[MUSIC PLAYING] Hi. I'm Tiffany. And this is a day in the
life of a nurse practitioner. Let's go to school. Let's go. I knew I wanted to go into
the medical profession after studying biochemistry
for my undergrad degree. I realized after doing
consulting for a few years that my passion really lies
in direct patient care. Have a good day at school. I love you. Give me a kiss. A nurse practitioner is
a health care provider. So depending on what
specialty you're in, you can work in a
variety of environments. You can work in the acute
care setting, in the ED, be a nurse anesthetist, be
a midwife, a mental health provider, or you can work
like me in primary care. I've been a nurse practitioner
for about 10 years now. In order to become
an NP, you do have to hold a registered
nursing license. So I did work as an RN
prior to becoming an NP. Being an NP in a
major city is amazing. I love working with such
a diverse population. There are so many
different cultures. And I also get to see a
large variety of cases. I also love being
able to utilize both my Spanish and
Chinese at work. I work in a health care center
within the family practice department in primary care. All right, first stop of the
day, we're at the locker room. Typically I start
my day at 9:00 AM, and I'm scheduled to
see patients until 5:00. So the first thing I like
to do when I get into work is open up the EMR, so the
Electronic Medical Record, and check for all my messages,
my labs, my patient's test results. It's going to be
a full busy day. I'm looking forward to it. Can you tell me how
you're feeling today? I feel short of breath
for the last two days. Using my medication, and
I'm still feeling the same. So short breath. Would you mind if
I examined you? No. Thank you. Please, take a deep breath. All right, good. Again. So I do hear some expiratory
raising and your top lungs and also the bottom
portions of the lungs. So I do think that
we should start you on an albuterol
nebulizer treatment. Now that we've completed the
albuterol nebulizer treatment, how do you feel? Much better, thank you. Much better? Would you mind if I
examined your lungs? No. Please, take a deep breath. Thank you. A quick listen in the front. So it looks like
the treatment really helped improve some of the
wheezing that you were having. Since you're feeling
better, what I'm going to do is write you a prescription
for this nebulizer machine, and to give you a prescription
for the medications. If there are any other concerns,
please call me or follow up and let me know. OK? Sure. Our next patient came in
complaining of chest pain. Can you show me with one finger
where the pain is located? It's mostly here. OK. And does it move anywhere? Does it radiate anywhere? No. Do you have any
numbness, tingling? No. Is there a family history of
any cardiac heart disease? There is, my dad. Yeah? OK. So the first thing I'm
going to do is examine, OK? OK, so the next step
would be to get an EKG. So we just got the
results back of your EKG. And there are some
changes on the EKG that are a little
bit concerning. What I'd like to do
right now is to start you on some medications. I'll probably give you some
aspirin, nitroglycerin, and oxygen to see if it'll help
relieve some of your symptoms. So let me get started
on these medications, and I'll be right back
in a couple of minutes. OK? So now we're going to
walk over and consult with my medical
director and colleague. Hey, doc. Hey. Hey. I have a patient
that came in today complaining of chest pain. There are some abnormal
findings on here. Let's see. I see we have inversion,
we have some ST elevations. Is she's stable? So she's currently
stable but symptomatic. So what I did-- What about vitals? Vitals are stable. So blood pressure
is stable, so it was oxygen and the heart rate. And so at this point I'm
going to transfer her to the emergency department. Yes, nice idea. How are you doing after
the dose of medication? I'm OK. You're feeling better? I do. There's a little less pressure. OK, good. Because of these abnormal
findings on the EKG, I do think you still need to
be evaluated in the emergency department. OK. So what I'll do is I'm
going to call an ambulance service for you right now. And we will transfer you
to the emergency department in an ambulance, OK? Thank you. No problem. Generally I get an
hour long lunch. But depending on the
day, sometimes I'll run over and see patients
during my lunch hour as well, depending on
what the concerns are. What I love most about my job
are the patient relationships that I have formed
over the years. I love the fact that I get to
take care of these patients throughout their years,
and really help them improve their health status. So we're about to see our next
patient who has complaints of nasal congestion. Because of the pandemic
I like to make sure I have all my gear on before
I go in to see the patient. And now we're ready. Hi, how are you today? I feel a little nasal
congestion and cough. Have you had contact with
anybody that's been ill? No. Do you have any fever? It was for very light
fever for one day. OK, any chills? No. OK, so now I'm
going to assess you. Very good. Please take a deep
breath, and out. Again, OK. So the good news is I don't
see any ear infections, and your lungs are clear. But I would like to do a
swab to check for COVID. Would that be all
right with you? Yes. Lean forward, please. Thank you very much. And we're going to
get the other now. So currently with
the pandemic we have a lot of concerns for flu
like symptoms, COVID symptoms, which are very similar. And so many of
our patient visits are to rule out COVID
or flu or strep. And so these One Care machines
are very important for us. So good news, your
test was negative. I know that you had told me
that you were fully vaccinated, so you do not need
to quarantine. So I'm going to
send to the pharmacy a few prescriptions to
help you with your cough. But really rest, fluids. And if you would
like, you can return for testing in a few
days if you need to, if the symptoms persist. OK? So now we're at
the end of the day. We saw three patients today. Typically we would see
around 20 more or less. Now we're going to see if any
urgent labs rolled through. If there are any urgent patient
messages or prescription refills. What we want to do is respond
to these last few messages, and get out of Here. The best advice I
ever got from someone was the same advice I'd probably
give to a future nursing student. No one ever said it'd be
easy, but it's so worth it. Thanks for watching. Be sure to give us like and
subscribe to Indeed's Channel. We'll see you next time. I hope you guys at
home will really enjoy this video because
this is definitely not my thing to film on camera. But I really hope
you found it helpful for you to see what a day in
the life of a nurse practitioner is like.
