pluckyduck

pluckyduck MSN, NP

Emergency medicine, primary care

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All Content by pluckyduck

  1. Emergency nurse practitioner certification

    pluckyduck posted a topic in Nurse Practitioners, NP

    Hi all, I'm a primary care NP (FNP) working in a small satellite emergency department for a larger health system. I've been working in ER for 10 months and was an ER RN at a level one trauma...

  2. How much do you owe in student loans?

    pluckyduck replied to MJB2010's topic in General Nursing

    Hi, I went to school in Ontario. There are 9 schools in Ontario that offer primary care NP programs at the Master’s level. Primary care in Ontario is equivalent to “family/FNP” in the US. A...

  3. How much do you owe in student loans?

    pluckyduck replied to MJB2010's topic in General Nursing

    I did my master’s & FNP in Canada, where I’m originally from, at the same school I did my BSN at. My student loan was $18K Canadian. Part of the reason I chose to go back in Canada even though...

  4. 2020-2021 influenza vaccine

    pluckyduck replied to JVBT's topic in Disaster Preparation

    My employer mandates it, unless there is a medical exemption/documentation (and it usually has to be pretty legit—like anaphylaxis, for example). Otherwise, if you’re not immunized by December 1...

  5. New protocol - No report from ER to floor...

    pluckyduck replied to justjRN's topic in General Nursing

    We use EPIC at work and we only call report to the unit when patient is going to step down or ICU, and then the RN brings them up on a monitor with a tech. Otherwise, our department has a quick text...

  6. Your most bonehead moment in nursing. Or 2. Or 3.

    pluckyduck replied to FolksBtrippin's topic in General Nursing

    I placed EKG leads on an elderly lady in triage once. She came in for syncope. I put the stickers on and could not get the leads to pick up. I used two different machines and rebooted the damn thing...

  7. What is it like to work in a good hospital?

    pluckyduck replied to Green Tea, RN's topic in General Nursing

    We have high turnover in the ED because we hire new grads and after a couple years, they want to go to ICU to do CRNA, or they want to travel nurse. We are always short staffed and I’m getting...

  8. Leaving the OR

    pluckyduck replied to Tpax's topic in General Nursing

    I worked in the OR of a level one trauma center/teaching hospital for 3.5 years after I graduated nursing school. Never did a day of OR in clinicals but wanted full time work, and they paid for my...

  9. I'm going to be a model! A pelvic model, that is...

    pluckyduck replied to klone's topic in General Nursing

    As a NP student, thanks for helping us learn. This is cool of you to do, especially donating back to PP.

  10. Please Help!!

    pluckyduck replied to gravy94's topic in General Nursing

    I volunteer with an animal rescue group. I also went back to school for my master’s. this is an expensive way to “pass the time” though. ? If you like learning, look into studying for the...

  11. Canadian nurse in the states

    pluckyduck replied to sambatth's topic in International Nursing

    So a RPN in Canada would be an LPN (licensed practical nurse) in the US equivalent wise. The ADN is an associates diploma program but it is for RNs only —it’s an alternative to the BSN here...

  12. Canadian nurse in the states

    pluckyduck replied to sambatth's topic in International Nursing

    I can answer this because I am a Canadian working in the US. I’ve been working here for the last 4 years. The NCLEX-RN is the same test whether written in Canada or the US but you need to look at...

  13. I was slapped by a patient

    pluckyduck replied to FNPStudentLife's topic in General Nursing

    I was assaulted for the same reason—patient discharged from ED, had no place to go. So he punched me in the side of the head and he got an admission to a psych facility and 4 points. You better...

  14. Nicotine Drug Testing in the Texas Medical Center

    pluckyduck replied to MA8675309's topic in General Nursing

    All the major medical systems in southeastern Michigan are tobacco free and employees are subject to urine drug testing as a condition of their hire. If there’s nicotine present, they won’t be...

  15. Is it normal to be so tired on days off after working 3 12s?

    pluckyduck replied to FNPStudentLife's topic in General Nursing

    Agree with the previous advice—I work days 6a-6p in the ED and when I do 3 in a row, I’m tired the first day off. But if you’re feeling exhausted, maybe you should see your PCP for a thyroid...

  16. Will Diuretics lower BP for ESRD patients?

    pluckyduck replied to NurseMegan2's topic in General Nursing

    We get residents in the ER all the time who order Lasix IV for our ESRD patients in CHF exacerbations. I ask the patient as part of my assessment from the get go, “do you make urine?” “I...

  17. Any facilities actually using an AccuVein? Any thoughts?

    pluckyduck replied to BiscuitStripes's topic in General Nursing

    We have one. I personally don’t like it because ours is on a wheeed stand and it’s big and bulky to cram into an exam room. I also don’t find it works for me. But some people love it. My...

  18. Forcibly removing piercings in psych patients

    pluckyduck replied to KathyDay's topic in Emergency

    We have a six bed secured area for mental health patients. Anyone who is actively suicidal, homicidal or having hallucinations or acute psychosis is assigned a bed there by the triage nurse, as long...

  19. Ultrasound Guided IV insertions

    pluckyduck replied to pluckyduck's topic in Emergency

    Thanks for the advice! I wish we could use lidocaine and I've brought it up to nursing education. I'm trying to get one of our ER ultrasound fellows on board with this too. I figured out the mayo...

  20. Ultrasound Guided IV insertions

    pluckyduck posted a topic in Emergency

    Hi, I work in a level one trauma centre in an area that sees patients with multiple comorbities and complex health histories. We have a lot of dialysis patients and IVDA patients, so plenty of hard IV...

  21. Ultrasound Guided IV insertions

    pluckyduck replied to pluckyduck's topic in Emergency

    Thanks for all the feedback everyone; I'm a year out now and I probably have about 90% success rate on first stick now. Sometimes I do go through patches where I have to take two attempts but I'm more...

  22. heparin med error

    pluckyduck replied to b33110's topic in General Nursing

    You did the right thing by reporting, monitoring and following up on lab results, and now that you've felt the horror that comes with a major med error you'll likely be way more careful next time....

  23. Long Term Care Stigma

    pluckyduck replied to TruvyNurse's topic in Geriatric, LTC

    There were a couple of phenomenal nurses who took care of my grandparents in LTC. They ran that place like a well oiled machine. I am eternally grateful for them. One RN took my mom's concerns about...

  24. ER rushing patients to the floor

    pluckyduck replied to freckles23's topic in General Nursing

    We have management breathing down our neck about dispos and it's ultimately up to the ED doc to decide whether a patient is floor versus ICU. I have had several patients where I've had to cajole the...

  25. Not paying license renewal fees on time (random thoughts)

    pluckyduck replied to TheCommuter's topic in General Nursing

    I budget aside if I have to. In Ontario this year it's going to cost $180 (per year) in addition to my state license (which is $60/two years). Which is annoying. But I need it to work, and don't want...