traumaRUs MSN, APRN

Nephrology, Cardiology, ER, ICU

Trauma Columnist

All Content by traumaRUs

  1. traumaRUs

    Would it be appropriate to e-mail a nursing manager that I'm VERY interested in a position I applied to?

    traumaRUs replied to summber's topic in General Nursing

    I don't think its overkill. However, who has the final say in hiring decisions? HR or the
  2. traumaRUs

    Clinical Manager offer

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

    Whats the overall outlook in your area for dialysis chairs? I'm in Illinois in a very large nephrology practice. We go to 17 outpt dialysis units (FMC and Davita). However, staffing is so low that the...
  3. traumaRUs

    The New eGFR Calculation

    traumaRUs replied to traumaRUs's topic in General Nursing

    Correct! Social determinants of health show NEVER govern needed
  4. traumaRUs

    The New eGFR Calculation

    traumaRUs posted a topic in General Nursing

    In 2020 research began to circulate that using a different calculation for determining eGFR or estimated glomerular filtration rate with adjustment for race was incorrect and led to much inequity in...
  5. traumaRUs

    Clinically Inexperienced Manager

    traumaRUs replied to ChaosCoordinatorRN's topic in General Nursing

    We are experiencing such a shortage of dialysis staff that the big two, both Fresenius and Davita are looking to close units leaving patients in rural areas in dire straits. Its...
  6. traumaRUs

    Is ARNP worth it?

    traumaRUs replied to Sweetpea04's topic in Student Nurse Practitioner

    Agree with Klone: 1. Why do you want to be an advanced practioner? 2. What are your goals a few years down the line? 3. Do you have an area that you are interested in working? 4....
  7. traumaRUs

    Clinically Inexperienced Manager

    traumaRUs replied to ChaosCoordinatorRN's topic in General Nursing

    Just as an aside, Davita which is one of the big two in outpt dialysis does not require a manager to have nursing experience, just some type of leadership skills. Many places hire for business...
  8. traumaRUs

    Phasing Out ADN?

    traumaRUs replied to Candi Williams's topic in General Nursing

    I did the whole LPN to ADN to BSN to MSN to post-MSN certificates At least for me, the BSN did NOT make me a better nurse - it made me poorer due to school loans. Having to pass "fluff" classes...
  9. traumaRUs

    Favorite brands of scrubs and why?

    traumaRUs replied to RNbknyc's topic in Scrubs, Uniforms, Gear

    Infinity scrubs only - have 5 black pants and 9 years later, they are still going
  10. traumaRUs

    New grad to NP. Is it a mistake?

    traumaRUs replied to Nursenick123's topic in General Nursing

    Can't like this enough. We are a commodity like a chair, table. If we can't make money, we are not gonna make it. IMHO, there should be far more business classes in any and all APRN degrees. We need...
  11. traumaRUs

    Should I withdraw from CRNA school?

    traumaRUs replied to CVICURN2021's topic in Student Registered Nurse Anesthetist

    I'm not an SRNA/CRNA but I think if you talk with other SRNAs many feel this way. However, you say your mental health is an issue. From your post, I get the idea that mental health is more than being...
  12. traumaRUs

    NGT Inserted Into Lung

    traumaRUs replied to MomRn3's topic in General Nursing

    Yep several times over the years - pts also survived. You were watching and aware of what was happening - you did
  13. traumaRUs

    ER nurses for dummies, book?

    traumaRUs replied to abouttodoit's topic in Emergency

    The ENA (Emergency Nurses Association) is probably one of the most commonly used resources.
  14. traumaRUs

    Misunderstanding in ER

    traumaRUs replied to bluedreamerstu's topic in General Nursing

    I worked in a level one ED for 10 years. Agree there is probably more to this then meets the eye. If you went to ED for pain and they gave you narcotics, you probably shouldn't have been driving...
  15. traumaRUs

    New grad to NP. Is it a mistake?

    traumaRUs replied to Nursenick123's topic in General Nursing

    I don't think its a mistake. However, I do think you need to realize that you will be seeing pts every 15 minutes everyday! Its grueling and although the knowledge base will be provided in your...
  16. traumaRUs

    Floor RN transitioning to dialysis

    traumaRUs replied to D5HalfNormal's topic in Dialysis, Renal, Urology

    Agree with above. Your assessment skills will be very important - the ability to tell sick from not sick. Best
  17. traumaRUs

    Value-Based Healthcare and the Role of Nurse Practitioners

    traumaRUs replied to Joy Odafe's topic in Nurse Practitioners, NP

    Our practice utilizes a value based care approach. I'm in nephrology so my pts are very ill. We are provided with coding instruction so that we can capture charges for the care we already
  18. traumaRUs

    CNS, an APRN role on life support?

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

    Like everything in nursing, the states run the system. I'm in IL where an APRN is an NP, CNS, CNM, CRNA. We all have the same practice act and we all bill. As a CNS (adult and peds) if I couldn't bill...
  19. traumaRUs

    Ethical Question

    traumaRUs replied to JDJones89's topic in Advanced Practice

    I don't think it was unethical. I'm thinking this is discussion between friends ie PA and RN? Moral of the story - don't give out free advice. I will say as someone who is raising a child with...
  20. traumaRUs

    Why Hospitals Don't Value Nurses: A Nurse's Perspective

    traumaRUs replied to Nurse Beth's topic in General Nursing

    Nurse Beth, as always spot on! Thank you. I will say that as APRN I'm appreciated. However, I'm not naive enough to think this is personal. Nope - I generate income so I'm valuable....at the...
  21. traumaRUs

    Flexibility in your current NP job? Job Hunting Advice

    traumaRUs replied to treeye's topic in Advanced Practice

    I live in a fairly rural area so driving is my life - LOL. However, if you live in urban area, driving between units wouldn't be a big
  22. traumaRUs

    Flexibility in your current NP job? Job Hunting Advice

    traumaRUs replied to treeye's topic in Advanced Practice

    I'm in nephrology. I see pts in three dialysis units 4 days/week and then I have office (pts every 20 minutes) one day per week. Lots of flexibility because dialysis pts dialyze 3-4 hours. I prefer to...
  23. traumaRUs

    Post-master's certificate

    traumaRUs replied to Sam121's topic in Nurse Practitioners, NP

    I graduated with an MSN in 2005 in Management and Leadership. I then did an adult CNS where I had to take the three Ps and 560 hours of clinical. Then in 2011 I completed a peds CNS where I had to...
  24. traumaRUs

    Fired. How To Get Over It.

    traumaRUs replied to rninformatics's topic in Nursing Career

    I committed a med error that resulted in pt harm, was sued, successfully and have a judgement against me from a malpractice settlement. That occurred in 2007. I still am apprehensive every single time...
  25. traumaRUs

    Quit First NP Job Without Notice

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

    My understanding was this was a hospitalist position. I think it would have looked better to not have quit during this time. Inpt is very busy and I get they were short-staffed. however, if you were...