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  1. Have any NPs considered med school?

    NP/PA supervision is a state by state issue. At least in my state (MS), NP's & PA's are essentially interchangable from a physician / hospital perspective. They both have a fairly broad practice....
  2. Have any NPs considered med school?

    All states require an internship, only a very few require a residency of one year beyond the intership. No state requries more than 2 yrs after graduation to recieve a license. The issue isn't...
  3. Tylenol toxicity? How serious?? Please read!

    I would definately have your doc run the tests as part of your annual physical. There is a lot that still might be wrong with you -- or might not be. As to telling your doc about it, remember that...
  4. Mammography in UK

    In the states its still all over the board. The US Preventative Task force recommends cervical smears q1 for high risk women, defined as age age of first sexual encounter and no later than 18. After...
  5. Mammography in UK

    A lot of stuff in the states leads to disparities in the best medicine vs. best for the hospital/doctor. Mammograms aren't one of them. Unfortuantely this is a situation where the lack of...
  6. I'm so upset! (warning-long)

    Federal labor law doesn't state that unfortunately -- either clearly or obsequiously. Individual states can adopt labor laws that prevent mandatory overtime; however, if they don't, federal labor law...
  7. I'm so upset! (warning-long)

    I believe the poster is saying the get $1.25/hr, plus their regular salary, plus overtime if applicable. Even if not called in, the get $1.25/hr for their oncall shift as a
  8. how does your facility take blood pressure

    I agree. The most accurate BP measurement is a manual one done by a properly trained person, using a mercury spygometer, everything else is downhill from there. For speed of use, a handheld spyg is...
  9. ECT Treatment: For or against it?

    One of the first things to realize is that today's ECT is nothing like it was 60 years ago. The reality that brought us "One Flew Over the Cukoo's Nest" and other popular images of ECT, is long past....
  10. Autism, mercury and cover up???

    I wish someone would point out some research.... Thermisol, the form used in vaccines, is not chemically reactive, and is expelled from our body in a matter of days. Ethyl Mercury is the stuff that...
  11. Im trying to decide my career and I have some questions

    ~What are some good high school courses to take to prepare me? I can't add too much to the post above (great post), but would recommend the following... Take every course your high school has in...
  12. Penicillin desentiziation

    If you get a -, it means the patient may not be allergic to PCN. Also, performing the skintest in this context is considered a medical procedure -- it has a billible CPT and everything -- meaning in...
  13. How many of you practice homeopathy?

    Yea maybe... except there are double blinded studies with allergy shots -- and a lot of
  14. herbals and migraines

    I know this isn't a natural suggestion... You might want to try 550mg of Naproxen (Alieve). That was our neurology groups first line treatment to abort migraines before all the triptans were out. If...
  15. I'm just thinking aloud here, but you should really check out the following if your interested in health care.... 1) A BSN or Direct Entry MSN program will take the same time as a standard ASN, but...
  16. Penicillin desentiziation

    The problem with tetracyclince isn't the teeth, its that it is not known to work in pregnanent women, it may cure the mother but not the child, or may not cure either, but rather cuase it to go into...
  17. unsure to stay in management

    It doesn't neccissarily get better, but one of the hardest lessons for me to learn as a manager was how to delegate. It took some of my staff -- who I have a LOT of respect for, to nail me down...
  18. Penicillin desentiziation

    Suzanne, PCN is the only treatment that has evidence behind it to treat a pregnant women/child with syphilis. Desensitization is dangerous, but so is untreated syphilis. I would be hesitant to do...
  19. Penicillin desentiziation

    In that article above, there is a protocol listed, but its meant for physicans. Unless you've got a cowboy of an OB, I imagine he'd admit the pt and ask for Allergy
  20. Elective Cesareans/On Demand

    Summary of Recommendations The following recommendations are based on good and consistent scientific evidence (Strength of Recommendation Taxonomy [sORT] = A; see page 1201 for an explanation of...
  21. Elective Cesareans/On Demand

    Cause I'm in nana land with my brain :)... Glad I'm not working this week. The standard is OB or Surgeon (in some rural hospitals the GS does the emergency c-sections, and there is no OB on staff. FP...
  22. Elective Cesareans/On Demand

    VBAC is one of highest threats for malpractice for OB/GYN's. Many malpratice carriers will not cover a VBAC -- period. In addition, new JACHO requirements basically make a VBAC an impossiblity in any...
  23. Penicillin desentiziation

    Umm... desentization isn't something to take lightly -- it can be very serious. I would get one of your allergists on staff to order it, set up the protocol, and be responsible for it. AKA -- get a...
  24. Paying for Accelerated BSN?

    Are you getting a BSN or ADN? I've never heard of a BSN program that goes from start to finish in 18 months.... I believe that that to be accredited a bachelor degree (any degree), must have at least...
  25. Elective Cesareans/On Demand

    Oops sorry... Looking at the 1993 data from ARHQ, there were 3,916,469 deliveries total with 1,170,408 being c/s, for a 30.0%. (http://www.arhq.gov) I was thinking of c/s after c/s (VBAC) which was...