traumaRUs MSN, APRN

Nephrology, Cardiology, ER, ICU

Trauma Columnist

All Content by traumaRUs

  1. traumaRUs

    Please Share Your PTO Accrual Rate

    traumaRUs replied to _kay's topic in General Nursing

    Nephrology APRN for 17 years (same practice) - 12.31 hours every two weeks (80 hours). Cap
  2. traumaRUs

    Does peritonitis have to be drained?

    traumaRUs replied to Matthew89's topic in General Nursing

    Ascites needs to be drained and yes it often recurs. If done sterilely the risk is minimal. I have pts with end stage liver disease that get a paracentesis weekly and some of my pts high weekly high...
  3. traumaRUs

    Insulin Before Dextrose or Vice Versa?

    traumaRUs replied to vmrose93's topic in General Nursing

    Nephrology APRN here: 1. Calcium 2. Insulin and Glucose can be given at same time 3. Sodium bicarb 4. Kayexalate (if you have it - shortage
  4. traumaRUs

    NP Education Idea

    traumaRUs replied to Skeptic's topic in Nurse Practitioners, NP

    Thinking about your idea. Here are my thoughts: 1. What about those APRNs who have an MSN and have been practicing very safely for years? I've been in practice for >17 years and practice in...
  5. traumaRUs

    Undecided and out of time

    traumaRUs replied to mooshgigila's topic in Nurse Practitioners, NP

    I'm so sorry you are in this situation. None of us know what the future holds. Lots of time I wish I had a crystal ball - LOL My take - education is always worth it. If you end up not liking the...
  6. traumaRUs

    Are You Working Past Retirement Age?

    traumaRUs posted a topic in General Nursing

    I've been thinking a lot about getting older (and older) recently. For me, nursing was a second career. When I graduated from high school, I immediately started nursing school because that's what you...
  7. traumaRUs

    Clinical Nurse Specialist: Job Description, Salary, and How to Become One

    traumaRUs replied to Erin Lee's topic in Clinical Nurse Specialists, CNS

    Retired means that the certifying exam is no longer offered. Those of us that hold the "retired" certifications can continue to hold the certification provided they meet the requirements for...
  8. traumaRUs

    North Carolina Nurse Gets 4 Years for Painkiller Mishandling

    traumaRUs replied to allnurses's topic in General Nursing

    Hmmm....I thought Demerol was gone long before
  9. traumaRUs

    to Pursue a 2nd MSN or Post MSN certificate

    traumaRUs replied to sh3rylanne's topic in Student Nurse Practitioner

    I did two post-MSN certificates. I would not repeat an entire MSN if I were you. You have to decide
  10. traumaRUs

    Clinical Manager offer

    traumaRUs replied to Duncan6's topic in Dialysis, Renal, Urology

    Ugh! So very frustrating. It's reasons like this ie poor communication from the suit folks that cause RNs to leave I'm very sorry for your
  11. traumaRUs

    CM with no dialysis experience?

    traumaRUs replied to Duncan6's topic in Dialysis, Renal, Urology

    I will say that Davita uses a business approach to hiring for management positions - so this often results in the dietician or social worker being the manager, I would take a nurse without any...
  12. traumaRUs

    Clinical Nurse Specialist: Job Description, Salary, and How to Become One

    traumaRUs replied to Erin Lee's topic in Clinical Nurse Specialists, CNS

    Agree with most of this. However, with healthcare much more of a business now then ever before, it is very important that all APRNs bring something ie $$$$$ to their practice/hospital. Otherwise, you...
  13. traumaRUs

    Things to Know Before Starting Your New Job as a Nurse Practitioner

    traumaRUs replied to Cassandra Guenthardt's topic in Nurse Practitioners, NP

    Great suggestions. I've been an APRN for 17 years now and can't endorse learning coding enough! This is what makes you worth $$$$ to the
  14. traumaRUs

    Preceptors

    traumaRUs replied to Jen Jacobs's topic in Advanced Practice

    In IL, I used the IL Society of Advance Practice Nurses - they keep a
  15. traumaRUs

    Have you ever returned to an old job?

    traumaRUs replied to SilverBells's topic in Nursing Career

    Yes, I worked at one place for 11 years, thought I wanted something different so left it. Was absolutely miserable - difficult boss, boring job. So I went back to old job after 6 months and have been...
  16. traumaRUs

    New NP position

    traumaRUs replied to RN/WI's topic in Advanced Practice

    Yes very much so. We have 10 APRNs and our longevity is 2-23 years with most of us having >5 years in our present
  17. traumaRUs

    Ageism in Nursing

    traumaRUs replied to Wetsuweten Cynthia's topic in General Nursing

    I echo Tweety's comments: what are you looking for? I'm almost 65 and I've not experienced ageism at least...not yet. I plan to work much longer. I do know that as an APRN my value is not based...
  18. traumaRUs

    New NP position

    traumaRUs replied to RN/WI's topic in Advanced Practice

    I work in a large nephrology practice. Our orientation is 5-6 months long as it takes that long to get credentialing done. It consists of didactic as well as shadowing. Most of our APRNs have been...
  19. traumaRUs

    Greetings, Younglings, from a Crusty Old Bat

    traumaRUs replied to Guttercat's topic in General Nursing

    I've been a nurse since 1992 and agree with most of what you say. What I find for me (and I'm working past 65 now) is that with the increasing pressures and job demands being put on nurses and...
  20. traumaRUs

    NPs, Please share the reasons you left your old job/specialty?

    traumaRUs replied to treeye's topic in Nurse Practitioners, NP

    I have not changed specialties but when I graduated, I went from ED to nephrology. It was a huge change and learning curve. However, I looked at the practice and the longevity of the APRNs. I've been...
  21. traumaRUs

    Building Strong Bones: Nurse's Guide to the Latest in Osteoporosis Management in 2023

    traumaRUs replied to Michelle Flanagan's topic in General Nursing

    Great info! My own viewpoint is that of a nephrology APRN. Providers must always consider a pts renal function prior to prescribing many of the osteoporosis meds. These meds are typically...
  22. traumaRUs

    Seeking Advice When Receiving Orders

    traumaRUs replied to SwiftieRN's topic in General Nursing

    Totally agree Wuzzie. My incident was in 2006 when bullying was much less of a "thing" then now. Should have been a "thing" then as
  23. traumaRUs

    Seeking Advice When Receiving Orders

    traumaRUs replied to SwiftieRN's topic in General Nursing

    I'm an APRN and though I work in a different specialty I often do electronic orders for procedures. I never mind a nurse calling me over anything I write orders for. I would much rather have a phone...
  24. traumaRUs

    Should RaDonda Vaught Have Her Nursing License Reinstated?

    traumaRUs replied to Nurse Beth's topic in General Nursing

    What has she done to remediate her lack of awareness when administering high risk meds? Has she kept up with current
  25. traumaRUs

    NP Contract & Second Jobs

    traumaRUs replied to JDJones89's topic in Student Nurse Practitioner

    I no longer have a contract as I have independent practice now. However, yes, in my initial contract 17 years ago I had to inform my boss if I took an additional job - didn't matter if it was nursing...