Showing posts from: October 2018

Hey NPs, Your Insecurity is Showing...

I can't even begin to tell you how insecure I was as a new graduate nurse practitioner. While I'm a driven person, I wouldn't describe my personality as 'dominant'. I'm more of a blend into the crowd kind of individual. There's a little bit of a natural insecurity that goes along with that. Paired with my new grad NP status, my lack of confidence was apparent to those I worked with. While over-confidence has its own set of problems, I could have stood a little taller my first year of practice

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Is Dictation or Typing the Most Efficient Documentation Method?

If there's one thing we can agree on as nurse practitioners, it's that time is a commodity. We're constantly pressured by the clock. Completing documentation can fall by the wayside as we move from patient to patient. I have a strict rule for myself - I must complete a patient's chart before I move on to the next visit. But, even so, I still find myself falling behind and scrambling to identify documentation shortcuts. Many of my coworkers dictate rather than type. Is dictating a better bet for charting efficiency?

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This New Book is Packed with Prescribing Pearls

Have you ever met someone who's really passionate about what they do? Recently, I had the pleasure of a virtual introduction to clinical pharmacist Eric Christianson, author of The Thrill of the Case: Case Studies, Drug Interactions and Clinical Pearls in Medication Management and host of podcast Real Life Pharmacology. While Eric jokes that there's not a lot to do in Minnesota "where it's so cold it makes your face hurt", one glance at his book shows that the publication is born out of his love for pharmacology rather than winter boredom.

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Are You Following These 4 Practical Prescribing Principles?

Most often, when I read research articles, I find them interesting, but not directly applicable to my practice. Or, the article presents an interesting perspective, however the research is young and not widely tested. Recently, however, a journal article was recommended to me that proved to be practical and directly applicable to my work as a nurse practitioner. The article? Principles of Conservative Prescribing published in the Archives of Internal Medicine

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An NP's 5 Rules for Being Friends with Coworkers

The emergency department where I work has a very collegial environment. Physicians, NPs and nurses spend time socially with one another., One friend/coworker group, for example, vacationed together at the Hangout Fest music festival in Alabama earlier this year. A Kentucky Derby viewing party is an annual event held in one MD’s home and all ED staff are invited to attend. Yet another group of workplace friends organizes regular lunch meet-ups with an open invitation. While socialization between coworkers is generally positive, I often wonder if the nature of our workplace social structure has the potential to lead to professional pitfalls.

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The Case Against Purdue Pharma

The opioid crisis is a hot topic in today’s news. As prescribers, nurse practitioners find themselves at the center of the crisis. We’re the access point between patients and these medications. Part of our job (and a frustrating part at that!) is to determine who legitimately needs opioids and who might be drug-seeking. It often seems unfair that this burden and part of the responsibility for the crisis is put on us. Recently, however, the manufacturer of OxyContin has also been called to take responsibility for some of the crisis and found itself in serious legal trouble.

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Here's Why It's Tough to Find a Nurse Practitioner Job in the South

Originally from the West Coast, I wasn't quite sure what to expect when I relocated south of the Mason Dixon line. There were certainly new foods to try- grits, okra and fried pickles to name a few. Country music, a staple in Tennessee, was one of my favorite discoveries as a result of my move. The charm of the south drew me in, from rolling green hills to hot and humid summers spent at the lake. Once I made my move, I never looked back. 

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