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  • A Wolf in Sheep's Clothing

    My experiences with patients have been very positive since I have come into practice. Most are able to communicate their complaints effectively and some may even tell you exactly what antibiotic they want, or what they believe their diagnosis to be. On occasion they may ask for things that are clinically inappropriate and at times may make my ...
    Posted to First Year NP (Weblog) on September 8, 2014
  • Those little things

    There are days in practice that the hours go by without you realizing it. Patients are in and out quickly, you work hard to complete your charting and tasks become second nature. Then, certain patients come in and make you smile with the things that they say, the mannerisms they exhibit or the way they look at you. Children are the most honest, ...
    Posted to First Year NP (Weblog) on August 25, 2014
  • NP's Orders

    There are not many things that frustrate me in my clinical practice. Most patients are open, receptive and leave shaking their heads in agreement to your plan of care. What happens once they leave your office is often unknown. You hope that they venture directly to the pharmacy, take their medications as prescribed and their health improves. ...
    Posted to First Year NP (Weblog) on July 28, 2014
  • Changing Your Outlook

    ''Thank you'' is one phrase that can change the outlook of your day. Last week while at work the office manager came up to my co practitioner and me. In her hands she held a letter from a patient, thanking the office for the great care that she received. The office manager eagerly asked us to see who saw her and I was surprised to find out that it ...
    Posted to First Year NP (Weblog) on January 30, 2014
  • Until We Meet Again

    I sat in the airport terminal in November of 2012 and stared at my cell phone. I flicked the screen on and off as I waited out another wave of anxiety. I was about to place a call that would dictate the course of my life. At the time, I could barely comprehend the changes that would take place over the next year. It would be the year that ...
    Posted to First Year PA (Weblog) on January 9, 2014
  • Who Will be My First?

    Throughout life we build our own individual skill sets. Often times we are our own guinea pig and learn from our own mistakes. Often times however, if we build skill sets based on our careers these trial and errors often affect others. During nursing school I remember being overwhelmed by the amount of new procedures that I was being ...
    Posted to First Year NP (Weblog) on December 5, 2013
  • 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
  • My One Year Anniversary as an NP

    It's ironic that I wrote my last post on October 15, 2012, the 1-year anniversary of my one and only job as an NP. What a year! Or, rather, what a year and a half! The worst of times, yes (the end of a 30-year marriage in June 2011), but also the very best of times (Duke MSN/FNP in May 2011, certification in September 2011, dream job in ...
    Posted to New Grad NP (Weblog) on October 25, 2012
  • NPs & PAs Are Talking – NPs & Nurse Veterans, New PA Organization, Primary Care

    Have you visited our blogs lately? Last week, new NPs and nurse veterans battled on the value of floor experience. Our NP & PA Student blogger Terry Clarke, currently enrolled in a fast track NP program, expressed his views on what experienced nurses have going for them and what they still have to learn. Here are a few of the comments your ...
    Posted to ADVANCE for NPs & PAs Blog (Weblog) on October 22, 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
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