LadysSolo 5,735 Views
Joined Dec 17, '06.
Posts: 273 (71% Liked)
I live in farm country - tearing down silos is a LOT of work - you have to get all the feed out of the silos, then begin tearing them down. It also depends on if you plan to reuse any of the moving parts within the silo, etc. You don't tear down silos willy-nilly. I always wonder if any of the "suits" making up these phrases have any experience with the actual origins of the catch phrases (such as silos.) But my most hated is the "work smarter not harder." Sorry suits - if it takes 20 min to change a bed, I don't care HOW smart you are, that's how long it takes. If it takes "x" amount of time to verify a bag of blood for a transfusion, do you REALLY want me to cut corners and rush it just to save a few minutes, or maybe not verify it at all - that would save a LOT of time until a mistake is made and a transfusion reaction occurs! And don't get me started on the "scripts"......
"Thank you for all you do" means I haven't a clue what you do. "Is there anything else I can do for you, I have the time" - I HATE the "I have the time" thing, because I really don't have time but I will MAKE time."
It depends on the part of the country you are in, agency in this area pays pretty well (but as has been mentioned, you will have a case load, not just one patient.)
I have given it pre-chemo many times also (worked oncology for 23 years) and never had a patient say anything about burning. Must be context, or perhaps amount of Decadron given.
I think you're right on! And in this day and age, if your prospective partner doesn't require the same from you, they are crazy and not worth dating. Today, often "self-employed" means "I want to stay home and play computer games with someone else supporting me." And genital herpes is forever, and "separated" means "I am keeping my wife around so I can't marry anyone else and they can't make me." You have to read between the lines.
She is going to do it anyway. She came here to get us to say what she was planning is a good idea. We don't, (we who are NPs with actual real life NP experience,) so she keeps trying to refute what we say. She is just annoyed that we don't think her high-dollar school can make up for real-life nursing experience. The only thing I will say (and I mean this totally sincerely) is I hope she does not kill or seriously damage someone due to lack of real-life nursing experience. We all make mistakes, but experience can allow you to mitigate those mistakes somewhat.
An adult NP in internal medicine can see children as soon as they hit puberty, as an adult NP I have worked in Internal Medicine, Hematology/Oncology, and Gerontology (Nursing Home practice.) Actually my best preparation for becoming a Nurse Practitioner was the years I spent in the hospital on a Heme/Onc floor - these people were in multisystems failure virtually all the time, and were not on monitors so you HAD to use every nursing skill you had all the time, and be VERY observant, aware of lab changes, condition changes, everything. The two areas I would feel very unprepared to work would be Psych and OB, but these are also two areas I am not especially interested in working in.
Also, regarding salary- I don't know about where you are, but I have 23 years' experience as a floor RN and on top of that 12 years' experience as an NP, and in Ohio I make $82,000/year, that is pretty average out of the hospital setting. In a hospital setting I would make about $100,000. YMMV. Just be a realist going into it.
The reason it is better to have nursing experience is that patents have not "read the book" - "normal" is not always what the books say it is. If you have a patient come in whose blood pressure is 200/100, and functioning with no headaches, no deficits, no issues, are you going to realize that this is normal for this person right now, and if you drop their blood pressure to normal they will have headaches, pass out, never trust you, and not be back. You need to bring it down slowly over several months. Or if you have a COPDer in what we called the 50/50 club (50% CO2, 50% PO2) and you raise their oxygen saturation too much you will shut down their drive to breathe, that the blue complexion is normal for them. That normal is what is normal for that person, and you need to experience a range of normal before you will know what to treat and what not to. I always recommend 4 years med-surg experience when asked by prospective NP students.
I travel to nursing homes and see patients there. I have a scribe a few days/week, but I still have to read the notes (at least I feel I do if I am signing them, although she is excellent I DO find typos) and sign them off and bill them out. Some days I have home visits and I have to see a certain # of patients/day to "deserve" a scribe for that day. I see between 16 and 40 patients/day, and if no scribe, with travel time and typing my notes it makes a 12-13 hour day. When I see 40, even with a scribe I am on the road 10 hours, and reading notes and signing off and billing takes at least 8 more hours depending on complexity, much longer if they are new consults. Then if I am covering for someone on vacation too, all bets are off. I may have to travel 2 hours one way to cover another provider's patient. And I am on call for my patients 24/7/365.
I worked oncology for 23 years, and when someone got the "faraway" look in their eyes, we knew it would be soon, maybe not immediate but they were looking for someone. You did nothing wrong - your mom needed to go. You got her nausea and pain under control for her last few hours - you made it easier for her to rest. This is a good thing.
Nursing school ER triage in August - guy came in to ER with a rash (very hot August day.) How long have you had this rash? "Since November." And this is an emergency today why?????? End of the triage line.......
NOT Ohio - 12 years experience an a NP and making $82,000/year (yes that's average for this area.) Granted benefits are included but pay still sucks.
I've been an NP for 12 years, and I can say I love being an NP, but as I near retirement I am planning to go back to being an RN on the floor. I do NOT love the paperwork involved with being an NP, I work 8-10 hour days and go home to 3-4 hours more paperwork. I want to get back to doing my 8 hours and going home to some free time. And when I do actually retire I want to be working in a place that will let me stay per diem, where I can work if I feel like it (or not.) You can't really be a per diem NP. But would I do it over and become a NP - yes.
Makes me laugh - my mom used to tell me I wasn't a caring enough parent because when my son fell and skinned his knee (or whatever) I would tell him "It's a long way from your heart" and send him back out to play. Funny - he's now a fully-functioning adult that has been to ER once in his life (he was in a car wreck and the paramedics took him.)
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