traumaRUs MSN, APRN

Nephrology, Cardiology, ER, ICU

Trauma Columnist

All Content by traumaRUs

  1. traumaRUs

    About Gout

    traumaRUs replied to Kimberly Madison's topic in Patient Education

    Good article with solid info. Just want to add that as a nephrology APRN, allopurinol and colchicine need to be dosed for renal
  2. traumaRUs

    How bad of an error do you think this is?

    traumaRUs replied to Ele_phant's topic in Medical-Surgical

    So, it sounds like they bi-valved the cast due to edema or ?? Agree, without written orders, I wouldn't have known what to do either. I wouldn't sweat
  3. traumaRUs

    Autonomy

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

    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...
  4. traumaRUs

    Mississippi boards and a misdemeanor

    traumaRUs replied to ADNstudent23's topic in Licensure: Criminal History

    Would definitely consult with lawyer. Best
  5. traumaRUs

    App for managing work/home schedule, shopping lists, tasks, etc.

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

    I'm an iphone and Windows computer user so I use gmail
  6. traumaRUs

    My mom is really upset about me leaving home for an assignment….

    traumaRUs replied to Lucas F.'s topic in Travel

    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
  7. traumaRUs

    Can we talk about "fashion" scrubs vs "scrubby" scrubs?

    traumaRUs replied to Polly Peptide's topic in Advanced Practice

    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...
  8. traumaRUs

    Second semester and zero clinicals. I feel like I know nothing.

    traumaRUs replied to Scrogdor's topic in Student Nurse Practitioner

    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...
  9. traumaRUs

    Treatment of Nursing Students

    traumaRUs replied to KrisNicoleE's topic in Nursing Professionalism

    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...
  10. traumaRUs

    Bad Clinical Instructor

    traumaRUs replied to delrionurse's topic in General Students

    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...
  11. traumaRUs

    OTH seperation

    traumaRUs replied to Nursetobe2024's topic in Licensure: Criminal History

    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...
  12. traumaRUs

    Microvascular Thrombosis in the Bowel: Is There a Covid Connection?

    traumaRUs replied to Brenda F. Johnson's topic in Disaster Preparation

    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,...
  13. traumaRUs

    Should hospitals inform patients and family that COVID positives nurses and staff may be working on a unit?

    traumaRUs replied to DesiDani's topic in Disaster Preparation

    Yep posted in each and every elevator in my local
  14. traumaRUs

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

    traumaRUs replied to JBMmom's topic in General Nursing

    Wow, just
  15. traumaRUs

    PMHCNS

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

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

    Is this legal?

    traumaRUs replied to ettac's topic in General Nursing

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

    Registered Nurse and EMT?

    traumaRUs replied to AshleyAdeb4's topic in General Nursing

    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...
  18. traumaRUs

    I'm a nurse who has ESRD

    traumaRUs replied to aimzq's topic in Nurse Disabilities

    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...
  19. traumaRUs

    Value Based Care

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

    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...
  20. traumaRUs

    Phasing out CNS

    traumaRUs replied to marigoldey's topic in Clinical Nurse Specialists, 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
  21. traumaRUs

    What sort of job/job title do you hold?

    traumaRUs replied to NICU<3RN's topic in Clinical Nurse Specialists, CNS

    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
  22. traumaRUs

    CNS, an APRN role on life support?

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

    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...
  23. traumaRUs

    Calls and Weekends

    traumaRUs replied to integrativenurse's topic in Advanced Practice

    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
  24. traumaRUs

    Advise on Career Path Change

    traumaRUs replied to PelicanNurse's topic in Nursing Professionalism

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

    I Know What Abuse Is; I Have Lived Through It

    traumaRUs replied to Ruby Vee's topic in General Nursing

    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...