chuchie 4,151 Views
Joined: Dec 21, '05;
Posts: 105 (20% Liked)
; Likes: 35
I agree totally. The schools have found a cash cow and are pumping out students. The demand for new grad NP's is just not there and the market is flooded.
I wonder if they really look at their logic. They hate the idea of a risk of autism. But there is also a risk of death from the actual disease. Makes me want to ask them: Do you hate autistic kids so much you'd rather have your child die than be like them?
I'm not going to get into an ugly argument because I know how anti-circumcision folks can be. I will say that female circumcision has been used to oppress female sexuality. While a circumcised penis may have less nerves, it can still feel pleasure and have a relatively health sex life. Can't say the say for female circumcision.
I think parents should be allowed to make medical decisions for their kids without feeling vilified or shamed.
Your family members' expectations are very unrealistic. A family reunion is an event that should entail leisure time and relaxation, and not at the expense of the one relative who happens to be a nurse.
If the family uninvited you, consider it a blessing and one less headache.
There is literally no mention of cancer in the article either so...
The immune system is your defense against anything that seeks to attack the body. It is your defense against bacteria, viruses, fungusand even cancer. It will respond to environmental allergies as well as allergies from food.
It seems to me that if you consider a posted request unrealistic or inappropriate in relation to your own beliefs, then all you have to do is ignore it. And if a prayer request speaks to you, why then, of course you can join in that prayer. But why criticize another person's approach to God, or their understanding of prayer? Surely we can respect individual differences.
God bless you, Julie.
Maybe having a spiritual view helps. That is, I believe there are many things in this life that we simply are not meant to understand. I have learned to put my questions aside and trust that God is in charge and the world is unfolding as He sees fit. I wasn't always able to be satisfied with this answer, but it helps me now to make sense of the seemingly unexplained.
Had one of these moments today when one of our primary nurses called me to her room to verify an increase in a Fentanyl drip. I slowly opened the door a crack to reach the keyboard, when I realized that I was getting mooned by her patient.
The primary nurse was scurrying around the room while three wound care nurses held her patient on his side with his whole backside exposed to my view. The fourth wound care nurse was busy attempting to prepare a HUGE peri-rectal/scrotal absess (caused by gas gangrene) for a new wound vac dressing. If I would not have known where the poor guy's wound was, I don't think I would have realized that I was getting mooned.
This was only rivaled by the sight about a week and a half ago of the same patient when there was a rectal tube going somewhere into that wound. Just prior to getting a sigmoid colostomy, I was assisting the primary nurse with a 1 liter Lactulose enema. Due to the fact that there was no longer any spincter the enema was not flowing down the rectal tube very well. After 300cc was instilled, I suggested that we call it good and clamp the rectal tube. Instead the gung ho nurse suggested that I squeeze the tube from the syringe to the body to help get it in. While I was pushing the lactulose down the tube the nurse had the bright idea to attempt putting another syringe of Lactulose in the tube. Needless to say, she pushed the syringe to hard coming disconnected and spraying Lactulose all over the room as well as into my face.
Better end my story right there.
I would probably call Child Protective Services.
Even if you don't think he would harm the child directly, such as striking the child, if he's scaring off the child's caretakers, that is causing harm in a way. It's also not healthy for the child to be ejected from the home while ill, or to witness the screaming and name-calling.
At least if you call and report it to CPS, you can have a clear conscience that you did your best for the child. If CPS decides not to follow up on it, then the onus is on them -- at least you tried.
They aren't throwing childish fits. You need to try to be more understanding or get a different job. Where is your compassion? You sound very immature
Maybe I'm mean, but if you're well enough to have sex, you're well enough to go home.
I do not understand exactly how two levels could be established. The scope of practice is exactly the same: RN. The 'nursing skills' education is the same.
How are the hairs split between nurses that graduate from a diploma program (there are still many 2-3 year diploma programs out there) vs. an ASN vs. a BSN? Should a delineated test add more advanced math, physics, psychology, earth sciences, advanced language arts, business administration, advanced statistics, ethics, and other electives? How should those electives be decided so that they apply in a uniform way to all BSN program graduates? Should half of the test be written in a foreign language (as most BSN programs require FL credits)? Should there be an essay component to the NCLEX? How are colleges across the United States going to ensure the exact same theory classes?
I am not asking these questions to be a smarty butt, I am genuinely curious how something like that would work.
I do understand that many hospitals are asking for BSN nurses, but I believe that is more driven by the desire to achieve Magnet status than anything else. I agree that there may be some weight to better outcomes for patients when more BSN prepared nurses are involved. I think this may have more to do with the aptitude of the individual nurse, the hours of clinical experience, the closer association with hospitals for clinical locations 4-year programs tend to enjoy (for-profits around here have a tough time getting in hospitals for clinical sites), the financial status of the hospital and community, and a host of other factors.
I am not devaluing the BSN prepared RN in any way (I am working on my own BSN right now). But I don't believe that the standard between an ADN and BSN is so great that an exam should be used to separate what a RN can and cannot do at each level.
I have 20+ years experience in accounting (associate's level), administration, business management, and government. I could transition that skill set into any of the first-level leadership roles listed without adding 60 hours of coursework. Should someone with 'life experience' such as myself (and many other ADN or degree program nurses) be able to sit for the 'advanced BSN' NCLEX without having the gen-ed coursework if we are certain we are prepared? We already are RN's. Must we pay a university for the privilege of certifying what we already know? If we pass, do we get the same letters (BSN) behind our "RN" on our badges?
Again, please don't take this sarcastically, I would genuinely like to know how this would all work?
*in my state, clinical hours tend to be much higher for BSN programs and community college ADN programs than the clinical hours of for-profit college ADN program. My local community college ADN program is the best nursing program in the area with a NCLEX pass rate of 97% (over 100 students test each quarter) and requires over 900 clinical hours. Their program admissions standards are higher than that of the local 4-year university, and the waiting list to get into the program is years long. The largest university BSN program in my area has a pass rate of 85%, and requires 700 clinical hours. The biggest for profit program has a pass rate of 80%, and requires 600 clinical hours. Regardless of their path, if a student passes the NCLEX, they pass the NCLEX. It is not a stretch to associate a greater number of clinical hours with higher pass rates, and perhaps, some better nurses. But not all. I've met C- ADN's who were the best nurses, and A+ BSN's that could give two hoots about patient care or doing the job of nursing.
Here in NYC we have had a similar policy in place now brought to you by then Mayor Bloomberg (aka the man that banned smoking, fried foods, trans fats, sodas, sugary drinks and pretty much anything else that he felt wasn't good for you), but it is more restrictive IMHO.
Formula is kept on floors but locked as with meds. A mother must make a request and then IIRC some sort of approval is required and she will also been seen/advised by special nurses before that formula is handed over.
Mayor Bloomberg pushing NYC hospitals to hide baby formula so more new moms will breast-feed | New York Post
Mayor Bloomberg Declares War On Baby Formula « CBS New York
I think of this topic as my everyday life! I am very regularly, in the course of my job, educating patients on everything from diabetes management to wound care to infection control to nutrition and vaccinations.
I find that those who are genuinely interested are most likely to absorb what I'm telling them, and those who have stated "I DON'T VACCINATE MY KIDS" or "I ONLY GET SICK WHEN I GET THE FLU SHOT" are not likely to change their opinion (or even actually listen).
How to handle it? Address the issue as appropriate. Offer sound, credible information, and then leave it up to them. Ignorance tends to breed ignorance, so I've seen multi-generational disregard for sound medical advice. Nothing to do there but natural selection take its toll!
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