Nurse Practitioner Quotes

I was taken to an examining room where a big butch nurse practitioner came in and asked me if I was pregnant. “No way!” Was I sexually active? “Nope!” Had I ever been molested? “Well,” I said, trying to make a joke, “Oprah says the only answers to that question are ‘Yes’ and ‘I don’t remember.’ ” I laughed. We were having fun. The nurse looked at me, concerned/annoyed.

I think you’re better off without him.” Ashley didn’t lift her blue eyes from her scarf as she offered her thoughts; her long,straight brown hair was pulled into a clever twist. She was a nurse practitioner originally from Tennessee and I loved listening to her accent; “I never trust a Jon without an ‘h’. John should be spelled J-o-h-n, not J-o-n.

the Yale Cancer Center, Dana-Farber Cancer Institute, and Massachusetts General Hospital supports this notion. It found that dying patients who had open conversations about their death experienced a better quality of life in the weeks and months leading to their passing, as judged by their family members and nurse practitioners.

There’s pushback on the legislative front as well. In 2013, California passed the nation’s only law that year to expand abortion access: Nurses and some other health professionals (midwives, nurse practitioners, and physician assistants) are now permitted to perform first-trimester nonsurgical abortions.30 (This is what can happen when a state is controlled by Democrats.)

Companies spend billions on marketing and public relations campaigns to gain public trust. They award themselves “Best Hospital” prizes by measuring outcomes like “patient experience”—as if a visit to the hospital were a trip to Disney World instead of a life or death endeavor.

Shadowing Tim Nolan, the sixty-two-year-old nurse-practitioner, reminded me of a quote I’d first heard from an addiction doctor in Massachusetts. He said the solution to the epidemic could be summed up in a single quote from a Harvard physician in 1926: “The secret of the care of the patient is in caring for the patient.

Type A reactions are dose dependent, common, and related to the pharmacological effects of the drug. Type B reactions are allergic or idiosyncratic reactions; they are not dose dependent and are usually not predictable or preventable. Type C reactions are related to the cumulative dose of the medication; they are dose and time related, and they are relatively uncommon.

In the early 1970s, racial and gender discrimination was still prevalent. The easy camaraderie prevailing in the operating room evaporated at the completion of surgical procedures. There was an unspoken pecking order of seating arrangements at lunch among my fellow physicians. At the top were the white male 'primary producers' in prestigious surgical specialties. They were followed by the internists. Next came the general practitioners. Last on the list were the hospital-based physicians: the radiologists, pathologists and anaesthesiologists - especially non-white, female ones like me. Apart from colour, we were shunned because we did not bring in patients ourselves but, like vultures, lived off the patients generated by other doctors. We were also resented because being hospital-based and not having to rent office space or hire nursing staff, we had low overheads. Since a physician's number of admissions to the hospital and referral pattern determined the degree of attention and regard accorded by colleagues, it was safe for our peers to ignore us and target those in position to send over income-producing referrals. This attitude was mirrored from the board of directors all the way down to the orderlies.

The government, or rather the taxpayers, further support religious child abuse by subsidizing Christian Science practitioners and their nursing homes with Medicare and tax exemptions—despite their complete failure to provide any medical care. Other tax support involves allowing federal employees, some state employees, and members of the armed forces to join health plans that include Christian Science nursing and practitioner care.

The Academy ER had a sticker sheet of glittery Oscar statues that were reserved for patients who put on Oscar-worthy acts. The nurses would stick one on a patient’s chart so that everyone who treated the patient knew what to expect. Some staffers didn’t like Oscar because it gave the practitioners preconceived notions. But Molly thought it was funny and a stress reliever.

patient-centric is a system that discounts the power or importance of a physician’s, or a nurse’s, professional impact on patient healing. The healing relationship is multi-faceted, and as Dr. John Burroughs describes it, the relationship combines three critical components: A patient who wants to be healed, practitioners who desire to provide healing services and a healthy organization to create the optimal environment for healing. But a patient-centric hospital can neither be a care-provider’s democracy nor a loose confederation of aligned interests. Medicine now is far too complex for cottage industry methods. In fact, the ideal healing environment is one of harmonious synergy in which the hospital is the focal point of coordination and responsibility for standards, continuity and competence—as well as the means of forming and supporting the care team. The patient’s best interests, however, must be the primary and overriding center of everything the team does.

The Nurse Practitioner and an issue of The American Journal for Nurse Practitioners present a summary of each state’s practice acts as they relate to titling, roles, and prescriptive authority. As of January 2009 (Pearson, 2009; Phillips, 2009),

Prescribing a drug results from clinical judgment based on a thorough assessment of the patient and the patient’s environment, the determination of medical and nursing diagnoses, a review of potential alternative therapies, and specific knowledge about the drug chosen and the disease process it is designed to treat. In general, the best therapy is the least invasive, least expensive, and least likely to cause adverse reactions. Frequently, the choice is to have nonpharmacological and pharmacological therapies working together.

Sue, a friend in Indiana whose three-year-old son was stung by a bee while playing barefoot in the grass at his babysitter’s house, was lectured by a nurse practitioner after she sought treatment for the swelling. “Keep his shoes on at all times outside and don’t let him walk through clover” were the nurse’s terse instructions. In other words: Have fun playing in the driveway the rest of the summer.

Ashley says to give you her best.” “Oh, that’s sweet. How’s she doing these days?” Ashley Winston was one of Elizabeth and Sandra’s good friends who used to work at the hospital as a nurse practitioner.

The most important mystery of ancient Egypt was presided over by a priesthood. That mystery concerned the annual inundation of the Nile flood plain. It was this flooding which made Egyptian agriculture, and therefore civilisation, possible. It was the centre of their society in both practical and ritual terms for many centuries; it made ancient Egypt the most stable society the world has ever seen. The Egyptian calendar itself was calculated with reference to the river, and was divided into three seasons, all of them linked to the Nile and the agricultural cycle it determined: Akhet, or the inundation, Peret, the growing season, and Shemu, the harvest. The size of the flood determined the size of the harvest: too little water and there would be famine; too much and there would be catastrophe; just the right amount and the whole country would bloom and prosper. Every detail of Egyptian life was linked to the flood: even the tax system was based on the level of the water, since it was that level which determined how prosperous the farmers were going to be in the subsequent season. The priests performed complicated rituals to divine the nature of that year’s flood and the resulting harvest. The religious elite had at their disposal a rich, emotionally satisfying mythological system; a subtle, complicated language of symbols that drew on that mythology; and a position of unchallenged power at the centre of their extraordinarily stable society, one which remained in an essentially static condition for thousands of years. But the priests were cheating, because they had something else too: they had a nilometer. This was a secret device made to measure and predict the level of flood water. It consisted of a large, permanent measuring station sited on the river, with lines and markers designed to predict the level of the annual flood. The calibrations used the water level to forecast levels of harvest from Hunger up through Suffering through to Happiness, Security and Abundance, to, in a year with too much water, Disaster. Nilometers were a – perhaps the – priestly secret. They were situated in temples where only priests were allowed access; Herodotus, who wrote the first outsider’s account of Egyptian life the fifth century BC, was told of their existence, but wasn’t allowed to see one. As late as 1810, thousands of years after the nilometers had entered use, foreigners were still forbidden access to them. Added to the accurate records of flood patters dating back centuries, the nilometer was an essential tool for control of Egypt. It had to be kept secret by the ruling class and institutions, because it was a central component of their authority. The world is full of priesthoods. The nilometer offers a good paradigm for many kinds of expertise, many varieties of religious and professional mystery. Many of the words for deliberately obfuscating nonsense come from priestly ritual: mumbo jumbo from the Mandinka word maamajomboo, a masked shamanic ceremonial dancer; hocus pocus from hoc est corpus meum in the Latin Mass. On the one hand, the elaborate language and ritual, designed to bamboozle and mystify and intimidate and add value; on the other the calculations that the pros make in private. Practitioners of almost every métier, from plumbers to chefs to nurses to teachers to police, have a gap between the way they talk to each other and they way they talk to their customers or audience. Grayson Perry is very funny on this phenomenon at work in the art world, as he described it in an interview with Brian Eno. ‘As for the language of the art world – “International Art English” – I think obfuscation was part of its purpose, to protect what in fact was probably a fairly simple philosophical point, to keep some sort of mystery around it. There was a fear that if it was made understandable, it wouldn’t seem important.

Keiko Shigheno is a board-certified Family Nurse Practitioner.

coffee shop, the corner store, a tiny one-room, freestanding library, and the adorable little cabin in the woods that would be hers, rent-free, for the year of her contract. The town backed up to the amazing sequoia redwoods and national forests that spanned hundreds of miles of wilderness over the Trinity and Shasta mountain ranges. The Virgin River, after which the town was named, was deep, wide, long, and home to huge salmon, sturgeon, steel fish and trout. She’d looked on the internet at pictures of that part of the world and was easily convinced no more beautiful land existed. Of course, she could see nothing now except rain, mud and darkness. Ready to get out of Los Angeles, she had put her résumé with the Nurses’ Registry and one of the recruiters brought Virgin River to her attention. The town doctor, she said, was getting old and needed help. A woman from the town, Hope McCrea, was donating the cabin and the first year’s salary. The county was picking up the tab for liability insurance for at least a year to get a practitioner and midwife in this remote, rural part of the world. “I faxed Mrs. McCrea your résumé and letters of recommendation,” the recruiter had said, “and she

The rise of independently practicing non-physician practitioners has everything to do with money, politics, and control—and nothing to do with better patient care.

Keiko Shigeno, a board-certified Family Nurse Practitioner with licenses in 22 states, has shifted her focus to telemedicine in response to the changing healthcare landscape. Collaborating with leading telehealth companies, she delivers comprehensive care across various specialties, including urgent care, pediatric care, addiction health, mental health, weight loss management, women's health, men's health, skincare, and long-term health care.

What brought you up here?” “Ah, long story. I was looking for a change. I was a nurse-practitioner and midwife in L.A. and took a job here—population just over six hundred. It was supposed to be for a year, but Jack got me knocked up.” “We are married,” he said, shaking his head at her. “Tell the woman you’re happy about that, Melinda.” “Perfectly happy. Jack worked out.” She grinned. “Muriel

Nurse Practitioner Liability and NP Error in New Jersey, US. Nurse Practitioner Liability - Np Error includes Failure to provide oversight, Breach of Contract, Patient is harmed, Harm is Foreseeable in New Jersey, US. According to Recent Case Law Physician had a duty of care to the patient of an NP, even through the Physician never saw or evaluated the patient and the Facts are Dr. had a Collaborative Practice Agreement (CPA) with NP, who owned her medical practice.

The Kindred were split into three distinct branches, all outcomes of their past genetic trades. There were the Tranq Kindred—a group of males with piercing blue eyes and a double set of short, sharp vestigial fangs. There were rumors that the fangs grew and they bit when they had sex with the female of their choice and other rumors that they could heal any illness with a bite. Liv wasn’t sure how much of that was true and how much was just media hype but the buzz about their sexual habits had earned this group the nickname “Blood Kindred.” Then there were the Twins, a branch of the Kindred in which the males always came in pairs and had to share a woman. No one knew exactly why and they declined to offer an explanation. Some said they were telepathic and needed sex to communicate but that hadn’t been proven—not that anyone had ever gotten a chance to study them. The Kindred as a whole kept strictly to themselves and refused to participate in any kind of scientific research or experiments. So no one really knew anything about the Twin Kindred other than they refused to make love to a woman individually. And then there were the Ragers—also known as the Beast Kindred. Working for so long in a hospital as she went through nursing school, the sight and idea of drawing blood wasn’t frightening to Liv so the Blood Kindred didn’t scare her. And being a twin herself, she wasn’t terribly afraid of the Twin Kindred either. But the Beast Kindred, well…they scared the ever-loving crap out of her. As tall and dominant as the rest of the warrior race, the Beast Kindred were said to have the most unpredictable tempers. Rumor had it that they could go into berserker-like rages when protecting their women, killing anyone that stood in their way no matter how many opposed them. But it was the other rumors, the sexual rumors, which put a lump in Liv’s throat. Besides being filled with animalistic lust, the Beast Kindred were said to have sexual stamina unequaled by anyone. Rumor had it that they could come again and again without going soft and their marathon love-making sessions put even practitioners of tantric sex to shame. Just

Why is this? How can experience be so valuable in some professions but almost worthless in others? To see why, suppose that you are playing golf. You are out on the driving range, hitting balls toward a target. You are concentrating, and every time you fire the ball wide you adjust your technique in order to get it closer to where you want it to go. This is how practice happens in sport. It is a process of trial and error. But now suppose that instead of practicing in daylight, you practice at night—in the pitch-black. In these circumstances, you could practice for ten years or ten thousand years without improving at all. How could you progress if you don’t have a clue where the ball has landed? With each shot, it could have gone long, short, left, or right. Every shot has been swallowed by the night. You wouldn’t have any data to improve your accuracy. This metaphor solves the apparent mystery of expertise. Think about being a chess player. When you make a poor move, you are instantly punished by your opponent. Think of being a clinical nurse. When you make a mistaken diagnosis, you are rapidly alerted by the condition of the patient (and by later testing). The intuitions of nurses and chess players are constantly checked and challenged by their errors. They are forced to adapt, to improve, to restructure their judgments. This is a hallmark of what is called deliberate practice. For psychotherapists things are radically different. Their job is to improve the mental functioning of their patients. But how can they tell when their interventions are going wrong or, for that matter, right? Where is the feedback? Most psychotherapists gauge how their clients are responding to treatment not with objective data, but by observing them in clinic. But these data are highly unreliable. After all, patients might be inclined to exaggerate how well they are to please the therapist, a well-known issue in psychotherapy. But there is a deeper problem. Psychotherapists rarely track their clients after therapy has finished. This means that they do not get any feedback on the lasting impact of their interventions. They have no idea if their methods are working or failing—if the client’s long-term mental functioning is actually improving. And that is why the clinical judgments of many practitioners don’t improve over time. They are effectively playing golf in the dark.11

Further, ABAC enables object owners or administrators to apply access control policy without prior knowledge of the specific subject and for an unlimited number of subjects that might require access. As new subjects join the organization, rules and objects do not need to be modified. As long as the subject is assigned the attributes necessary for access to the required objects (e.g., all nurse practitioners in the cardiology department are assigned that as the value for their departmental affiliation or department attribute), no modifications to existing rules or object attributes are required. This benefit is often referred to as accommodating the external (unanticipated) user and is one of the primary benefits of employing ABAC.

Harvard Business School alum Rick Krieger and some partners decided to start QuickMedx, the forerunner of CVS MinuteClinics, after Krieger spent a frustrating few hours waiting in an emergency room for his son to get a strep-throat test. CVS MinuteClinic can see walk-in patients instantly and nurse practitioners can prescribe medicines for routine ailments, such as conjunctivitis, ear infections, and strep throat. Because most people don’t want to go to the doctor if they don’t have to, there are now more than a thousand MinuteClinic locations inside CVS pharmacy stores in thirty-three states.