NYNPMAN

I work in a different setting(primary care) but I give a limited course of pain medicine and then refer them to Pain Management. This pain management topic is becoming a snowball rolling downhill and gaining momentum.

I work in primary care. A 65 yo man came in with 2 week old acute pain 6/10 to the left groin radiating from the LLQ. He has no significant Hx except for mild HLD, treated with lipitor 20mg (5 years). He denies any lifting or straining precipitating this pain. Some hyper-extension makes the pain worse and the pain is mostly uncomfortable during the day 2/10. A manual exam with cough elicited a positive sign on the left groin and was absent in the right side. He was sent for a Ct abd/pelvis which returned negative findings. What next? Any ideas?

Thanks, I was looking for a shortcut...lol

I think it is a benefit to the public. I never knew there was a lack mental health prescribers in my area until I had patients who needed a referral. We are overrun with MD and FNPs, everyone is employed but there is no shortage. I see an opportunity, but not if it requires going back to a 2 year school. Thanks for the info

You are only training and do not count toward staffing....I think they wouldn't want you wasting their time if youaren't going to work there after

I just graduated with my FNP and while in practice I noticed a lack of Psychiatrists and PNPs for mental health in my area of NY. Is there a way to become a Psychiatric NP without going to another 2 year school?

I am new to RAMP and I was at a Peer Group meeting and a discussion started about testing, rules and types of testing. The moderator, an RN and substance abuse phD said that each case is handled differently based on the individual's background. I have no knowledge myself, but she states it is not a "one-size-fits-all" arrangement...of course this may also be not truthful.

I am an RN in NY and have since moved to NJ, in 2011 I was put on probation for not properly documenting wasting of narcotics, never drug tested and no diversion was mentioned. Now when I applied for a NJ license I am placed into RAMP. It has been 5 years since the NY trouble. I just started. I have a case manager. I have no idea what it is I am being monitored for, everyone else in the group are IV drug users or have got caught dirty in a urine test. Some people are being monitored for over two years....really?

I am a frequent visitor to Sandpoint ID, I remember last time they were building a big cardiac facility in Couer D' Alene. Unfortunatelt Sandpoint only has a tiny hospital, which is where I want to move.

MSCHONY....some help here Steve, I am a little slow lol

I had heard they do not hire graduates from associates degree programs. This is the story around the "water cooler" in the college.

Steve I am graduating from a local ADN RN program in May. I live in Rockland NY, is this a place where I could work? I am currently a telemetry/EKG interpreter in a PCU in Westchester.

You have misspelled "pursuing" twice as "pursing." My school was BIG on spelling and would give back all paperwork with spelling errors. They felt that spelling errors on medications could have tragic results. Rockland Community College is a tough nursing school. Of the original 30 students I started with none made it through...and I guess I may be next in my last semester. They let you repeat two different courses only once each and then they kick you out of the program. They do not have an entrance exam so the first classes are loaded with people, mostly non-English speaking. Unfortunately most of those that fail out early are the non-English speakers. The lectures are 2 hours of rapid furious talking-that is so fast you can't write it all down. Tough school.

Does anyone know of any site or information that is culturally specific for Hispanic families regarding maternity: Ante/Intra/Post partum...most specifically Puerto Rican. -Thanks- Helpless in NY

What should I be aware of when medicating a Patient with Beta Blocker therapy(Metoprolol/Lopresor)? I was asked by a Professor and I am stumped.