IsabelK

IsabelK

Internal Medicine, Geriatric Medicine

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All Content by IsabelK

  1. First year as an NP: type-casting??

    In my job I do let the MDs know when something major has changed, primarily because I need them to sign some paperwork like the DNR/DNI stuff (NYS still isn't letting NPs sign them). Otherwise I do my...
  2. Best MD note

    From a discharge summary from a hospital: "Recommend that patient follow-up with podiatry." I went to do an admission assessment to the LTC I was working in at the time as a unit manager. Bilateral...
  3. HIPAA violation question

    In every place I've worked it's a violation to look at your own file, too. I think you'll be lucky if you don't get kicked out of nursing school. The clinical site can also sanction
  4. Leaving patient info in a clipboard

    In nursing school I kept my brains in my pocket. Now I have a fold over clipboard and everything goes in that. It doesn't lock, but my brains and I go everywhere together, even the bathroom, so it...
  5. Bought mine from Amazon, but ended up replacing the tubing after 10 years (finally cracked) and bought it from a medical supply company. The only reason I replaced my tubing not through Amazon was...
  6. What is a good quality stethoscope?!

    I have the Littman Master Cardiology III, have had it since nursing school the first time when I realized how much I hated the cheap ones that came in the kits we "had" to buy and never used. I worked...
  7. First year as an NP: type-casting??

    Some people do see way more than 4 - 6 people a day but the company I work for has a model that has no more than about 100 residents on a panel because I see them every month. I am not doing acute...
  8. Favorite sayings

    Bacteria: The only culture some people have Not the sharpest tool in the shed (or brightest crayon in the box) I refuse to have a battle of wits with an unarmed person If it's wet and not yours, don't...
  9. How do people feel about male nurses?

    I don't care if you're male or female, purple, green, white, black, polka dot...etc. Are you a good nurse? Can you do the job appropriately. If so, welcome. If not, go
  10. First year as an NP: type-casting??

    Just a question: Why are you so hung up on primary care as the only way you want to work as an NP especially since you are an adult-gero NP? Frankly, I don't see how working in an LTC would hamper...
  11. NP gave meds to her married boyfriend

    Actually, in at least some states prescriptive providers can write for themselves as long as it's not a controlled substance. Not saying it should happen regularly, but it has been done. I had a...
  12. reading EKGs- an advanced privilege?

    Since I work in an LTC, I do sign off on the EKG and then get a formal read usually the next day from the cardiologist who reads them for the portable x-ray/EKG/ultrasound company. I sign off on...
  13. Can a Nurse have a Tattoo???

    I have two tattoos. Both are in places that don't show when I'm at work. Some of my patients and families would be offended; so would some of my coworkers. I love my tattoos, but they are for me, not...
  14. How do you sign your credentials?

    IsabelK, DNP, ANP-BC I earned
  15. Would love your input...

    If talking with administration doesn't work, you can report the issues to the state. The state will investigate and the facility will have to deal with it. It might be too late for your dad, but it...
  16. Need help!!! Long term care NP

    Agreed. I work in LTC. I am not employed by the facility, but by a company that provides my services to a specific group of people. The facility is run by nursing protocols and policy/procedure is the...
  17. I went to Loyola University New Orleans. If you already have an MSN, they have an MSN to DNP executive leadership track or an NP
  18. What do you mean you're sick? How dare you!

    LOL. I've seen signs/posters/etc saying, "I've used up all my sick days so I'm calling in
  19. Thank you, Joy Behar!

    My wonderful
  20. ANCC or ANPP

    I don't think it much matters. ANCC and AANP both certify that you have minimum competency in your specialty, which is what Medicare/Medicaid require. In most states, either the ANCC or AANP exam is...
  21. Girlfriend of a NP student!!!

    My husband was great at this when I was working on my DNP. He cooked and cleaned and let me have meltdowns and crying jags (yeah, it wasn't an easy program). He gave me space when I needed to study,...
  22. He/She Said What!?

    Mmm....bet the woman wouldn't have known a Coumadin from a Telfa
  23. Long Term Care Job?

    I don't mind discussing salary ranges. For example, in my area of NYS starting NPs tend to make 75,000 - 95,000. More experienced NPs can make closer to 150,000. I make well more than a starting NP....
  24. Long Term Care Job?

    Actually it doesn't bother me. It's nobody else's business what I make. I don't need or want to know what my coworkers
  25. Long Term Care Job?

    I am salaried. The company I work for has a strict no disclosure policy about benefits. I will say I'm not