TraceyMarino

TraceyMarino

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All Content by TraceyMarino

  1. Advanced patho and pharmacology

    TraceyMarino replied to illcleff's topic in Student Nurse Practitioner

    I took them both at the same time. I did not find either class to be particularly challenging, but there was a ton of homework and assignments and they were time consuming. Physical assessment is...

  2. St Joseph's College of Maine FNP program students

    TraceyMarino replied to LJames13's topic in Student Nurse Practitioner

    The first graduating class was made up of all WHNP's who went back to get their FNP. My guess is they all passed. I graduated in the 2nd group of 7 grads, and we all passed. One student took the...

  3. Narcotics and diagnostics...

    TraceyMarino replied to TennesseeNP123's topic in Nurse Practitioners, NP

    I would get him off all scheduled drugs. Provigil (modenafil) is FDA approved for shift fatigue, Adderall is not. I would also do a urine drug screen on this patient. As an NP, I am very...

  4. 10 minutes and no emergency meds for seizure

    TraceyMarino replied to Vtachy1's topic in School

    Perhaps the reason the mom is reluctant is that this is not a seizure disorder at all. Perhaps the child has pseudo seizures---hence the lack of rescue medication, the 10 minute time frame for...

  5. Nurses Talk To Nurses. Doctors Talk To Doctors

    TraceyMarino replied to madwife2002's topic in General Nursing

    One night shift, in the wee hours, I had a patient who was crashing, and needed to be intubated and transferred. I called the doctor on call, who hassled me about my assessment, accused me of...

  6. Why do some nurses use their titles as a big ego boost?

    TraceyMarino replied to Hellostudentnurssee's topic in Patient, Colleague Relations

    I went back to school at age 44 and became a nurse practitioner. I refer to myself as a nurse practitioner. When patients call me "doctor" I correct them. I have never met another nurse...

  7. St Joseph's College of Maine FNP program students

    TraceyMarino replied to LJames13's topic in Student Nurse Practitioner

    Yes, the roadmap series is great, so are the step 1 reviews. Never used the pocket guides, but I am going to check them out. The scanner I have is the Canon Lide 210. Very simple, cheap, and got...

  8. St Joseph's College of Maine FNP program students

    TraceyMarino replied to LJames13's topic in Student Nurse Practitioner

    Hi guys: I will check what scanner I bought, haven't used it since graduating from the fnp program this past December. I am now working as an FNP yay! I reallly like the scanner I bought, very easy...

  9. St Joseph's College of Maine FNP program students

    TraceyMarino replied to LJames13's topic in Student Nurse Practitioner

    Glad they clarified that for you.....be very aware the cohort thing can slow down your progress if you have to wait for a cohort to start. I already had my bachelor's, so I just had to do the MSN. I...

  10. St Joseph's College of Maine FNP program students

    TraceyMarino replied to LJames13's topic in Student Nurse Practitioner

    Dear future FNP-perhaps the college has changed their program, but, all the students I know who were a class or two behind me are in cohorts....perhaps this arrangement caused too many problems and...

  11. St Joseph's College of Maine FNP program students

    TraceyMarino replied to LJames13's topic in Student Nurse Practitioner

    Future NP: St. Joe's needs to stop promoting the program as self paced. It is self paced up to a point----once you get to clinicals, you are in a cohort. If you are lucky, like me, you get in a...

  12. Frequent flier narc users

    TraceyMarino replied to corky1272RN's topic in Emergency

    Do you work at a critical access hospital, or hospital that receives rural health money? If so, that is what is behind this type of program. CMS and other government agencies look at your ER/urgent...

  13. What would you do? Advice Needed

    TraceyMarino replied to EMEddie's topic in Nurse Practitioners, NP

    I disagree with nurse Tim. It is not identical training. IMHO, PA training is more rigorous and robust than NP school. There. I said it. PA school is basically medical school, that stops at GY3....

  14. Nurse Calling In Scripts to Pharmacy Illegally

    TraceyMarino replied to nurse42long's topic in General Nursing

    I agree with the above pp's. You have to notify someone, the doctor, the pharmacy, the BON. I am concerned that this nurse has dragged you into her web by calling in a script for you....now she...

  15. Has anyone went off and did their own clinical time?

    TraceyMarino replied to HumptyDumpty's topic in Student Nurse Practitioner

    I spent some time with a radiologist, reading x-rays...no hands on there, just learning the basics. Spent some time with a derm, that was great too....assessing rashes, moles, etc. I would have...

  16. Completely lost it today... cool heads needed, please.

    TraceyMarino replied to AngelfireRN's topic in Nurse Practitioners, NP

    Hi: I feel your pain, this can be a very frustating job. I often deal with upset patients, often involving controlled substances. Advice. You cannot lose your cool. Period. You cannot raise your...

  17. Is anybody else tired of the nurse practitioner craze?

    TraceyMarino replied to WillRegNurse's topic in Nurse Practitioners, NP

    Thanks Bri--just starting out, I am finding the job tough. Patients and other providers tend to "second guess" NP's and PA's, even when their diagnosis and treatment plan are correct. I have to...

  18. Agoraphobia...anyone with experience?

    TraceyMarino replied to AngelfireRN's topic in Nurse Practitioners, NP

    What state do you live in? Can NP's in your state even sign disability papers? I am in Michigan, and an NP or PA cannot sign any papers for disabilty claims...you better check before you get...

  19. Is anybody else tired of the nurse practitioner craze?

    TraceyMarino replied to WillRegNurse's topic in Nurse Practitioners, NP

    Hi everyone: I recently graduated with my FNP and I am working 3 days with a terrific family practice MD, and one day a week iin the urgent care at the hospital. Just a few thoughts: I became an NP...

  20. Failed AANP

    TraceyMarino replied to RNGrad2006's topic in Nurse Practitioners, NP

    If you fail the AANP but pass the ANCC, no problem, at least in Michigan. Many folks do this, sign up for both, take both hoping they will pass one or both. You only have to pass one of them. I just...

  21. Most Valuable Clinical Experience?

    TraceyMarino replied to Roseyposey's topic in Student Nurse Practitioner

    Find a busy urgent care, one that does suturing, x-ray, FB removal in the eye/nose, where ever, STD testing. I find that other NPs, PA's and midwives allow students to do more "stuff" than docs. I...

  22. Are online ANP degrees destroying our credibility?

    TraceyMarino replied to jilljw's topic in Student Nurse Practitioner

    Just a few comments. I have been caring for patients in some capacity since 1987. I have seen many changes, including DRG's, the introduction of PA's to mainstream hospital medicine, the rise and...

  23. St Joseph's College of Maine FNP program students

    TraceyMarino replied to LJames13's topic in Student Nurse Practitioner

    HI RN in Maine and others! I just finished the FNP program through SJCME, just passed the AANP today hooray! Some advice about the program. It may have changed since I did pharm patho and phys...

  24. Okay to opt out of free lunches? (drug reps)

    TraceyMarino replied to amulam's topic in Nurse Practitioners, NP

    Hi! I am a new FNP as well, and I was also a pharmaceutical rep for Pfizer for 8 years before going back to clinical practice. I decided I would rather wipe ass than kiss it. Just graduated with...

  25. Question about reference books?

    TraceyMarino replied to reeya's topic in Nurse Practitioners, NP

    The Oxford American Handbook of Geriatric Medicine edited by Durso is the best resource I have found for geriatric medicine. It is broken down by systems, and is a terrific resource and very easy to...