Dranger

Dranger

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All Content by Dranger

  1. Pursue NP or PA for ER?

    UC Davis has the
  2. Pursue NP or PA for ER?

    RN to PA is a viable route but it's a lot of work for no reason. Most PAs come from zero medical background or have EMS experience. You can major in anything and be pre-med or pre-PA it doesn't...
  3. Tattoos!

    They aren't my thing (saw too many garbage ones in the military) but a lot of hospitals do not care. Nursing school was the only entity to enforce covering
  4. Pursue NP or PA for ER?

    I recommend working as an ER nurse first and foremost It's great to have goals but you haven't started nursing school yet. You may want to stay as an RN for your career, experiences change us and four...
  5. Mobilizing While On CRRT

    To be fair the study never really looked ambulation. "(1) passive bed exercises, (2) sitting on the bed edge or (3) standing and/or marching" were the three interventions. My guess is that most...
  6. Albumin-Essential protein in maintaining oncotic pressure, low in liver failure INR-Ratio of clotting factors, in liver failure the body doesn't clot as efficiently due to lack of clotting factors...
  7. Septic patient with liver failure

    Sounds like the distended abdomen could have been related to the liver failure or worse, abdominal compartment syndrome secondary to sepsis with MODs. Untreated the bowels become ischemic and...
  8. "FNPs can do anything"

    Frankly that makes 0 sense. Pray tell the advantage of a FNP over an Acute Care NP in a hospital
  9. Anticoagulant Preventing CVC Insert?

    Thanks Juan exactly what I was looking for. I guess I overlooked the fact that heparin can easily be discontinued when emergent procedures are needed ASAP and that it is easier to
  10. Septic patient with liver failure

    Albumin increases the oncotic pressure gradient. Patients with liver failure lack the protein albumin and thus have no way of keeping fluids in the vasculature. In general, severely symptomatic septic...
  11. Anticoagulant Preventing CVC Insert?

    Juan, with that being said what do you prefer in situations with Acute/symptomatic DVTs/PEs for anticoagulation? Heparin drip or full dose Lovenox? Besides issues such as renal impairment I can't see...
  12. RN's and specialty catheters

    I have placed both coudes and three-way, but with that said if they need a three way its because of clots or bleeding and I prefer urology to do
  13. Strange CT results

    Probably an error during dictation, I see them from time to
  14. NP Salaries/Location/Specialties

    Mississippi is one of the poorest states in the country with a very low cost of
  15. "FNPs can do anything"

    I work with an ICU nurse pushing (and succeeding) our physician pulmonology group to get her hired after she finishes her FNP soon. Most physicians aren't educated about the difference in NP...
  16. Are care plans valuable?

    I do them every shift, not because I find them valuable (although I do put thought and detail into "not progressing" tabs") but because I am OCD and like seeing all green on my EPIC patient view list...
  17. Value of Post-grad Fellowship

    I am definitely looking into fellowships when I
  18. First Intubation!!

    Acute care NPs do intubate and put in
  19. Nurses- medical provider needs your opinion!

    When I page, "Paging per protocol" it helps them understand I don't want to page but I have too. Many don't call back and that's fine I know they got
  20. Nurses- medical provider needs your opinion!

    Nurses need to: 1. Check the MAR first 2. See trending vitals, baseline mental status etc 3. Not inappropriately page specialists, "BP is 103/65 pulse 70, should I hold Coreg" to the cardiologist 4....
  21. I am torn between 2 specialities

    People wanting to do CRNA for the money are a dime a dozen. Rarely do I find a CRNA hopeful that REALLY has a passion for anesthesia, putting in lines or managing pain. Do you really want to be a...
  22. What job do you do?

    Unfortunately there is a problem with people pursuing being a NP simply to further their education and here's why: I have heard time and time again from coworkers that they want to become an NP...
  23. What job do you do?

    I really think you need to reexamine what NPs do. They are much more like a physician than a RN. Bedside care is for RNs not
  24. Navy ROTC vs. Air Force ROTC

    I was a ROTC and Army recruiter for a bit, so before you jump the gun make sure they even have scholarships. We had cut ours heavily when I was recruiting a few years ago and I am sure it has gotten...
  25. Good discussion, there is a huge proliferation of for-profit schools in the NP realm. My guess is because many of these schools are flexible with little to no entry barriers that many people are drawn...