PANYNP

PANYNP

Crit Care; EOL; Pain/Symptom; Gero

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All Content by PANYNP

  1. 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...
  2. 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...
  3. Intended to say "punctate lesions", rather than "punctuate" lesions. Spellcheck,
  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...
  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...
  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...
  7. My apples and oranges comment was intended as a response to Workinitnurfava who commented that an EMT should be able to transition to
  8. 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....
  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...
  10. The good ole days of nursing...share your stories!

    Preach,
  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
  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
  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...
  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
  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
  16. Brave or just stupid?

    Congratulations on your new job! You want to keep in mind that when you go to recertify as an FNP, you will need to demonstrate that your work experience is in primary care, as that is your education...
  17. Brave or just stupid?

    Oh - no, I'm not encouraging you to do an FNP program. Just attempting to note that there are differences between acute care and primary care training, as to where skills are best utilized. Re DNP:...
  18. Brave or just stupid?

    Speaking as a faculty member in both primary care and acute care NP programs for the past 18 or so years... One of our primary care preceptors is an NP who graduated from an MSN program at a top-rated...
  19. How would you react? Body odor discussion.

    COB here. I've had similar conversations over the years without suspension. In this case, I probably would have addressed the resident's BO, and a request for another type of deodorant with one...
  20. Is nursing REALLY that difficult?

    Here's my two cents on "nurture", although perhaps without an adrenaline rush. A couple years ago I had a freak trip-and-fall at home, and suffered a long laceration on a 3/4 circumference of my lower...
  21. Long Term Care Nursing is Lame

    Wow, just wow. There is way more to LTC than the tasks you've described when taking care of "frail and forgotten Geri's"!? I am a COB, an old ICU nurse from the trenches. I became a Gero NP in my late...
  22. The Nurse at the Bedside

    Your writing touches my heart, and I am reassured to read of your continuing devotion to patient and family-centered care at the bedside. You are a model for why the profession of nursing continues to...
  23. I'm dismayed that people at your high school are trying to direct you toward a university that doesn't offer your major, based on prestige alone. What are the financial comparisons between UCB and Sac...
  24. What does your nursing career repair bill say about you?

    ABSN stands for Accelerated BSN. Typically done by folks with a prior four-year degree in another discipline, after science, math, nutrition, psychology prereqs have been
  25. RN shortage

    My hospital, a large academic medical center, actually does not post all the available nursing opportunities. Nurse Recruitment operates under the assumption that it "looks bad" or "unsafe" if the...