traumaRUs MSN, APRN

Nephrology, Cardiology, ER, ICU

Trauma Columnist

All Content by traumaRUs

  1. I can speak to UpToDate as a nephrology APRN - sometimes its not correct with regards to the latest research and/or KDIGO guidelines. That said, most of the time, its fine. When I have a question, I...
  2. traumaRUs

    What is acceptable?

    Totally unacceptable in my opinion for you not to have an MA. As to your hours, unsure about this as I'm salary. However, if I was hourly, I would want to get paid for my time. Thats being treated as...
  3. Moved to SRNA
  4. traumaRUs

    LIES About LPN's and LVN's

    ADMIN NOTE: Some posts have been removed as they violate our terms of service. Please do not be snarky. Back to the article: I too started as an LPN, practiced as an LPN for 2 years while getting an...
  5. traumaRUs

    Bowel Obstruction treatment

    Moved to student nurse assistance
  6. traumaRUs

    WHERE TO GO WITH MY CAREER?!

    Am unsure what MLTC stands for - could you be a little more
  7. I work nephrology seeing pts in outpt hemodialysis units. I set my own schedule and its very flexible. There are 8 of us and very little
  8. traumaRUs

    Commute to your job?

    I have a very flexible job but am on call from 0600-1700 M-F. I work approx 50-55 hours per week but have no set hours - as long as my pts are seen once per week. I travel anywhere from 60-200 miles...
  9. traumaRUs

    Asthmatic emergency

    As most of you know, little ones can compensate for so long but when they crash, they crash. I'm an advocate of the asthma care plan. You are not supposed to be the ER - when in doubt,
  10. traumaRUs

    Career change

    Big change for you! Are you off orientation? Whats the nurse/pt ratio? Do you have a mentor - someone that you can go to with questions? Realize that dialysis is VERY specialized so give yourself a...
  11. traumaRUs

    Chamberlain yes or no?

    Moved to Chamerlain
  12. traumaRUs

    Combined CNS and NP

    Hi there and welcome. Are you certified as both an NP and CNS? I'm an adult and peds CNS and my scope of practice is as an APN. In IL
  13. traumaRUs

    Ageism in Nursing

    Thanks for bringing this to our attention - this issue has been
  14. traumaRUs

    Gonna Quit: When Nursing Is Rough...

    I've been a nurse for 26 years now - its my second career. I hope to work until I'm 70. What worked for me was getting more education. I can honestly say I don't think I could have kept up the pace in...
  15. traumaRUs

    8 Best Apps for Patient Self-Care

    I have several patients that you a medication reminder app and I encourage all my pts with smart phones to keep an up to date med list in their phone. My pts are all on at least 5 meds and many are...
  16. traumaRUs

    Over 70% of Nurse Staff Turnover is Due to Bad Leadership

    I have been in my current job for 12+ years. I am fortunate to have very stable leadership. In my last RN job of 10 years, we had 6+ unit managers (mid-level managers). Most were "fairly good." I...
  17. traumaRUs

    Seeking Advice

    Being fired in my state "for cause" ie falsification of documentation will get you reported to the BON. Are you SURE this won't be reported? I would consult a lawyer vs waiting to see if the BON gets...
  18. traumaRUs

    What's up with this RN?

    When I chart if I do something, I just annotate that it was done. However, if I ask staff to do something or I call someone and give a verbal order, I document their name. I never put, "this
  19. traumaRUs

    CNS and experience

    Congrats and best
  20. traumaRUs

    Need help deciding between job offers

    Congrats on so many opportunities. Some things to consider: 1. Your experience and comfort level with urgent care pts. Do you have solid ED skills? Ability to quickly think on your feet? 2....
  21. Moved to the student NP forum. Best
  22. What are you considering "low stress"? Less hours, fewer pts, or something
  23. traumaRUs

    How to publish a clinical case?

    How about Doximety? Another app that I read quite a
  24. traumaRUs

    Relocating based on salary / cost of living advice

    What about looking further - like the midwest. Many beautiful areas in Tennessee and Kentucky. While the cost of living is much lower, of course the wages are too. However, if you look to the...
  25. traumaRUs

    Please help

    Agree with all of the above: this is a BIG issue and one that needs to be resolved correctly. I would continue to follow up on this and really like the official letter to the DON with you keeping a...