Dranger

Dranger

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All Content by Dranger

  1. Problem is people want convenience. Fully online with little to no campus visits. Most programs that offer preceptors are either brick and mortar or are going to have quite a few campus visits because...
  2. NP v. PA

    C'mon we all have anecdotes. Just two nights ago I had a physician who apparently didn't know the difference between cardio selective and non cardio selective beta blockers. In addition they didn't...
  3. Well yeah, but one of the knocks against NPs is the lack of these basic sciences right? My question is, 10 years down the road as a provider how much is really
  4. Do pharma reps target you??

    Not saying they don't but you would be remiss to ignore the fact that pharm companies hire attractive females purely for the rep roles. Sex
  5. The reason many schools do not find preceptors is because they don't want to limit their enrollment thus reducing their profits. It's easy to accept all online MSN applicants then make THEM find...
  6. For "fun", I take a lot of Q bank Step 1 and Step 2 CK practice exams and I will agree that Step 1 is difficult for me because I do not have a strong knowledge base in some of the histology, embyology...
  7. NP v. PA

    I think it depends really. From a RN perspective working in an ICU I have found our ACNP hospitalists and those that work in the ICU a lot more competent than the PAs. I have never worked outpatient...
  8. Yeah, they waive the MCAT and recalculate GPA using a different algorithm. I just feel 2 years would be adequate, as PA school is no joke in many aspects with intern year and residency squaring away...
  9. I do agree there is a lot of fluff, but there is also a lot of hidden science/medicine based teaching in classes that are not overtly "medical" sounding. Many of our classes (ACNP for me: which is an...
  10. Honestly, the 3 year program is a terrible deal for a practicing PA. There are many physicians and med students who feel med school could be shortened to 3 years or combined with a FM or IM residency...
  11. Private Grumbling but NO Open Discussion!

    Lol in the military we always called these boneheaded ideas as good idea fairy BS. The good idea fairy was in every unit and was always drumming up some stupid
  12. Private Grumbling but NO Open Discussion!

    At my hospital I can say whatever I want, when I want. We bleed staff so much, it just doesn't matter. They won't fire you. There is something to be said about working in a crap area with a bad...
  13. Your school doesn't teach
  14. For most places just a years of acute care experience or
  15. From what I observe, dialysis (acute) isn't that bad. Sure there is call, but they never seem stressed. All of the patient's problems are not there's unless it has to do with the dialysis machine. If...
  16. NP Hospitalist question

    3. I have noticed that providers are way less likely to call in sick than nurses, but I have seen other providers come in for partial shifts to cover. 5. Depends on how big your hospital is. ACNPs...
  17. 1 month new ICU job. I want to run

    That's a logical goal. I try to have my assessments charted by 8 and meds done by 8:30-8:45. Then I start doing care plan, restraints, patient education, I/Os and reading
  18. 1 month new ICU job. I want to run

    Last time I checked it wasn't EBP to check residuals on dobhoff feeds, only to monitor if there was active concern for aspiration. It is true in the ICU that you can't really chart later. You NEED to...
  19. Without droning on into a long discussion regarding ACNP vs FNP, I think you are on the right track. The only problematic area for you would be the ED. Either you are going to need to get a FNP cert...
  20. One of the reasons (not the main one) I switched NP programs was because of the exact same thing. Now my school find preceptors for me, however I have the option of using my own. It's pretty
  21. What are the rules of what we can tell patients?

    You aren't diagnosing if you are reading a physician report, plus you can always state clinical correlation with the main provider is still necessary to
  22. Are we doing good for our patients?

    I work in a MICU, lots of people die in the MICU. That's it. Your premise is correct, people die or go on to live in a rehab/sNF forever after leaving. In ways it can be distressing, but at the end of...
  23. I've have noticed that a few female intensivists, who have the "b1tch" rep with the female nurses, have always been extra nice and social/cordial with me for some reason. Other than that, it really...
  24. Some of your concerns are valid some are nitpicky. The insulin, BP med, pressure ulcer dressing and urine output situations come to mind. GFR is used often for CKD staging an the fact they gave...
  25. I learned that despite 80-90% attrition within the unit during the last year, management will rather watch the ship sink than do something about. 90% freaking attrition. Charge nurses have less than 6...