traumaRUs MSN, APRN

Nephrology, Cardiology, ER, ICU

Trauma Columnist

About traumaRUs

traumaRUs has 34 years experience as a MSN, APRN and specializes in Nephrology, Cardiology, ER, ICU.


I have a total of 32+ years of nursing experience; including 10 years as an RN in a level one trauma center ED. Now, I'm an experienced (18+ years) nephrology APRN. In my spare time, I volunteer on my rural fire department as a licensed Pre-Hospital RN. I'm also a proud USN veteran. 

Latest Activity

  1. traumaRUs

    Missed pre-employment Drug screen

    Why did you miss it? That would be the biggest concern probably of the recruiter. I'll be honest, they might be concerned that if you can't make a 48 hour window how will you make it to work on
  2. I'm sorry you are going through such a rough time at the start of a career. Have you made a pros and cons list to kinda determine what was so stressful? Patient ratios? Patient disease processes?...
  3. traumaRUs

    Change Communication Advice

    Our EMR (Epic based platform) has all the changes listed when you first log in. You have to check a box stating that you read and understood it before you can move on to
  4. traumaRUs

    DNP VS APNP

    Just my $0.02 but DNP gets you no more money. IMHO DNP only useful if you plan to go to academia. What is your ultimate goal? FNP or Forensic Nurse? What kind of job do you want to
  5. Great conversation! I can only speak for myself. I'm an adult and peds CNS but am in a full practice state where I have the same practice act as NP. I've been an APRN for 19 years now. My nursing...
  6. traumaRUs

    Question for NPs

    Cystotomy is a surgical procedure to drain urine directly from the bladder to an outside bag. Cystoscopy is the introduction of a cystoscope into the urethral opening to view the bladder....
  7. traumaRUs

    Language barriers - what actually helps?

    I've lived in Korea, Japan and Spain for multiple years as part of the military. Healthcare is quite different overseas. In the US unfortunately every action has the potential for a lawsuit which will...
  8. traumaRUs

    Walking Pneumonia or CAP do you still go to work?

    I would say if you are febrile, feel like crap, can't breathe and have a hacking cough you should not be at
  9. traumaRUs

    Question for NPs

    Just a question to clarify: are you asking if NPs do urological invasive procedures like
  10. 1. Dialysis tech but does require significant training 2. Blood bank tech 3. Phlebotomist 4. Hospital transport team 5. Hospital valet or
  11. traumaRUs

    Language barriers - what actually helps?

    I work in the midwest in a rural area. We have a huge population of Spanish-speaking pts along with a second population of Asian immigrants who speak a variety of languages. We are required to contact...
  12. So, a couple things: 1. You graduated and you are an RN - thats something to be proud of. Don't let "imposter syndrome" be your future 2. Learn to drive. That will expand the areas where you...
  13. traumaRUs

    NP asked to room own patients?

    I'm in a very large 21 MD, 13 APP nephrology practice. When I'm in the office, one of the medical office assistants' rooms and does vitals, gets the lab results for me. This makes me more efficient...
  14. traumaRUs

    Leadership

    More then happy to help you but in all your posts you are posting what appear to be student assignment questions. Perhaps you could give us a little more context about the questions and the community...
  15. traumaRUs

    Acceptable restrictive non compete clauses

    Hmmm...I had a non-compete once that the radius was 25 miles and specifically in my specialty. I did not agree to this. How about a lawyer looking this