It seems that working in the emergency department some days all I do is write prescriptions. Muscle relaxers for back pain, nausea medications for vomiting, and migraine meds for headaches. Prescribing is at the core of many nurse practitioner's practice. Unfortunately, the guidelines surrounding this privilege can be difficult to sort through and understand.
Does anyone else find fall the perfect time to read? The weather is just crisp enough not to feel guilty about curling up indoors under a cozy blanket with a good book. Personally, I prefer an evening spent on my front porch wearing baggy sweats with a glass of wine half-watching the joggers running by as I click through the pages of my Kindle. This is why I finished this month's Book Club read (and my last bottle of wine...) so quickly. Well, the fall, the wine, and the fact that it was a fantastic novel, that is.
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.
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.