What are PECARN Rules? Hint: They Don't Involve Nuts

Deciding when to order a CT scan in the case of a head injury can be a frustrating process. Yes, the likelihood of a serious finding is often low, but do you really want to be wrong when it comes to a head injury? Absolutely not- the stakes are too high. In kids, the CT decision becomes an even riskier process. Ordering a CT scan unnecessarily increases risk of radiation-related malignancy later in life. Enter the PECARN rules. 

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10 Questions Your Patients Will Ask About This Year's Flu Shot

Guess what NP's?  It's that time of year again...flu season.  The buildup to flu season is always quite a production for everyone. Influenza myths are tossed around, and patients and providers alike share their personal beliefs about the flu shot playing the fine line between procrastinating from being vaccinated but not waiting too long.  Faced with the threat of being forced to wear a mask everyday at work for the next six months, I will be getting my influenza vaccine tomorrow.

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Are You Indifferent to Independent Practice Issues?

I attended a seminar last month where nurse practitioner 'independence' was a core topics of conversation. During a break one of my former NP program classmates and I hit the local taco shop for a quick lunch. Sitting at the table over heaping bowls of chips and guac, she casually dipped a chip and asked "Do you really care about all this independent practice stuff?". "I really don't", she admitted.

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How Do You Deal With a Bad Clinical Placement?

I quickly became frustrated with one of my first nurse practitioner program clinical placements. Working alongside a physician in his solo, small town family practice clinic seemed like the ideal place to learn. But, then, I realized he accepted nurse practitioner students as a way to get more help running his clinic- and I don't mean when it came to diagnosing and treating patients.

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Medical Week in Review 10.17.14

Phew! It's been a whirlwind of a week here at MidlevelU. From Nashville to Washington, D.C. and New York City, I've been traveling the East Coast to talk Ebola. How has your clinic or hospital been preparing for the possibility of a case of the virus? Or, have they been preparing at all? Health news has been quite heavy the past few days. So, today on the blog let's keep it light. Ease into your weekend by checking out a few of this week's other medical news tidbits.

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