NP2BeNY

NP2BeNY

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All Content by NP2BeNY

  1. IV pushes

    I've heard of patient's c/o burning but it seems to occur more often in those w/o running
  2. IV pushes

    I'm aware of the manufacturer recommendations for these medications, and we have a great many drug resources available to us at work. (Our eMAR also notes recommended administration times), but my...
  3. IV pushes

    Just out of curiosity why do you dilute anything except opiate pain meds?Do you dilute toradol, zofran, Ativan,
  4. IV pushes

    As others have said, you shouldn't slam anything except Adenosine. While you need not go to an extreme and give say, 4 mg of Zofran over 5 minutes, it is reasonable to give it over a minute or two....
  5. Time to vent - my apologies in advance.

    I don't disagree -- the ED definitely should have started the transfusion, from the information
  6. Time to vent - my apologies in advance.

    As an ED RN, I'm really enjoying all the over-generalization and ED nurse bashing. We could start bashing you guys as well, but lets keep it civil. For the record, I'm curious as to why they weren't...
  7. quick question re: patho

    It's nice to hear that others were in similar situations. I'm looking forward to starting
  8. Zofran

    Might I ask why his BP needed 1L of NS so quickly if he was awake and vomiting? If you transport many GSW/shocky patients you might want to do some research into permissive hypotension, and present...
  9. Do I need to keep RN license active?

    Agreed - the negatives of being regulated under the BON pale in comparision to what the Board of Medicine would do to NP's. I'm sure if they AMA had there way NP's would have an even more narrow scope...
  10. quick question re: patho

    We share many of the same frustrations -- I attend a "brick and mortar" school near my home. Part of our program is done online. We had to do online patho and pharm this past summer, but our theory...
  11. Do I need to keep RN license active?

    Alicia: I'm not an NP yet but in NY and most other states I'm aware of you need an active RN license to hold an NP
  12. Calling codes

    You did the right thing by calling. In many places, FAMILY MEMBERS are allowed to call for a RR if they are concerned. You are the patient's RN - if you feel the need to make the call go ahead and...
  13. Nebulised lignocaine for NG insertion

    I wish it was standard -- I have yet to see a foley kit come stocked with it, and finding the sterile lido jelly "jets" are almost impossible unless you're from
  14. Nebulised lignocaine for NG insertion

    We do not use nebulized lido for anything that I know of -- our providers tend to use hurricane spray for NG insertion. Works very
  15. Advice for transitioning to ER?

    I appreciate that you are not a new grad, but are ED Nursing fellowships (the ones that usually take new grads) an option near you? You'd have a leg up over the new grads with your outpatient...
  16. AGNP vs FNP

    I'm currently enrolled in an ANP program that has a primary care focus, and have several coworkers enrolled in FNP programs. We were discussing the pros and cons of each, and several people felt that...
  17. AGNP vs FNP

    Boston I agree, and hence my reason for posting here. I'm leaning towards going back for the PhD after I've been an NP for a little while for those reasons. I don't necessarily need online and fast,...
  18. AGNP vs FNP

    Also, to Follow up on ACNP vs FNP vs ANP -- As NP's, do many of you feel that your RN experience shaped where you ended up for your first NP job? I'm an ED RN and was told that Critical Care and ED...
  19. AGNP vs FNP

    I appreciate everyone's responses. I am looking to do primarily hospital-based work upon graduation (although I notice many of our hospital based NP's are ANP/FNP and not ACNP). I do understand that...
  20. Suggestions on possible NP job offer

    As Cardiac has said, this payment model sounds lucrative at the outset, but it is rife with uncertainty. If he's willing to pay you $150,000 I'd make a portion of that your base and a portion your...
  21. Your best bet is to contact the school directly and report your
  22. Emergency Department NP

    Hello everyone: I'm currently an RN in New York working in relatively large, busy ED. Our department has a few Nurse Practitioners, and I'm hoping to continue to work in Emergency Medicine once I...
  23. Emergency Department NP

    Thank you all for your replies, I will look into the fellowship info provided and see if I can find some more info on my own. Some it takes quite a bit of
  24. morphine ivp

    We do not use Demerol in our ED - ever. As for those reporting that patients can come in and they have no way of knowing if the patient is seeking or not - NYS has a centralized database for tracking...
  25. Missed heart attacks - how can it happen?

    I'll second what everyone else said. It's relatively common...they're fine and then a serial ECG is done, new changes are seen and off to cath we