agrayRN MSN, APRN, NP

I have a recommendation - I really liked a book called Bradley's Neurology in Clinical Practice. It has a lot of good info in it. If you're able to access Up to Date, that's fantastic - I access it routinely on a daily basis. Once you actually join y...

Hi everyone! I was hoping to get some input. I graduated about a month ago and will be starting in an outpatient neurology practice as an AGNP in late August to early September. Are there any outpatient neurology NPs here that could give me advice on...

I work in neuro, and I just heard that in my state they are about to legalize CBD prescribing for Dravet Syndrome and Lennox-Gastaux Syndrome - those two diagnoses only. It also is apparently going to be a Schedule I drug. We actually don't have any ...

I'm not sure if you're primary care (I'm assuming yes), but I'm in neurology. It's expected that we won't cover everything, but I frequently will get questions about labs that were done that don't apply to my area. If they specifically ask me about i...

I recently accepted a new job as a Care Coordinator for primary care practices. I won't start for another month or so, so I have time to gain a little more knowledge. I don't know a whole lot about patient-centered medical home, but I would love to k...

Wow. I'm assuming that since she is being tested, she is taking these routinely for chronic pain. I think before assuming anything, I would have a conversation with her (after checking INSPECT). Explain that her urine test results show that she's not...

That con should be a deal-breaker. She may be an excellent physician, but there is no excuse for that type of behavior. I really just don't understand how an organization could keep someone that does those things just because they are "money makers",...

Just to give my personal opinion - I think I would take the boards now. Once you pass the exam, you don't ever have to take it again. You'll get it out of the way, and won't have to worry about it next year - one less thing to stress about. In regard...

I wanted to provide a little feedback on this topic from personal experience. I graduated in May from an online-only AGNP program, and while I really enjoyed it, I have to say that I would not recommend it to students that do not have any prior nursi...

This is really so helpful to me, I so appreciate it! I really haven't found many neuro NPs. I don't know any in my area. There is one in my office right now, but she is retiring in October. She isn't a traditional neuro NP, either, she sees a lot of ...

Wow, only 2 weeks? I would be seriously stressing about that! But if you did it, I'm sure it's doable! I will initially have 60 minute appointments. I'll probably start out with half days, is my guess, so maybe 4 patients? I'm just going by what I've...

Great, thanks for the response! The neurologists I will be working with seem very nice, and I know one of them well already, as I work closely with her in my current position. I officially start on August 8, and the plan is to have me shadow for 60-9...

I graduated from NP school about a month ago and will soon be transitioning to neurology. But in my current position, I have done a lot of palliative care nursing, and a lot of referrals to our organization's palliative care program. It is very rewar...

I had a lot of anxiety when I started out in the hospital. It didn't end up being the right fit for me, either. I made the change to ambulatory care, and have been there for 8 years. It was a pay cut at the beginning, but it was the best decision I e...

I really admire you for doing that for your patients. It shows how much you truly care about them. I have social anxiety, so something like that would be really intimidating for someone with my personality. It's a closeness with patients that I would...

If you're seeing the doctor just to establish that first time, what you have already provided is great. If you're seeing him or her not only to establish, but for a particular reason, it's great when the patient brings any pertinent records with them...

Thank you all for your posts! I guess I should have provided a bit more background on myself. I've been a nurse for about 6 1/2 years (LPN for 1 year, RN for 5 1/2). I am currently in ambulatory care (clinic) and have been there for about 4 years, so...

I would say that it could be an entry level position, but it's not something I would want to take on without the proper background and knowledge. Depending on where you work, they ask a LOT of you. The rely on you to give treatment orders, and at our...

Definitely not! It's so sad that there is a stigma against people with anxiety and depression at your workplace. It's just something that some people have to deal with on a daily basis. Some people just can't cope with it as well as others, I am one...

That is an amazing story. I know exactly what you mean - God has a plan for us, and everything happens in His time. You were definitely a blessing to them - it sounds like hospice nursing might be in His plan for you, too...but He obviously has somet...

I suffer from anxiety, as well, but it's something I've dealt with pretty much all my life. I've always been an emotional person and a worrier. I work in an office setting, not in a hospital, and I still have anxiety. I noticed that I interact better...

I so agree! I love getting calls to my line, when I don't even know the call is from an external source. The phone will usually ring twice when it is external, once when internal. But if an internal source forwards the call, it just rings once. So...

I wish I could say there is a way to prevent it, but I don't think there is. If the MD would adhere to the policy, then it might work. But as long as the MD will fill it on short notice, the patient will know this and will continue their behavior. It...

I work at an Internal Medicine office. When I applied, I didn't have any experience in a clinic, either. I had come from LTC and LTAC. I finally got an interview, and after that, I never heard from the person who had interviewed me. I didn't get the ...

You didn't do anything wrong. Sometimes when people are depressed and anxious about something, they act a little bit irrational. They tend to lash out at those around them. I do agree that you will face these situations in nursing, but a lot of times...