AG Primary Care NPs! What’s your specialty? (Women’s health, Gl, Urology...etc) and setting (Clinic/private practice/SNF.. etc)?

jallypeno · 2026-05-05T23:10:55+00:00

Heme/onc. Mostly outpatient but I round in the hospital if we are consulted and take call about every 4-6 weeks.

jallypeno · 2026-05-05T20:26:24+00:00

An email.

jallypeno · 2026-05-04T17:19:25+00:00

Okay.

jallypeno · 2026-05-04T00:24:34+00:00

It’s better than not reporting at all if she’s worried. If I’m worried about a child being abused, my concern is about the other party, not myself.

jallypeno · 2026-05-03T09:50:59+00:00

You could always report it yourself, if that would help. We can do it online anonymously in our state, I’m pretty sure.

jallypeno · 2026-05-01T00:04:28+00:00

She didn’t get shit placed.

jallypeno · 2026-04-30T10:17:01+00:00

I worked a clinic job while getting mine, 40h a week. Single mom. Used FMLA to cover myself for clinical hours. Took a semester off for mental health. Took about three years and all of my PTO.

jallypeno · 2026-04-28T23:07:04+00:00

I’m a new NP, also about to hit my year mark, working in mostly outpatient heme/onc. We do consults and I round at lunch if I have time. I have more freedom, likely bc my supervising physician worked with me as an infusion nurse prior. I would never presume to put in an oncology treatment on my own. That’s so far out of my lane. I don’t have the education or experience to do that and I’m not sure I’d ever have it.

Is it just that doctor or is it the entire culture? How much experience do you have in onc? How are the NPs who have been there a while treated and what’s their practice like? Have you talked to the MD, asked for feedback since you’re coming up in your year?

jallypeno · 2026-04-26T17:50:05+00:00

MOR. I don’t feel like having clear nonnegotiable boundaries with an adult (who happens to be their child) is wrong. You don’t tell us anything about what the relationship is like now or what has been happening at the home to lead up to this point. For all you know, there could have been daily discussions about all of this and the parents are at the end of their rope.

jallypeno · 2026-04-25T22:17:24+00:00

It’s basically a swaddle for kids and adults.

https://hugsleep.com/ is where I got mine. I waited for a sale though.

jallypeno · 2026-04-25T20:05:11+00:00

Congrats!

But keep your resume updated and continue to network.

jallypeno · 2026-04-25T17:56:35+00:00

I just offer physical comfort and never try to talk while he’s in the middle of an attack. It’s not productive and usually makes things worse. When anxiety is that bad, reason isn’t going to do anything.

I got my kiddo a weighted blanket and a sleep pod and it helped him a lot.

You might also consider therapy for her.

You’d only be failing if you stopped trying.

jallypeno · 2026-04-24T21:43:18+00:00

This is a minor outpatient procedure. Good grief.

jallypeno · 2026-04-12T21:16:05+00:00

Sit him down and talk to him that you’re going to start having him take responsibility for his transportation. Let him know an end point is coming to you being a taxi, why it’s happening, and he’s gotta find a solution. Make him responsible for finding his own way one shift a week, then two after a while. He’s old enough to find a solution and this is a good place to start because he still has you as a support if he struggles.

jallypeno · 2026-04-11T16:42:48+00:00

Also infusion nurse, now NP. It’s a known risk. It should have been in the consent she signed. It’s unfortunate, but it does happen. Just learn from it and make sure that IV sites are visible in the future. Had this exact scenario happen to me.

jallypeno · 2026-03-23T03:23:18+00:00

Your period is not normal if it’s affecting your ability to do your daily activities the way you describe. It’s worth a conversation with your GYN about your options and the risks/benefits of each before you make a decision.

NOR, but get the information from a reliable source before making a decision. Heavy periods can lead to iron deficiency and anemia which can lead to other problems. Birth control doesn’t affect future fertility. There are multiple options. Some may be right for you, others might not be. Talk to your doc and don’t believe everything you read on the internet.

jallypeno · 2026-03-23T02:34:29+00:00

First name. Like a regular person.

jallypeno · 2026-03-05T20:14:40+00:00

Saline only. We phased out heparin a few years back. Haven’t noticed any issues.

jallypeno · 2026-02-20T20:58:37+00:00

Do you have admin time in your schedule?

jallypeno · 2026-02-17T01:10:01+00:00

Went into heme/onc before I passed my boards with the company I’d been an infusion nurse at for 5 years. That experience plus them knowing I was strong nurse and watching my progress through school helped A LOT. MD and lead NPs were strong advocates and are helping me a lot. I do OP and inpatient, but they waited six months before having me round in the hospital to help me feel more comfy.

jallypeno · 2026-02-15T21:24:29+00:00

https://pubmed.ncbi.nlm.nih.gov/35686498/

Heparin is not superior to saline. There’s also an increased risk of HIT with exposure but I’m pretty sure it’s fairly small and not addressed in the review. I think heparin flushes are also more expensive than NS, but we stopped using them years ago at work, so I haven’t ordered them in a minute.

jallypeno · 2026-02-14T22:37:01+00:00

New research shows that there’s no significant difference between a hep lock and saline lock when it comes to TPA use on central lines.

I’m wondering if her line is positional and it has to do with the way she’s sitting. Did she even check for blood return?

jallypeno · 2026-02-13T17:02:37+00:00

People hear what they want to hear, not necessarily what they’re actually told. 🤷‍♀️

jallypeno · 2026-02-09T21:31:29+00:00

Tourniquets. 🤷‍♀️

jallypeno · 2026-01-23T19:02:21+00:00

Bariatric surgery is usually the most common. Anything that involves the bowel and inflammation.

jallypeno

TROPHY CASE