outcomesfirst

outcomesfirst BSN, RN

Research, ED, Critical Care

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About outcomesfirst

outcomesfirst has 28 years experience as a BSN, RN and specializes in Research, ED, Critical Care.


Latest Activity

  1. I had no idea... med/surg vent

    Thirty years later, same sad story - but not every place is like this. You can do something about this. First - nurture yourself. When you are off work - be off. Go to the gym, read novels, fish, hike, swim, watch TV. Eat healthy. Have a variety of...
  2. Move out of CA?

    i urge you to continue looking hard in ca. i was a grad there and worked a few years before leaving - it really cemented who i am as a nurse today - and i do plan to return to ca. as a military spouse i have worked all over the states and out of the...
  3. Where are the 14 viewing this forum???

    For the first time I noticed 14 people viewing "research" thread at the same time. Where are you and what's up?
  4. Rank when entering

    I am also curious. My spouse is getting ready to retire from the army after 26 years. Our last child enters college next fall. I am 48 y/o, an RN MSN with (OMG) 28 years experience (with the army life, you name it, I have done it.) Certified CCRN, CE...
  5. What does it take to become the CNO?

    Consider strongly a MSN with a major in leadership. CNO roles are now being redefined. Magnet now requires DONs/CNOs to hold a masters in nursing. MBAs came up in the 80s-90s, when hospitals became profit driven - yes a MSN will get you what you need...
  6. Hiring experienced nurses vs hiring new graduates

    Thirty plus years and the rhetoric has not changed..........when will nursing get a grip on this? Innovate, redesign, think out of the box, and change this self destruct pattern.
  7. Brand spankin' new to management and drowning

    Breathe. Be kind. Be quiet. Get a small journal and carry it with you - write notes to yourself about issues/problems/change. Identify the top 3 priorities of your leader and contemplate how you can influence them to the good for everyone. Identify y...
  8. Research Coordinator Interview

    A 'Research Coordinator' may mean many things. Read the job description carefully and research those you will be working for. A physician? A Site Managment Organization (SMO)? A Hospital? Acadamia? Look at each institution - how long have they been...
  9. Big Problems at New Job

    I hate to be negative, but this is the reality. Your physical problems are probably an issue already...I would not discuss them with anyone...You need to examine your physical issues, but that is another discussion - no employer is going to want to ...
  10. Big Problems at New Job

    You must leave this position. You are in a no win situation. You have talked to the manager and HR - if they were going to help, they would have. Now you are a target, and let me stress this, by everyone. I'm sorry, this is how it is. Be happy, ...
  11. Marketability of RNs in clinical research positions.

    Pure nursing research is very difficult to find. In my experience, nursing research - i.e: intervention testing/evaluation, efficacy measurement, outcomes, theory...etc. is conducted by academic nurses - professors etc. in addition to their teaching...
  12. Need help with Critiquing a Nursing research journal

    Also look at what references the author used in the article. Read those articles. Are they opinion leaders in the field? Has the work been validated? Is this a peer reviewed journal? Does the article answer questions or leave the reader wanting to...
  13. Nursing Research Question

    I would encourage every student seeking clarification on how to write a research problem, understanding qualitative versus quantitative, or searching for a research topic to speak with their instructor. You are paying for an education and if you are ...
  14. Research certification Questions

    The SOCRA website has some practice questions. http://www.socra.org/ I would not buy the book, but when you register for the exam they will send it. The same material is also available on line at the FDA and ICH The FDA CDER web has easy access to...
  15. Union

    I have worked in two union facilities and my conclusion is that union rules trump health care delivery. From the basics of who and when trash cans get emptied to the model of nursing care delivery and mandated overtime - unions (in my experience) hu...