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  • My "Smeducation" in Patient Smells

    If I could give any future medical student advice about the ER, my three most important words would be: Vicks Vapor Rub. When I first entered the ER, I was prepared to be jaded, but I was not prepared for the smells: abscesses, STDs, rotten teeth, body odor, mildewed t-shirts, alcoholics, chain smokers, drug-addicts, and diarrhea diapers, to ...
    Posted to NP & PA Student Blog (Weblog) on January 28, 2013
  • Painting a Clinical Picture

    There have been times in my nursing career when I have put the pieces of a clinical picture together only to see something entirely different than the treating physician. The picture I would see was not based only on the lab work, or clinical manifestations of an illness, but was guided by the narrative of the ...
    Posted to NP & PA Student Blog (Weblog) on October 29, 2012
  • NPs & PAs Are Talking – Orthopedics, Patient-Written Practice Reviews, Job Opportunities

    Last week, readers commented on two of our recent orthopedic articles. In response to ''After Your Patient's Knee Replacement,'' reader Thomas said, ''Nice article Jennifer - I had my TKR in 2010 and you described my overall experience quite well. Patients do really tend to forget that they lost their joint mobility slowly over a sustained time ...
    Posted to ADVANCE for NPs & PAs Blog (Weblog) on September 17, 2012
  • First NP Job: Something to Celebrate

    On Monday, October 17, 2011, I started my NP job at the Martin-Tyrrell-Washington District Health Department. Over the 5 days of my first week on the job, I rotated to all three HDs in the district and attended the October 17th grand opening of Martin County HD’s grant-funded satellite clinic in Oak City, North Carolina. I will be the sole primary ...
    Posted to New Grad NP (Weblog) on December 29, 2011
  • Prescribing for Mental Health

    In watching the practice of prescribing psychotropic medications I am very hesitant about my own prescriptive practices and keenly observant of other practitioners. I am acutely sensitive to the issue. It seems like every other patient I see, irrespective of the setting, is prescribed SSRIs and benzodiazepines, and almost none of them are also ...
    Posted to New Grad NP (Weblog) on July 28, 2011