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EricJRN (17,848 Views)

Joined Nov 25, '05 - from 'Texas'. EricJRN is a Nurse Educator. He has '9' year(s) of experience and specializes in 'NICU'. Posts: 8,713 (11% Liked) Likes: 1,668

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  • Jan 3

    I haven't worked with intubated adults in some time, but I don't think that my employer or my insurance carrier would be too stoked about a staff nurse reintroducing an displaced ET tube. I'd go with option A - bag and call for help.

  • Nov 24 '15

    It's not outdated, but I think one confusing thing is that it has been deemphasized in NRP for many years. (Bicarb was a standard code drug for a long time, but now it's known that in coding neonates, there is usually respiratory acidosis, and bicarb will just raise the pCO2 and lower the pH in that situation.)

    In metabolic acidosis, bicarb is still often indicated, but it's also important to look at correctable causes of metabolic acidosis, like whether the baby is cold, fluid-depleted or perfusing poorly.

  • Nov 12 '15

    It's not outdated, but I think one confusing thing is that it has been deemphasized in NRP for many years. (Bicarb was a standard code drug for a long time, but now it's known that in coding neonates, there is usually respiratory acidosis, and bicarb will just raise the pCO2 and lower the pH in that situation.)

    In metabolic acidosis, bicarb is still often indicated, but it's also important to look at correctable causes of metabolic acidosis, like whether the baby is cold, fluid-depleted or perfusing poorly.

  • Nov 2 '15

    Congrats, jewls67. The most popular NICU reference book is Merenstein and Gardner's Handbook of Neonatal Intensive Care.

    Others to consider:

    Gomella's Neonatology - focused on medical dx and tx; less of the practical stuff like developmental care

    Assisted Ventilation of the Neonate by Goldsmith and Karotkin - complex in parts, but thorough; an understanding of ventilator modes can be a weakness for many NICU nurses

    Smith's Recognizable Patterns of Human Malformation - peek at a copy of it - one of your docs should have it; cool pics and short descriptions of the most common syndromes, associations and sequences

    You may want to verify that my links lead to the current editions of these books. Good luck to ya!

  • Oct 19 '15

    Have to agree with the previous posters that staying calm and relaxing is the best thing to do. In my experience though, this should be the most common response:

    'I came to Allnurses.com and posted to everyone how nervous I was!'

  • Oct 10 '15

    Hey man -

    I'm not around here all that much anymore, and it was nice to run into your post. I wish it was happier news. Your post is so valuable though. Human nature dictates that people like to talk more freely about their successes, so I sometimes worry that we're painting an overly positive picture. Truth be told, EC's nursing program just doesn't mesh well with some learning styles. A person's life circumstances and other commitments also have a lot to do with it, like you point out.

    It takes a big person to share these kinds of experiences when things don't go to plan, allowing others to learn from you. I'm wishing you the best for you and I'm glad to hear that we'll hear more from you down the road.

    Eric

  • Sep 24 '15

    Anchor,

    The MS programs are pretty much self-paced. Classes are offered either in 8-week or 15-week semesters. In each class you have weekly online discussion posts and responses, and there is usually an individual term paper and usually also a group paper. You get letter grades in all of the classes and you do have a GPA.

    I was able to work full-time and finish in under two years, but I don't have kids or other significant commitments. By lining up the right combinations of classes, I was sometimes able to take two eight-week courses together. During one (rough) semester, I tried to take three 15-week classes. The logic (having already done well with two eight-week classes together) made sense to me at the time, but I don't recommend three.

    There is no retreat anymore, at least in the Nursing Education Capstone. Under the old capstone format, you did part of the project, then took the class and did the retreat. Now everything is done in the 15 weeks of the capstone course. It stays pretty busy with a proposal, project, paper, 15-20 min presentation and peer reviews of 15 or 20 other presentations.

    Sometimes a challenge with the capstone is identifying a masters-prepared mentor to work with. I think it's easiest to identify someone in your geographic area, but I also know that people have used technology like Adobe Connect to work with people outside of their areas. EC doesn't sign out-of-state affiliation agreements except I think with federal facilities, so you have to locate a mentor that won't require such an agreement. In general, EC seems willing to help in locating a capstone mentor; a couple of my classmates even worked with EC faculty mentors when their original plans did not work out.

    I am looking at Ph.D. programs now and I looked at post-MSN NP or DNP programs before that. I have not even applied anywhere, but from what I can tell, the main requirement for those programs is that the MSN is accredited. EC's MS programs are accredited by ACEN, so that is reassuring to me. I have found a few post-masters NP programs that were only open to NPs wanting to change specialties, but that isn't an issue specific to EC.

    Good luck to you.

  • Sep 24 '15

    Just wanted to wish you guys good luck. I'm a December 2005 EC ADN graduate who lives in Texas and I recently completed the requirements for a master's degree at EC. Excelsior has opened a lot of opportunities for me over the last ten years.

  • Sep 22 '15

    Hey man -

    I'm not around here all that much anymore, and it was nice to run into your post. I wish it was happier news. Your post is so valuable though. Human nature dictates that people like to talk more freely about their successes, so I sometimes worry that we're painting an overly positive picture. Truth be told, EC's nursing program just doesn't mesh well with some learning styles. A person's life circumstances and other commitments also have a lot to do with it, like you point out.

    It takes a big person to share these kinds of experiences when things don't go to plan, allowing others to learn from you. I'm wishing you the best for you and I'm glad to hear that we'll hear more from you down the road.

    Eric

  • Sep 19 '15

    I'll always remember Brian fondly because of how much patience he showed to me during an embarrassing mistake I made right after I met him in person. Having spent a short time as a moderator here, I had the opportunity to travel out of state to man an AN booth at a nursing student conference several years ago. On the first morning of the conference, I was to meet Brian, his wife and a couple of other AN mods at the conference center to help set up the booth.

    When I arrived, Brian was noticeably proud because we were about to unroll a brand new custon Allnurses banner that would be displayed for the first time at this conference. My first in-person AN task was to help Brian unroll and hang this new display. Two things are worth pointing out: 1) As much as I hate to admit it, I am sometimes known for a complete lack of physical grace. 2) When I really embarrassed myself, I had known Brian in person for about 30 minutes.

    I'm not sure exactly what happened, but before we even got this thing completely unrolled, I must have had some sort of random focal motor tic. The result was that I tore this brand new banner. I didn't rip it in half, but I noticeably tore it. I think that even most patient people would be pretty hot at this point, especially considering the newness of something that couldn't have been inexpensive. Instead, I think Brian saw that I was mortified and he was really good about it. He figured out how to secure the banner so that the tear was a little less noticeable and we went on with our day.

    We had a great time at the conference. He wouldn't have brought the subject up again if I hadn't. Rather than trying to figure out how much I owed him for the banner, he just kept thanking me for my contributions on AN. Brian and his wife made sure that the AN folks at the conference had a good time while we were together, and I certainly learned great lessons about forgiveness and patience. To this day, that's the first thing I think of when Brian comes to mind.

  • Sep 17 '15

    I'll always remember Brian fondly because of how much patience he showed to me during an embarrassing mistake I made right after I met him in person. Having spent a short time as a moderator here, I had the opportunity to travel out of state to man an AN booth at a nursing student conference several years ago. On the first morning of the conference, I was to meet Brian, his wife and a couple of other AN mods at the conference center to help set up the booth.

    When I arrived, Brian was noticeably proud because we were about to unroll a brand new custon Allnurses banner that would be displayed for the first time at this conference. My first in-person AN task was to help Brian unroll and hang this new display. Two things are worth pointing out: 1) As much as I hate to admit it, I am sometimes known for a complete lack of physical grace. 2) When I really embarrassed myself, I had known Brian in person for about 30 minutes.

    I'm not sure exactly what happened, but before we even got this thing completely unrolled, I must have had some sort of random focal motor tic. The result was that I tore this brand new banner. I didn't rip it in half, but I noticeably tore it. I think that even most patient people would be pretty hot at this point, especially considering the newness of something that couldn't have been inexpensive. Instead, I think Brian saw that I was mortified and he was really good about it. He figured out how to secure the banner so that the tear was a little less noticeable and we went on with our day.

    We had a great time at the conference. He wouldn't have brought the subject up again if I hadn't. Rather than trying to figure out how much I owed him for the banner, he just kept thanking me for my contributions on AN. Brian and his wife made sure that the AN folks at the conference had a good time while we were together, and I certainly learned great lessons about forgiveness and patience. To this day, that's the first thing I think of when Brian comes to mind.

  • Sep 17 '15

    Just wanted to wish you guys good luck. I'm a December 2005 EC ADN graduate who lives in Texas and I recently completed the requirements for a master's degree at EC. Excelsior has opened a lot of opportunities for me over the last ten years.

  • Sep 17 '15

    Just wanted to wish you guys good luck. I'm a December 2005 EC ADN graduate who lives in Texas and I recently completed the requirements for a master's degree at EC. Excelsior has opened a lot of opportunities for me over the last ten years.

  • Sep 17 '15

    Just wanted to wish you guys good luck. I'm a December 2005 EC ADN graduate who lives in Texas and I recently completed the requirements for a master's degree at EC. Excelsior has opened a lot of opportunities for me over the last ten years.

  • Sep 17 '15

    I'll always remember Brian fondly because of how much patience he showed to me during an embarrassing mistake I made right after I met him in person. Having spent a short time as a moderator here, I had the opportunity to travel out of state to man an AN booth at a nursing student conference several years ago. On the first morning of the conference, I was to meet Brian, his wife and a couple of other AN mods at the conference center to help set up the booth.

    When I arrived, Brian was noticeably proud because we were about to unroll a brand new custon Allnurses banner that would be displayed for the first time at this conference. My first in-person AN task was to help Brian unroll and hang this new display. Two things are worth pointing out: 1) As much as I hate to admit it, I am sometimes known for a complete lack of physical grace. 2) When I really embarrassed myself, I had known Brian in person for about 30 minutes.

    I'm not sure exactly what happened, but before we even got this thing completely unrolled, I must have had some sort of random focal motor tic. The result was that I tore this brand new banner. I didn't rip it in half, but I noticeably tore it. I think that even most patient people would be pretty hot at this point, especially considering the newness of something that couldn't have been inexpensive. Instead, I think Brian saw that I was mortified and he was really good about it. He figured out how to secure the banner so that the tear was a little less noticeable and we went on with our day.

    We had a great time at the conference. He wouldn't have brought the subject up again if I hadn't. Rather than trying to figure out how much I owed him for the banner, he just kept thanking me for my contributions on AN. Brian and his wife made sure that the AN folks at the conference had a good time while we were together, and I certainly learned great lessons about forgiveness and patience. To this day, that's the first thing I think of when Brian comes to mind.


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