myoglobin

myoglobin ASN, BSN, MSN

ICU, trauma, neuro

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All Content by myoglobin

  1. PMHNP

    myoglobin replied to Flightmed123's topic in Nurse Practitioners, NP

    The biggest reason to choose ACNP is the ease of finding 12 hour shifts. One of the best arguments for PMHNP is the relative ability to start your own practice (in a state that facilitates the ability...

  2. I have made a complaint against an NP

    myoglobin replied to Oldmahubbard's topic in Nurse Practitioners, NP

    Zoloft can be an effective medication for many people. However, like many other SSRI's it requires careful titration when being discontinued to minimize discontinuation syndrome. The Carlat report (I...

  3. Just Say “NO” to Nurse Staffing Laws

    myoglobin replied to SafetyNurse1968's topic in General Nursing

    My solution starts with California ratio laws and related legislation like mandatory lunch breaks. California laws are good enough that even HCA follows them. If you can get Charles Manson to obey the...

  4. Just Say “NO” to Nurse Staffing Laws

    myoglobin replied to SafetyNurse1968's topic in General Nursing

    Improving reimbursement would of course be optimal. However, believing that "safe staffing' committees will improve the issue is likely a fallacy. At my hospital even "union contracts" which specify...

  5. Need advice - how to set up physical office for mental health

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

    Here are the office elements for Psych that I found helpful (at my clinical sites) although all factors may not be available/possible: a. Space/machinery to conduct weight(s) and vital signs....

  6. Just Say “NO” to Nurse Staffing Laws

    myoglobin replied to SafetyNurse1968's topic in General Nursing

    By the way here is an article https://www.epi.org/blog/californias-nurse-to-patient-ratio-law-reduced-nurse-injuries-by-more-than-30-percent/ that focuses upon how the California ratio law has...

  7. The Stigma of Men in Nursing

    myoglobin replied to Nurse Beth's topic in General Nursing

    To the extent there is a stigma in nursing against men it does convey at least "some" advantages. Consider, that if even 50% of men who would otherwise consider nursing as a career "self eliminate"...

  8. Just Say “NO” to Nurse Staffing Laws

    myoglobin replied to SafetyNurse1968's topic in General Nursing

    Yes, and what is worse since "self reporting" these sorts of "cut corners" isn't compatible with keeping your job, your license, or your self esteem these cut corners tend to get "buried" in the...

  9. Just Say “NO” to Nurse Staffing Laws

    myoglobin replied to SafetyNurse1968's topic in General Nursing

    Not for profit isn't necessarily much better. For example when we first moved to Florida (about ten years ago) and worked for Florida Hospital in Tavares. Frankly, in many ways they were even worse...

  10. Just Say “NO” to Nurse Staffing Laws

    myoglobin replied to SafetyNurse1968's topic in General Nursing

    I will definitely check that out. Here's the thing I believe in the free market, but for it to work (the free market) it actually has to be a system where people have choices and good information is...

  11. Just Say “NO” to Nurse Staffing Laws

    myoglobin replied to SafetyNurse1968's topic in General Nursing

    One of my "dreams" if I ever became even Oprah wealthy would be to create a hospital "owned" by the MD's, RN's, NP's and allied health professionals. All salaries would be set "by charter" to reflect...

  12. Just Say “NO” to Nurse Staffing Laws

    myoglobin replied to SafetyNurse1968's topic in General Nursing

    Safe staffing laws should be seen as the "bare minimum". I work for an HCA facility where profit dominates every aspect of care no corner will be spared in the name of maximizing profit. Even here...

  13. DKA/HHNK

    myoglobin replied to valx92's topic in Critical Care

    Here are a few of the issues that might affect having a protocol for DKA/HHS. a. In some hospitals these are (ICU only) patients while at others (such as where I worked in Indianapolis, Methodist....

  14. ICU jobs

    myoglobin replied to lellomere's topic in Student Registered Nurse Anesthetist

    In my experience as a PMHNP looking for my first job I have multiple offers in the Seattle area at 250K plus. I have also found a part time job on the weekends that pays about $1000.00 per day doing...

  15. ICU jobs

    myoglobin replied to lellomere's topic in Student Registered Nurse Anesthetist

    Also I am leaving my ICU job in Kissimmee to move to Seattle to work as a PMHNP so they will have at least one opening for

  16. ICU jobs

    myoglobin replied to lellomere's topic in Student Registered Nurse Anesthetist

    From my experience Seattle would be a great job market in terms of pay, and

  17. Failed PMHNP - need advice please

    myoglobin replied to kp1791's topic in Student Nurse Practitioner

    We got the authorization to test paperwork about a month before our clinical s were finished. However, the ANCC will hold certification for final transcripts. Also, with the new test format I would...

  18. What's the least saturated specialty in APRN?

    myoglobin replied to soljhs's topic in Advanced Practice

    Still you can become an FNP without ever working a day as an RN or a PMHNP without a day of psych or an ACNP without a day of ICU. While I believe that the experience is helpful I’m not sure that it...

  19. The Drug Investigations - Three So Far

    myoglobin replied to NormaSaline's topic in General Nursing

    I have several thoughts on this subject mostly related to metformin: 1. Most studies including RCT's have shown that metormin actually reduces dementia risk in diabetic individuals. For example this...

  20. PCU or ER as a new grad

    myoglobin replied to sour's topic in General Nursing

    As someone who has commuted an hour each way for the last decade I would still gravitate towards ER (if it is a reasonable unit with safe staffing) for the following reasons. a. It is full time from...

  21. What does the floor really think of nursing students?

    myoglobin replied to superduper's topic in General Nursing

    I find it ironic that the hospital constantly harasses me about not using my hospital IPhone (or portable fomite device as I like to call it) ever since they eliminated unit secretaries while other...

  22. NP job wants my Medicare number, but I have only worked as RN.

    myoglobin posted a topic in Nurse Practitioners, NP

    Do RN's have a Medicare number? I have worked for the same hospital for over ten years and just graduated as PMHNP. The job I applied for in Florida insists I have a Medicare number that HCA bills...

  23. Gave vancomycin wrong

    myoglobin replied to Simplyvan's topic in Patient Medications

    Vanc isn't given IV push, but it also isn't "mixed" (we have to mix ourselves in bags). Thus, when we have to give Vanc along with another antibiotic (say cefepime) which is IV push the opportunity is...

  24. Gave vancomycin wrong

    myoglobin replied to Simplyvan's topic in Patient Medications

    Why is it that long since the "To Err is Human Report" we still blame individuals rather than systems that promote errors (as the report suggested we should not). In this case I can think of several...

  25. Oversupply of Nurse Practitioners

    myoglobin replied to guest416560's topic in Nurse Practitioners, NP

    That is why one of the obvious answers to the "oversupply" question is to move to an independent practice state (there are over 20 now) and compete directly with physicians where we can (PMHNP's,...