EricJRN 18,989 Views
Joined Nov 25, '05 - from 'Texas'.
EricJRN is a Nurse Educator.
He has '10' year(s) of experience and specializes in 'NICU'.
Posts: 8,733 (11% Liked)
I'm sure a lot of us get nervous around adult emergencies, but just about any nurse is going to be a little out of their element during a community emergency. Other than basics like calling for help, keeping an airway open, direct pressure for bleeding, compressions and maybe an AED, you're not likely to have the equipment to do anything else. In most situations, additional equipment is going to arrive at the same time as the personnel who are trained to operate it.
It's not outdated, but I think one confusing thing is that it has been deemphasized in NRP for many years.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.
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.
The Texas BON website has a fairly new feature called the Education Dashboard where you can view some details about any BON-approved program in the state. You can see a school's contact info, BON approval status, types of accreditation, recent NCLEX pass rates and things like that. To get to this search feature, go to Welcome to the Texas Board of Nursing Website, click on the Education heading and select the Education Dashboard dropdown choice.
When I do that search for LSC Kingwood (easiest way is just to go to the city field, change it to Kingwood, then select the RN program), I see the "Full w/ Warning" approval status and I notice that there are two years of NCLEX pass rates of <80%. When that happens, there's a board rule that requires that a program is issued a warning. What should also happen is that the program submits a "self-study report" that describes some of the suspected causes for the dip in scores, along with a plan to address those factors. For example, maybe the program went through a period of high faculty turnover or something along that line.
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.
One thing to consider: Some residency programs will not admit people who have already been RNs for more than a few months. I would at least check into that.
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.
I'm so thankful for the support and wisdom that I've gained through the people on this site. I lurked as a student and joined as a GN about ten years ago. AN has been a convenient source for nursing information, but it has also been part of the process of my mellowing out as a nurse, often teaching me how much there is that I don't know. A brief time as a moderator helped me to better communicate with people and you guys showed me that sometimes it's okay to just go to bed, even if someone is wrong on the Internet.
I'm sending lots of love to the staff here. I've enjoyed getting to know you over the years in friendships that have sometimes blended over into social media and even real life. I appreciate what you do to make the site everything that it is.
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.
I am wrapping up the capstone course for the Nursing Education program if I can help anyone with questions about the program.
Old thread, but if anyone sees this, I am wrapping up the Nursing Education Capstone and would be glad to answer any questions.
The way you have it makes the most sense to me. Good luck to you.
No activity here for a bit. Anyone just start a new class for Spring II? How's it going?
For many nursing students or new grads in nursing, it's hard for them to imagine what their careers might be like in a few years. I was considering the law school route at one time. The good thing is that law doesn't require any specific prerequisites, so when you decide you're ready to apply, it's usually just a matter of taking the LSAT and gathering transcripts and recommendations.
What specifically attracts you to a DNP role or degree versus law or bedside nursing?
A lot of times the roots are taken from Greek or Latin. It's not a bad idea to become familiar with the most common ones. That will help you to figure out the meaning of lots of English medical terms.
Here's a long list of a bunch of them:
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