Salter444

Salter444

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All Content by Salter444

  1. Which Level? Extending What?

    I never hear physician extender ever. Midlevel is used in my setting only to describe a group but not an individual. The medical Director may say we expect to hire 4 mid-levels. However, I have...
  2. Non-competes

    I was told by other NPs NEVER sign a non-compete. Perhaps if the money was sick I may consider it, but there are too many places to work to be worried about a non-compete. Plus, half of the PAs and...
  3. The problem with finding your own preceptor is that the student does not care if the preceptor is good, knowledgeable or knows what the hell they are doing. The only important issue to the student is...
  4. Typical ICU shift

    Depends on the unit and which facility. But typical day. 1. Arrive and find assignment 2. Find night nurse to get bedside report and review gtts, lines and GCS 3. Assess patient 4. Review labs 5....
  5. Online vs Traditional NP school

    The students with less RN experience probably benefit from a traditional brick and mortar setting where those with extensive nursing background do not need as much hand
  6. Everyone is entitled to their opinion. His opinion is based on his view and not on research or facts - so take it with a grain of
  7. The real question is WHY would anyone choose to work in
  8. America, party of 2

    If we start pulling at strings here (LOL) and deciding what we should be paying for and it impacts us. I have to share the cost for people having children and sending those rugrats to school. I do...
  9. FNP in hospitalist or internist role?

    I checked with by BON and have been told this state has no such restriction in practice. Ethical? I am not following how you claim it is an ethical
  10. America, party of 2

    we may all be speaking Russian by
  11. The difference between APN and FNP in NEW Jersey

    The consensus model sort of died and has not taken hold as was
  12. This reminded me of the nursing students who use to follow me as a ICU & ED nurse. Me: "where would you like to work when you graduate?" Student: "I want to work in CVICU or SICU" Me: "sounds...
  13. Foley Cath Insertion

    Yes, it should. The delivery of healthcare is guided by science and not convenience. Again, these are guidelines and in a critical care setting we look at each patient individually. I worked as a...
  14. The difference between APN and FNP in NEW Jersey

    From cradle to grave per the brochure ....however, your individual results may
  15. CABG recovery ratios?

    I worked in a few HCA facilities and we were always short and it was not uncommon to be doubled up. The goal was to be 1:1 for the first 6 hours as there were serial labs and lots to monitor. We had...
  16. Nurse practitioner vs Medicine turf war?

    Honestly some postings on here serve no purpose other than to stir stuff up and offer nothing of
  17. New grad struggles

    A good preceptor has the job of teaching, evaluating and preparing you to work more independently. We would always use the ShXt Sandwich. You start with what the orientee does well, then what they...
  18. Foley Cath Insertion

    The patient has the right to refuse care and tom insert against his consent is assault. No, the catheter insertion is not a nursing judgement it should require an order from a provider. back in the...
  19. IV in artery

    Some difficult sticks we would use sonosite and you can see those darn arteries can be mighty close to where you want to
  20. Scope of Practice information.

    I lived in Texas and tried to find specific rules as far as FNP and like was mentioned above they do not exist. It depends on the facility and your comfort level. I worked in a facility where FNPs...
  21. New grad preparing for ICU

    I would not go crazy attempting to prepare - that is why you have an orientation to cover the basics and then you fill in the gaps as needed. I would have a basic grasp of hemodynamics and try to...
  22. How much training to ask for

    Orientation depends on experience, comfort level and basically the individual. The goal should be about 3 months for a newbie, but taking into account on how they do. In the ICUs where I worked we...
  23. If you are going the FNP route you really do not need the ICU experience and at times it can confuse you when attempting to think outpatient while working critical care. I remember studying for exams...
  24. Maintaining nursing certifications as an NP

    I have kept mine and every time i renew i wonder why the heck am I keeping them. I let my PALS expire but nothing
  25. FNP pay

    I made $45/hr plus shift diff as an RN in Texas. I have heard Tenn and Alabama are not the best places to work. Texas pays very well compared to many states and has no state income tax. A New FNP...