traumaRUs MSN, APRN

Dialysis companies like Fresenius and Davita are very friendly for those in recovery. There are no narcotics and since providers now have to eprescribe ALL controlled substances you don't even handle scripts. Best wishe

Probably due to obstructive uropathy or neurogenic bladder. Some renal transplant pts can still develop obstructive uropathy and not be able to void on their own. However, its very important that they stay well hydrated and so of course they need to ...

I'm on a volunteer Fire/EMS dept. I run ALS calls and tonight I had to restock narcs. We do use ketamine for chemical restraint. That said, this is a rural dept that covers a lot of area and we do NOT transport. We have a protocol for chemical restra...

I don't work in a hospital, but rather for a large private practice nephrology group. Does the hospital or practice unit measure the NP's productivity? Yes, very closely. We bill for office visits under our names. We code the visits manually. ...

My nursing salary is very generous and we would be able to easily survive on it alone. However, I went back to school at 48 and while working full time got an advanced degree. My RN salary was a great second income but we would have had to cut back o...

Well, I'm 65 and still working. Unsure about retirement at the moment - probably, maybe, not sure, really up in the air... I do think I would like to cont to work part-time only because when I was young and foolish somehow I thought I wasn't goi...

I'd contact a lawyer about getting out of that contract. Reeks of fraud with unnecessary and BILLED tests. Yike!

Ill try to help you out: 1. What is nursing for you? Nursing is a wonderful career. I've been a nurse for 30+ years. I enjoy helping people and as I'm very experienced, I enjoy it much more. 2. What are the roles of nurses based on your ex...

@txrnblue - what type of role are you in???

Yes, exactly - I get 18% of my base salary given to me for retirement which I can managed as I see fit. I also have free healthcare for myself and there is a bonus structure which adds another 5% to my salary

Depends on what the nephrology practice wants you to do. I'm a nephrology APRN x17+ years. I work for a very large midwest practice. Productivity is the key. When I first started, our practice did require us to see hospitalized pts. However, as reim...

Oh my goodness! 65 is NOT retirement age. I'm 65 and going strong. I've interviewed and been offered positions as recently as two years ago. Few of us can retire at 65 anymore. I'm personally disappointed in the above responses - ageism exist...

Nephrology APRN for 17 years (same practice) - 12.31 hours every two weeks (80 hours). Cap 240

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 volume (>10L) weekly.

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 med)

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 an independent state - IL. The physicians I work wi...

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 specialty you get into, as a NP you can change it....

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 did in the 70's. However, about 18 months later, I...

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 recertification.

Hmmm....I thought Demerol was gone long before 2019

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

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 frustration

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 dialysis experience over a non-clinical person. ...

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 might soon find yourself out of a job. Also...

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 practice