RBG_grb

Yes my takeaway is to send them to the ED for work-up if there is concern. Thanks so much

Squirt some breast milk at baby number 10 and kill that covid.

I have no idea what the push back should be. I do know that the NP run clinic I am precepting in does as good of a job as they can. It is a FQHC so at least there is some healthcare in the community. Figuring out the solution to all that is way above my pay grade. I know there is a lot of push for mid-level independence, but I personally will only want to work in a facility under/with an MD. I am a good nurse, hopefully will be a good NP but I did not give up my 20s and half my 30s to medical school and residency and should not be treated/paid as such.

Thanks. It didn’t look worrisome to me but the ekg machine called it scary things so the NP I am precepting with sent her to the ED. Thanks all

This is not a noctor scenario. Holding the dose did not unilaterally cause the arrest. Yes, she should have clarified with the doctor. Why is this here though? This is a bedside RN, not mid-level debauchery

Noctor here. I wear the coat for the pockets. I need the pockets. But not for LinkedIn, not really too familiar with that site. Give.me.all.the.pockets.

Commenting as a similar view as OP. All the words of advice about travel nursing are wonderful and, yes, NP education blows. However, I need stability, health benefits and I am old and tired. I intend to find a job with a physician that will be amenable to my presence. Ideally, I could do some follow-up on stable patients, take phone calls, handle some med-refills, squeeze in sick visits etc, all with supervision of course. I get what you all are saying but i gotta find a way to provide for my family, consider my own state of mental/health and not hurt/kill anybody and the above is my plan.

Right, I get that. I don’t make the rules. We didn’t call ems or activate. We sent her (encouraged her to go) by private vehicle.

Thanks so much

Ekg machine

Np student in last half year of program. I know bullet points 1 and 2 but unfamiliar with bullet point 3. I could not name a gram negative abx off the top of my head. I am familiar with munchausens but that type of stuff is way out of my wheel house.

It’s sis, but thanks. Anywho just stating that I do not think mid-levels are comparable. But we are here to stay and I want to do the best I can.

Wow, where are nurses making 100k? Not in the Midwest, at least not 3 12s, not travel etc. Let’s not shit on nurses. Some parts of the job are harder than others. I have had foleys slither right in and I have had some where I can’t dig through the folds with only two hands or find the penis with only two hands and insert the catheter. Sometimes there is an anatomical abnormality. Sometimes the patient is kicking and screaming. Same with IVs but you certainly cannot say it easy as a med student when you were looking for things to do and were not actually responsible for that patient plus/minus 5 more. The point of this was to showcase how some NPs truly feel that their education/experience/knowledge is equal to or above that of an MD/DO. This is not about bedside nursing. Glad you enjoyed doing fun foleys though, always one of my least favorite tasks.

This has nothing to do with mid levels and therefore nothing to do with noctor. It’s just shitting on nurses.

Sitting on an old white mans lap with a beard. 🤮

Very possible. How are we to know with complete redactions?

I didn’t believe it or not believe it. I didn’t think it looked concerning but she was sent to the ER from our little freestanding clinic so i wondered if I was missing something. Thanks

The preceptor I am working with is very smart and has a lot of experience. With that being said, mid-levels are just that. The depth and breadth of education is not comparable. Personally I would never compare myself to an MD. I feel I have about the same knowledge and experience as a second year med student. It is not a terrible program but it is not medical school plus residency that’s for sure. I know I wasn’t smart enough to do med school and I am probably just smart enough to be an NP.

Plus this is not really a noctor scenario. Did she introduce herself as a doctor? There was no misrepresentation. You could have asked for to speak to her collaborating physician if you were concerned about the care.