Palliative Care, DNP

Palliative Care, DNP

Family Nurse Practitioner

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All Content by Palliative Care, DNP

  1. CNA certification exam

    My daughter is starting a CNA program at the local community college. Can anyone recommend the best certification exam review book for CNA? I never worked as a CNA throughout school so at a loss as to...
  2. Post Master's Psych Certificate

    I am looking at post master's psych certificate programs. I'm focusing on programs that match students with preceptors. So far, I have Vanderbilt, Johns Hopkins, and VCU. Googling has proven more...
  3. What is the fastest respirations you've ever taken in an adult?

    Sadly, in the 40's but that's what it finally took before a family decided to transition a patient to
  4. Shockingly low NP pay !

    I went into a specialty after graduating because Family Practice doesn't pay. My hospital system offered me $74k/year to work in Family Practice. I make $108k/yr in Palliative. Looks like I will...
  5. NP Jobs still looking pretty good.

    I work for a hospital system who has a monopoly in my area. There are only 3 job openings currently in the entire system. I know 1 RN who has almost been a licensed NP 2 yrs but is still working as a...
  6. What do you hate about nursing and why?

    My biggest complaint is that healthcare has become the equivalent of the Burger King drive thru. Patients come in and order Care their way. Providers are expected to bow and give them whatever they...
  7. Writing order and having Dr sign later..your thoughts?

    I'm not a physician but I can assure you, that I'm not signing any orders that I did not write or discuss. I would also not take kindly to that
  8. The hospital system that I work for will hire ADNs but they stipulate a date by when that nurse must complete the BSN. Our ICU only has BSNs who are also certified in critical
  9. Seasoned Nurses VS Newbie Nurses

    My suggestion is learn as much as you can from everyone you can. There is something to learn from every person from the environmental services folks through management. Take what you learned in school...
  10. Palliative Care - Interview with a Nursing Leader

    We work in a team at my facility. We have a MD, 2 NPs, & a PCSW. We provide symptom management for chronic & life-limiting illnesses, have family meetings to determine goals of care, assist...
  11. Comfortable dealing with end of life

    Thanks, I do that everyday. My point is these conversations would make decision making a lot easier in the moment. I realize everyone is different and do meet people where there are. Just as you...
  12. Comfortable dealing with end of life

    Yes, my family has had all of those discussions. My parents are both DNRs with advanced care plans. My husband's family are the miracle "do everything" people. My husband and I also both have advanced...
  13. Comfortable dealing with end of life

    Sadly, it is not only in the NICU that people want "everything." Our culture is simply not comfortable with death. It is amazing how many people simply do not discuss the topic at all. I had one woman...
  14. Soo tired of bedside...

    Floor nursing was not for me at all. I knew it would not be sustainable for me. I went back to school and I have found that I very much prefer being a
  15. Comfortable dealing with end of life

    We have to provide daily education to physicians where I work. Many equate us with hospice. We are not the God Squad going room to room celestially discharging patients. Palliative Care provides...
  16. Why do you smoke?

    I currently work with a pulmonology and critical care physician who smokes. He says the stress of running the ICU makes it next to impossible for him to quit. When I was still a floor RN, I worked...
  17. Should you work as a CNA/Tech before or during nursing school

    I never worked as a CNA during my program. I did make friends and assist every CNA that I ever worked with though. CNAs make or break a shift. They are underpaid and overworked. My parents taught us...
  18. To Suction or Not To Suction, End of Life & Hospice Patients

    In Palliative Care at the facility I am employed we do not deep suction comfort patients. All are given Robinul, scopolamine patches, & sometimes Atropine. We consider deep suctioning to be...
  19. FNP New Grads - Tell us about your first job!

    I have been at my first job for a year now. I am in Palliative Care so we provide symptom management for life-limiting and chronic illnesses, have family meetings for goals of care, assist with...
  20. Really, Doctor?!

    Every patient that I order opioids for also has a Narcan order placed. Unless, they are comfort transitioning to
  21. How many patients do you have on each shift?

    When I left floor nursing, we each had 6-8 patientsa night. It was 8 more often than not & that was
  22. WHNP or FNP in VA?

    WHNP/FNP gives you more options. CNM still relegates you to only women's
  23. WHNP or FNP in VA?

    The job market in our area is limited for women's health. I would definitely say the dual program would give you more options. The Hampton Roads area is saturated with NPs. A dual certification is...
  24. BSN is a joke

    Honestly, I agree there is a lot of BS in the BSN education. I also felt like there was a lot of BS in the DNP. That said, I put in the work because it was necessary to get where I wanted to go. In...
  25. Completely depends on the program you choose to attend....Look up programs you are interested in and then