traumaRUs MSN, APRN

Nephrology, Cardiology, ER, ICU

Trauma Columnist

All Content by traumaRUs

  1. traumaRUs

    BBB and the future of nursing

    traumaRUs replied to guest974915's topic in General Nursing

    As a nephrology APP, many of my pts are on Medicaid. Starting in January 2027, there will be up to a $35 charge for each dialysis treatment. When trump was in office the first time, he made a...
  2. traumaRUs

    How to handle job until off probation

    traumaRUs replied to PaddedCellLPN's topic in Nurses Recovery

    I am so very sorry you are going thru this! Shame on those bullies! I'm an APRN for a large nephrology practice. I see pts at both Fresenius and Davita dialysis units. In all the units I...
  3. traumaRUs

    NTI 2025 New Orleans

    traumaRUs replied to PacoUSA's topic in General Nursing

    I was staff for many years and have wonderful memories of NTIs. Maybe PM one of the admins about AN being at NTI. Have a great
  4. traumaRUs

    Leaving early for lunch

    traumaRUs replied to snf248's topic in Advanced Practice

    I've worked for the same practice for 19 years. I don't really nitpick that much on the time. At least in my experience, its expected that you stick to the schedule. If 45 minutes is lunch, then if...
  5. traumaRUs

    "I've lived here all my life"

    traumaRUs replied to Emergent's topic in General Nursing

    We have a local nursing home that has an entire wing of peds pts that are either vent dependent or require a lot of care. Many are wards of the state. Many have lived there since
  6. traumaRUs

    help RN on probation

    traumaRUs replied to MTS's topic in General Nursing

    Dialysis might be an option for you. Though its very specialized, it is friendly for nurses on
  7. traumaRUs

    Big issues at work

    traumaRUs replied to Lindsey Oldag's topic in General Nursing

    I don't work LTC but it seems weird to do bowel routine on night shift. Is that really in the pt's best interest? Won't it disturb his
  8. traumaRUs

    Could I get into trouble for this?

    traumaRUs replied to SentinelTruth's topic in General Nursing

    I guess it just depends on how the board sees it. I would certainly make all of your social media
  9. traumaRUs

    NTI 2025 New Orleans

    traumaRUs replied to PacoUSA's topic in General Nursing

    I'm not going but have gone to several in the past and they are awesome. So many opportunities to network, learn and grow. Have a great
  10. traumaRUs

    Inpatient hemodialysis patients

    traumaRUs replied to Stacy1199's topic in General Nursing

    Hi there - its pretty individual. In your scenario of the pt going to dialysis at 9am, I would ask what is their current BP? Is it normal in the 110-140 range, then I would hold their am bp meds...
  11. traumaRUs

    Nephrology specialty

    traumaRUs replied to abva17's topic in Nurse Practitioners, NP

    Apologize that I didn't see this sooner. I've been a nephrology APRN for 19 years. Likes: flexibility, stability, pay, hours, ability to establish long term relationships Dislikes: hours -...
  12. traumaRUs

    Is dialysis the only option for me? Help

    traumaRUs replied to Desiray Gallegos's topic in General Nursing

    I'm a nephrology APRN, have worked with multiple dialysis nurses/tech over past 19 years. Here are some skills to capitalize on and that can transfer to a different specialty: 1. Your assessment...
  13. traumaRUs

    Challenges faced in Nursing?

    traumaRUs replied to Ashwini12's topic in General Nursing

    Short staffing, wages, amount of patients we are expected to see per day,
  14. traumaRUs

    Nursing jobs for people over 60

    traumaRUs replied to Aesopian's topic in General Nursing

    I am well over 60 and work as APRN. I went back to grad school at 48 years and been working 19 years as APRN and plan to work til I'm at least
  15. traumaRUs

    Fresenius 2008k@home assistance?

    traumaRUs replied to forevernurse123's topic in Dialysis, Renal, Urology

    Gosh - I'm sorry you are having such a rough time with this. I would use YouTube videos for your specific machine. Unfortunately, I'm an APP so I don't actually set up the machines and don't have that...
  16. traumaRUs

    Bullying while working as NP

    traumaRUs replied to ms smile's topic in Nurse Practitioners, NP

    Wanted to come back to this thread. I've now been an APRN for 18+ years and nope never been bullied - still quite mean
  17. traumaRUs

    Happy Holidays!

    traumaRUs replied to Erin Lee's topic in General Nursing

    THanksgiving is my favorite holiday as it is when everyone in our family gets together. Christmas is reserved for church and just our immediate family in the morning and then we make the rounds to...
  18. traumaRUs

    I can't take it anymore!

    traumaRUs replied to H K's topic in General Nursing

    I have several mentally ill patients as well though I work in a different role and environment. I change the subject when it comes down to perseverating on one topic. Boundaries, as Nurse Beth...
  19. traumaRUs

    Ringing in the New Year as a Nurse

    traumaRUs replied to Erin Lee's topic in General Nursing

    What a nice, positive post. I'm 66 and still working hard. I'm an APP now so the stress is very different then when I worked bedside. And...while I'm one year closer to retirement, its still several...
  20. traumaRUs

    Thank You To My Peers

    traumaRUs replied to Patricia Ordnung's topic in General Nursing

    How nice! I hope you are well on the road to
  21. traumaRUs

    62 yr old LPN asks if she should get her RN

    traumaRUs replied to Nurse Beth's topic in Career Advice Column

    I would do it. I'm 66 and an APRN but plan to work until 70 full time and then switch to part time. Being an RN will offer you many more opportunities to "age while working." I do agree...
  22. traumaRUs

    My cohorts hate me

    traumaRUs replied to gummybear's topic in General Students

    May not be a popular opinion but maybe just ignore everyone. No reason to have friends in nursing school - get thru it and move on. Some things to consider: 1. Nursing school is only a few years...
  23. traumaRUs

    Virtual Nursing

    traumaRUs replied to esrun2015's topic in General Specialties

    Need more details. I'm with above poster - how do you do a physical assessment especially skin assessment
  24. traumaRUs

    New NP grad RN-NP

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

    I work in a specialty - nephrology so definitely would have been helpful to have had some knowledge of it before I started. However, my nursing background was level 1 Trauma ED so I emphasized:...
  25. traumaRUs

    Nursing Shortage

    traumaRUs replied to LindaGracie's topic in General Nursing

    I agree with most of what you said. I've been a nurse for 30+ years, RN for 12 years and APN for 18 years. I will say that I have been both: the rude, no holds barred RN and the kinder, gentler nurse...