Nurse Practitioner

Nurse Practitioner

Code Bell

Boston, MA

Female, 34

I have been in the nursing field for 12 years. I have worked as a RN in an adult medical-surgical unit, Neonatal Intensive Care Unit (NICU), and Pediatric Cardiac Intensive Care Unit (CICU). I went back to school to obtain my masters and now work as a nurse practitioner in a Pediatric CICU. These kids are sick. The issues can be straightforward or extremely complex. No patient is the same and no day is routine. I am lucky- I love my job (most of the time).

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Last Answer on February 22, 2015

Best Rated

If you think a doctor's recommended course of action for a patient is wrong, do you speak up about it? Or is second-guessing a doc by a non-doc something you just don't do?

Asked by J-town almost 5 years ago

I would absolutely speak up. Communication is key in healthcare as in any profession. We look at the healthcare team as a sum of its parts with no person having more significance than the others. Everyone brings a different perspective and their voice is important. We are required to take classes in communication so that important information doesn't get overlooked because someone is afraid to speak up. The classes involve role play, etc and it has helped those that are less confidant or newer staff speak up to interject when they should.

Could a nurse practitioner pretty much do the job of a primary care physician?

Asked by Jaxon almost 5 years ago

Yes and no. Nurse Practitioners are GREAT but they do not have the breadth of knowledge that a physician has. So for everyday illness and common things- great but for something more serious- a physician has the more in-depth training to go on.

As gender roles continue to evolve, are you seeing a rise in the number of MALE nurses?

Asked by Sky Hy almost 5 years ago

Male nurses are on the rise especially in higher acuity care (Intensive care units). It is still predominantly female but there is a rise in male nurses. AND contrary to popular belief- they are not all gay. Alot are military or second career.

What made you decide to switch from adult care to neonatal and pediatric units?

Asked by ~ KJ ~ almost 5 years ago

I worked with adults for one year as an RN in an infectious disease unit. In that year- I learned alot about adult behavior in the hospital. Some adults are IMPOSSIBLE to deal with. They can be rude, everything is a bargain, and it is back breaking labor. I think that everyone has a niche- and working with adults was just not for me.

Are the moms and babies in your NICU typically lower-income families? Do you think that lower income mothers tend to be less vigilant about proper prenatal care?

Asked by teressa almost 5 years ago

It has been years since I have been in the NICU- I can ask some of my NICU colleagues to get a better response BUT my gut feeling is that there isn't much of a relationship between being admitted to the NICU and being lower income. AND I don't think that lower income mothers are less vigilant about prenatal care. Many of the reasons of being admitted to the NICU have nothing to do with being lower- income or being less vigilant with prenatal care. For example: - have a fever as a newborn will buy you an admission to the NICU (requires septic workup) - having a congenital defect (cardiac, pulmonary, etc)- has no bearing on prenatal care- they are just a fluke. - multiples (usually born early and require some extra help with feeding and possibly respiratory- the lungs are one of the last things to mature in utero)

Do a lot of nurses experience back pain or anything similar from being on their feet all day? Do they wear any special kinds of shoes or braces to combat this?

Asked by melissa mccoy almost 5 years ago

Back pain is pretty common - mostly with caring for aduts because of all of the manual labor. Foot pain is pretty common from being on your feet all day long. I think that the favorite shoes to wear are Dansko brand shoes. I love them. They give the best support.

For an ER nurse (ie in NYC) what are the hours legally allowed to be worked in one shift, and what actually occurs? And what is the chain of command for an ER Nurse?

Asked by Rissa over 2 years ago

I am not sure of the rules of nursing practice in New York. In Boston - I think the longest shift one is allowed is 16 hours. At least that is what my experience as been.

This is the chain of command I have always followed:1st Charge Nurse2nd Nurse Manager3rd Nursing Director