traumaRUs MSN, APRN

Nephrology, Cardiology, ER, ICU

Trauma Columnist

All Content by traumaRUs

  1. traumaRUs

    Autonomy

    I work in nephrology and rarely see a physician. I see/write all my own notes, none are co-signed. If I have a question, I ask but otherwise I'm on my own. I've been an APRN for 15+ years now and as...
  2. traumaRUs

    Mississippi boards and a misdemeanor

    Would definitely consult with lawyer. Best
  3. I'm an iphone and Windows computer user so I use gmail
  4. I agree, very personal decision. However, you are 33 and since you are going to be back before Mom's surgery, I vote to go for
  5. I'm a provider in a large nephrology practice. My practice areas are multiple office where I see general nephrology pts. I also travel to multiple hemodialysis units. I wear scrubs (with multiple...
  6. Direct entry APRN degrees are common in some areas of the US. As to original poster (OP) direct entry programs are very fast-paced. What is the school's plan for clinicals for you? You are...
  7. traumaRUs

    Treatment of Nursing Students

    I have had many students over the years, some were enthusiastic, courteous and wonderful. Some were lazy and couldn't be bothered. However, some days I was enthusiastic and wanted to teach. Some days...
  8. traumaRUs

    Bad Clinical Instructor

    Nursing school is difficult. In these times (covid, short staffing) nurses on the floor are being pulled in many directions. Here are some suggestions: 1. Ask for a meeting with your clinical...
  9. traumaRUs

    OTH seperation

    I'm a vet and it is asked on all employment applications I've filled out. I think you might have some explaining to do. However, were you just young and couldn't follow orders which you could explain...
  10. We are seeing this too. I see pts in several dialysis units and we are seeing more clotting in the dialyzers then ever before. Also, as an aside I had a relative who got Covid, intubated,...
  11. Yep posted in each and every elevator in my local
  12. traumaRUs

    We're Like Travelers, In Our Own Hospital! $$

    Wow, just
  13. traumaRUs

    PMHCNS

    Can't "like" Elkpark's post enough. I'm a lame duck adult health CNS and peds CNS -
  14. traumaRUs

    Is this legal?

    Surprized your quality dept doesn't force a "fix" for this issue. Liability issue for
  15. traumaRUs

    Registered Nurse and EMT?

    I'm in IL and I volunteer as a PHRN (pre-hospital RN) for my rural fire/EMS dept for the last 22+ years. I've been an APRN since 2006 and it hasn't affected my scope of practice at all. The two are...
  16. traumaRUs

    I'm a nurse who has ESRD

    I'm a nephrology APRN. I worked with an RN in the level 1 ED for several years with an RN who was s/p deceased donor renal transplant. It is doable but of course the post-transplant immunosuppression...
  17. traumaRUs

    Value Based Care

    I'm a nephrology APRN employed by a large (21+ MDs, 10 APRNs) practice. As we have both brands of dialysis units (FMC and Davita) it is better for the bottom line to be employed by the nephrology...
  18. traumaRUs

    Phasing out CNS

    I've been an adult CNS since 2006 and peds CNS since 2011. I am employed strictly as an APRN who sees pts and bills for my services. That is the role that has survived in my
  19. I don't post here often. However, as NP is a protected title, my job description is the same as an NP (just posting to clarify). I identify myself as an APRN-FPA (full-practice
  20. traumaRUs

    CNS, an APRN role on life support?

    I'm an adult CNS (2006) and peds CNS (2011) and I function solely as an APRN who sees pts, bills for my services. I do nothing like the "true" CNS role. That role IMHO is obsolete. Nowadays as an APRN...
  21. traumaRUs

    Calls and Weekends

    I work in a large nephrology practice - we are on call M-F 0600-1700, no weekends. Our call is essentially only for OUR patients which makes it
  22. traumaRUs

    Advise on Career Path Change

    Have you considered clinic/office nursing? Case Management, telephone
  23. traumaRUs

    I Know What Abuse Is; I Have Lived Through It

    Ruby - you have endured the unimaginable. Your spirit, fortitude and guts shine through in this article. I am so very happy for you that, though life has thrown you some curve balls, you've come out...
  24. traumaRUs

    Value Based Care

    I work for a private specialty practice that does VBC. It does provide improved patient care but it also involves more
  25. traumaRUs

    Have debt but don't know if I want to be an NP?

    I echo that this is a lot of debt. For me, nursing was a second career, I was in the USN first. However, as a floor nurse, my lack of autonomy was in the end, the deciding factor to become an APRN....