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  • Job Interviews & Food Allergies

    Dear Career Coach:  I am a new grad NP with celiac disease and I am unable to eat at restaurants due to potential cross-contamination that inevitably leaves me ill for a week. What suggestions do you have to handle not being able to eat at a restaurant, without coming across like a ''major diva'' as you mentioned? Dear Reader:  The ...
    Posted to Career Coach (Weblog) on July 16, 2014
  • Trusting your gut

    As a new practitioner there is always that ''second guessing yourself complex'' that hovers over you like a black cloud. One benefit that I have had is that I have 6 years or ER nursing experience behind me. It allows me to have that gut feeling that tells you something is not quite right. This feeler system has definitely followed me into urgent ...
    Posted to First Year NP (Weblog) on April 25, 2014
  • Challenging Patients in the Correctional Facility

    Over the past month I have had some very challenging patients. I will often question, why and how did someone end up here at the correctional facility? I believe it is better I do not know. Actually, it is none of my business; it keeps the care unbiased and pure and it does not impact how I treat them. If one of the inmates upsets the ...
    Posted to New Grad NP (Weblog) on November 15, 2012
  • When to Trust Patients in a Correctional Facility

    There was a disturbing incident that occurred a few weeks ago. I also look at this experience as an eye-opener for me. I have long come to this realization, but it was never more evident than when the incident happened. First, let me start off by stating, prior to my opportunity to work in corrections, I was judgmental and biased and I ...
    Posted to New Grad NP (Weblog) on October 18, 2012
  • The Power of Pill Boxes

    I was before, but now I am an even greater advocate of the pill box. Every patient with a lackluster memory, or taking multiple medications, or time sensitive medications should own one. There is nothing better than a physical reminder to keep a body on track. I was recently confronted with an HIV positive patient on a cocktail of ...
    Posted to New Grad NP (Weblog) on October 11, 2012
  • Answering Patients' Questions

    Lately it seems a rash (no pun intended) of patients have asked me how it was that they contracted their Staph infections. Some had MRSA, others MSSA. Some suffered from bacteremia, others osteomyelitis, and others still were challenged by skin/soft tissue infections in the form of painful and unsightly abscesses. Some had recently undergone ...
    Posted to New Grad NP (Weblog) on September 20, 2012
  • Pain Patients

    My contact with pain patients was extensive during my residency in Aurora, North Carolina, a coastal town of about 400, with a patient population compromising of retirees, commercial fisherman and above-ground miners from a phosphate mine. I knew from that experience that even if I never found a job as an NP, I would not choose to do pain ...
    Posted to New Grad NP (Weblog) on September 6, 2012
  • The Weight of the Nation

    I don't know how many of my fellow NPs and PAs have seen and or heard about HBO's four-part documentary on obesity in America, The Weight of the Nation, but I can't recommend it enough: it is an awesome and totally relevant examination of health in the States. So many of the individuals profiled in this series were reminiscent of ...
    Posted to New Grad NP (Weblog) on August 30, 2012
  • Repurposing Treatments

    Costs for healthcare are rising. There is not a revelation in this statement, but as providers, we have to be mindful of the dollars we use because it affects raises. My former mentor would drive that home for me. When I would order a test, she would ask, ''Will that test change your treatment plan?'' And if I responded with ''no'' then she ...
    Posted to New Grad NP (Weblog) on August 23, 2012
  • Differing Diagnoses

    In the last month and a half I have met and treated two women, both newly diagnosed with HIV and previously unaware and unsuspecting of their corresponding diagnoses. In both cases the women contracted it from their former husbands. I say former because one of the men died approximately one month before his wife, patient #1, learned of her ...
    Posted to New Grad NP (Weblog) on August 9, 2012
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