offlabel

offlabel

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All Content by offlabel

  1. The hospital based NP's that have the most credibility with patients, hospital staff and medical staff (from what I can see) are the ones that are an integral part of a medical practice with a 'hand...
  2. EKG order

    Invite the RR team member to write you up and be sure to copy the cardiologist and the medical director of the RR
  3. Imposter syndrome

    Not everything needs a name. Insecurity, hesitation and hypervigilance are defense mechanisms when you're new. Acknowledge them, appreciate them to the extent that they keep you from more difficulty...
  4. 69 Medications Every New ER Nurse Must Master!

    Yeah...no....
  5. 69 Medications Every New ER Nurse Must Master!

    Well...maybe not *master*....never gave protamine a single time in the ER let alone those I may have given once...know what general category they're in? Sure. In the day and age of internet searches,...
  6. Is it possible to lose my license for this error?

    No, we know you're not losing your license over this one isolated event. And school nurses are not some unique species that function under a different set of rules. If there are other, compounding...
  7. Is it possible to lose my license for this error?

    Chill out. Med error. If licensing were revoked for that, there'd be no nurses. You caught it right away, self reported and, presumably because you didn't say, there were no serious consequences as a...
  8. Should NPs learn from Korean MD strikes?

    So how would 'going on strike' effect that? That's even pretending that NP's as a professional body possessed the ability to leverage a position by a strike. The thing to do would be to demonstrate...
  9. Paths To Critical Care (true story)

    Buyer beware. Although for certain advanced practice degrees and leadership/administration roles, a BSN from Marquette carries more gravitas than a piece meal pathway to entry into practice. After...
  10. NP to physician... is it possible?

    Best thing to do is speak with docs that are mom's as well. It's also a specialty sensitive answer, ie, a CT surgeon who is a mom (pretty rare IME) would probably give a way different answer than a...
  11. new grads go into level 3's, why wouldn't you be able
  12. Medical Aid in dying

    Slippery slope is a term that is used a lot in conversations like these, but I think a better term is 'logical progression'. So called 'involuntary euthanasia' is practiced at least in the...
  13. Medical Aid in dying

    After one year, 40% of applicants were permitted to use the medical system to end their lives in NZ. Canada's system has grown by about 30% per year since 2016. The trend is pretty demonstrable and as...
  14. Medical Aid in dying

    This is the stuff I worry about, and that's just for starters. Read this to the end. The road to hell is paved with good
  15. Where do I go?

    It sounds like you already have your answer
  16. Where do I go?

    Not seeing much enthusiasm for MICU applicants from
  17. Impella Heart Pump

    According to the manufacturer, the 5.5 can go
  18. Physical Restraint in Critical Care

    Mostly these in the ICU's. Mostly with
  19. Sterile item expiration date

    If the packaging says "Sterile unless damaged or open", and it wasn't damaged or open before you opened it, you're
  20. Crusty Old Bats

    Used to roll surgery patients right past the surgeons lounge from which smoke was frequently
  21. Experience

    No argument. There does need to be a separation and contextualization of nursing experience translated to advanced practice, though. In anesthesia, the baseline/advanced technical knowledge,...
  22. Is there some unwritten rule about getting the patient breathing before you wake him up? Suggesting to an SRNA to keep the patient on mechanical ventilation right up to the point that he opens his...
  23. get 'em breathing

    Well now the trend is an opa and a non-rebreather mask to recovery for everything from a crani to a tah...smh.....I gotta
  24. Apex CPC modules

    Nope. The AANA front NBCRNA is mandating these for the enhancement of the 'nurse doctor' narrative. They're busy work to give credibility to the Nurse Anesthesiologist title as well as enrich the...
  25. get 'em breathing

    FTFY