PANYNP

PANYNP

Crit Care; EOL; Pain/Symptom; Gero

Member
  • Content

    105
  • Visitors

    3,660
  • Followers

    0

About PANYNP

PANYNP has 36 years experience and specializes in Crit Care; EOL; Pain/Symptom; Gero.


Professor, Researcher, GNP. RN 1980 MSN 1991: Gero CNS PhD 1999: Gero Critical Care Post-Master's 2002: Gero NP "Old ICU Nurse" from the trenches.

Latest Activity

  1. What's your best 'Nurse Hack'?

    7) If you have to draw blood on a super tough stick, look for superficial veins on the foot and use a 25ga butterfly. Caution: Check your State Nurse Practice Act before even thinking of phlebotomy or IV stick on a patient's foot. Task frequently is...
  2. Seeking expert advice on macerated area RLE

    Intended to say "punctate lesions", rather than "punctuate" lesions. Spellcheck, ugh.
  3. Seeking expert wound care advice, as my home health agency neither employs nor consults with a WOCN. Patient was referred by PCP. Patient is a 62 yo well-nourished community-dwelling semi-retired moderately active non-smoking non-diabetic female with...
  4. What should I have done about super low O2 levels?

    Namenda also is neuro-protective; not strictly for dementia. This individual may have been part of a geropsych registry and was being observed for neurological progress/lack of progress while on Namenda.
  5. Taking A&P 1 and Intro to Chem together?

    COB nursing professor here. Is it possible to take Stats at a community college this summer and transfer it into your program? Before you commit to doing this though, be 100% sure that your school will accept it as transfer credit. Agree with other p...
  6. Our hospital's team of psych clinical liaison (psych CL) nurses, whose primary role is to tend to hospitalized inpatients related to emotional and spiritual concerns, also is available to groups of staff for critical incident stress debriefing, such ...
  7. Fired from my first RN job after only 2 weeks.

    My apples and oranges comment was intended as a response to Workinitnurfava who commented that an EMT should be able to transition to RN.
  8. Fired from my first RN job after only 2 weeks.

    Totally different worlds. Apples and oranges. In fact, it might behoove OP to limit or eliminate entirely any discussion of her pre-hospital experience when applying for or starting a new position. Speaking as a COB former nursing faculty member, my ...
  9. COB here. So very sorry that you experienced such a challenging and frustrating patient care situation that was exacerbated by what appeared to be a lack of support by an unsympathetic and unhelpful middle manager (nursing supervisor). I agree with o...
  10. The good ole days of nursing...share your stories!

    Preach, Sistah!
  11. The good ole days of nursing...share your stories!

    We gave verbal report and Still were out of there by 2320. Loved 3-11 when I was in my 20s: the party shift. We went out almost every night after work.
  12. Machines are reliable as long as they are calibrated. Need to know how often biomed engineering comes around to check all devices on which we base patient management decisions, i.e. drips etc.
  13. The good ole days of nursing...share your stories!

    COB here. Does anyone remember using Kpads for treatment of DVT? Kpads were light green rubber heating pads that we would place inside a pillow case. They would be ordered from SPD, who would bring them to the floor. First, we would wrap the patient'...
  14. Starting own NP practice

    I'm not sure whether it's permissible to endorse a book on this site, but here goes. Take a look at Carolyn Buppert's "Nurse Practitioner's Business Practice and Legal Guide".
  15. Math requirement for RNs?

    Re drip rates - if you travel as a volunteer on a health care mission trip, which many nurses do, to Central America or rural Africa, you will find yourself counting drops.