concerns, as many of our younger patients don’t see a PCP. Not sure how true this is, as I’ve met many WHNPs who were more than capable of providing primary care, but my point is that if you are an FNP you already have the licensure etc required to see these patients, you just might need a little more on-the-job training. I would start applying to OBGYN positions and see where you get 😊
  4. NPOaftermidnight

    RN to BSN To MSN or RN to MSN

    You don’t need a BSN. If it saves you time, go right to MSN. I had a BS in sociology, then went for my AS in nursing, then did an RN-MSN program. No one has ever cared that I don’t have a BSN.
  5. NPOaftermidnight

    California NPF Requirements

    Hello! Congrats on passing your boards! I moved to CA from NY last year. Despite going to a solid NP Program with a 3-credit pharm class, I still didn’t meet CA requirements for prescribing schedule II. I had to fulfill the requirement by taking what was referred to as a 3-hour pharm class, but really was just an open-book online exam. Super easy but it cost some $.
  6. NPOaftermidnight

    Silicon Valley/Bay Area NP jobs/salaries

    So I posted this on the California board bug hoping to reach a broader audience here! My family is moving to the Menlo Park area next month for my husband’s job. I’m an FNP currently working in pediatrics but I have adult experience as well so I’m looking at a variety of positions. Specifically, Stanford (including the Children’s hospital), Kaiser, a handful of private practices... just wondering if anyone had any suggestions on good places to work as well as what I can expect salary-wise... I’ve heard a huge range so I’m not sure what to actually expect. Thanks for your time!
  7. NPOaftermidnight

    Tele strips in ICU

    Every 8 hours
  8. NPOaftermidnight

    Can I work in OB/GYN as a FNP?

    Lots of FNPs work in women's health. You say you are just graduating nursing school, so you have plenty of time to get a little experience and see what you like first. The FNP will leave you with a lot more options than the WHNP degree. I know a couple with the latter, but they were very experienced L&D nurses who had never done anything else and would never have even considered another type of job.
  9. NPOaftermidnight

    Primary Care NPs rounding?

    I'm not sure why you worded your post like you did but I'm assuming you're asking how many FNP/AGNPs are employed in acute care? This is not uncommon in my hospital, a large academic medical center. I just graduated from an FNP program and have accepted a position here that is split between the clinic and the hospital.
  10. NPOaftermidnight

    Hurricane Irma and guilty conscience......help me!!

    If it doesn't work out, you will have opportunities for more jobs in the future. You only have one mother. You did the right thing. I would have made the same decision in a second and I hope that my daughter would as well. Good luck and stay safe!
  11. NPOaftermidnight

    Having issues with being a "babyfaced" nurse.

    I really don't think that your looking young is the main issue here. The patient was wrong to speak to you the way that she did, but this is going to happen. If the worst thing a patient does to you in your career is comment on how young you look, I would say you are in excellent shape. Perhaps this is something you are super self conscious about in your every day life, or maybe you are lacking confidence in your nursing skills - I don't know. You mentioned you are going to see a therapist, I think that is a great idea. Over your career, you are going to meet some really great people - focus on them. As far as the jerks, just go in, do your job, and get out. You can't let them get to you. I would also like to suggest the possibility that you are getting burnt out in your current position. Maybe it's time to try something new?
  12. I have used Haldol in the ICU (rarely) but never for these conditions.
  13. NPOaftermidnight

    Family videotaping patient care

    You handled the situation just fine. You can't win them all! Think of it as a blessing that you don't have to work with this family again - she did you a favor by firing you. And like someone else said - this doesn't negate the good care that you provided the patient. I have only been "fired" by a pt/family a couple times in my career, but each time it was like a huge weight had been lifted off my shoulders. As nurses we tend to want to make everyone happy, but it's not always possible. Sometimes you just have to cut your losses and move on to patients/families that WILL appreciate your care and expertise.
  14. NPOaftermidnight


    It has been a couple years since I took the exam, but I mainly used the Gasparis DVDs/book and I could have easily passed had I studied nothing else. I found it a lot easier than NCLEX, while the content is definitely more advanced, the questions are much more straightforward. It was a hard test, but a fair one. Keep doing practice questions whenever you can and you'll do great. Good luck!
  15. NPOaftermidnight

    Pushing metoprolol IV w/o tele..?

    I would absolutely not, regardless of the clinical picture. Your instincts were correct. In my hospital, even in the ICU, we only push metoprolol in an emergency (they must be on the monitor and a provider must push it). Otherwise, we mini bag it and give it over 15 but they ALWAYS have to be on the monitor. We had a patient die a couple years ago as a direct result of pushing metoprolol and this has been our policy ever since. I think it's a little extreme, but at least it's safe and I haven't seen any pts suffer as a result. Make sure you check your policy, and if it's not specifically addressed bring this up to shared governance or whoever is in charge of these things. If it is, in fact, common practice for metoprolol to be pushed on unmonitored pts in your institution, this is an accident/lawsuit waiting to happen. Always trust your instincts and never be afraid to say you aren't comfortable with something!
  16. NPOaftermidnight

    Female catheterization with possible retained tampon

    No. Women do NOT menstruate when pregnant (I can't believe I just typed out that sentence. On a nursing forum ). Can you have bleeding/spotting during pregnancy? Absolutely, but it is NOT menstruation and you should absolutely not be using a tampon. I feel like there is some major information missing from this story. Why do you suspect a retained tampon? Why was the patient using tampons? Why are you inserting a foley on POD 5? Why is the pt even still in the hospital on POD 5 of a csection? Clearly something has gone wrong here. However, regardless of the answers to these questions, you need to call up that provider and have them come do a pelvic as soon as possible. If I could see a string I would remove it, but a "vaginal sweep" is not something that I would feel comfortable with as an RN - just have the provider come do an exam with a speculum.