nurse2033 21,168 Views
Joined Jun 6, '07.
Posts: 2,019 (46% Liked)
Look at the USAGPAN info: School of Nursing | US Army Graduate Program in Anesthesia Nursing | Nurse Anesthesia Programs | Army Nursing Program
You can apply when you have the required critical care time. This is the best way to CRNA in the military. I know several people who came into the Army via direct commission as experienced civilian ICU nurses to attend the USAGPAN program.
Pros: top notch education to a DNP without debt. Cons: you are owned by the Army, and CRNAs do deploy. If you truly want to serve, it's a great way to do so.
There are lots of posts in this forum about USAGPAN, the search feature should provide you with lots of information. Good luck!
This actually happened to me while I was in school. I got home, emptied my pockets, and low and behold, there was the patient's insulin. I immediately called the floor and reported the situation, then I called my instructor and told her that I had accidentally left it in my pocket, but that I had already called the floor and was on my way to bring it back. When I got to the hospital, the nurse laughed and said "we've all done this before."
You will not get kicked out for this.
I appreciate the responses and have taken action by reporting to the regulating entity. I knew in my heart what was right and I guess I just needed confirmation that I was doing what was in the best interest of the vulnerable parties involved. I am relieved to have this chapter in my career closed but am nervous about my future, of course. In the end I have done what is right and I will hang my hat on that.
In the past, (25 yrs ago) I worked with a Pain Management specialist who ordered lidocaine infusions for pain management for patients with chronic pain. I am not sure if this worked for the patients or not. A patient recieving a lidocaine infusion should have continuous cardiac monitoring and be observed for signs of local anesthesia sytemic toxicity. Lidocaine or similar drugs given in a specified area or close to the nerve roots is definitely helpful. Lidocaine is a shorter acting medicine and may only be benificial for a short time period.
I find it extremely difficult to believe that you would be placed on leave without pay for accessing the chart of a patient for which you provided care and I suspect there’s more to the story here. Were you even asked for an explanation? Did you only access the information necessary to do your job or were you reading parts of the chart that you didn’t need to read?
Surely you all have had plenty of excellent ideas that administration decided to take a pass on.
In favor of Sheehy's Emergency Nursing: Principles and Practice, I prefer Sheehy’s Manual of Emergency Care (Sheehy's Manual of Emergency Care - E-Book (Newberry, Sheehy's Manual of Emergency Care) - Kindle edition by ENA, Belinda B Hammond, Polly Gerber Zimmermann. Professional & Technical Kindle eBooks @ Amazon.com.). It's more succinct.
HAHA!!! That has to be the funniest assumption ever. However, after several years of working in ERs of various types and sizes, it's not surprising such assumptions are made of ER nurses.
ER nurses literally save lives. Patients do not enter the hospital proper in emergent situations without first having had the touch of an ER team. An ER nurse often gets 5 minutes or less notice of a trauma arrival that will upend a large portion of one's shift. At any given moment, you might be hanging life-saving medication while dealing with a repugnant drunk who thinks it's okay to cuss you out over the hospital's choice of plain turkey sandwich as their main ER entrée. One minute you should be silently swearing to yourself over the self-serving complaints about the wait time over their mild cough and sniffle while you're trying not to lose your sh@t because you know part of that wait was due to a police officer getting shot and the whole team trying to rally to save him. ER nurses do their best to walk into a patient's room to offer a refill of ice to a patient who's been hammering the call light while you've been busy performing CPR on a young boy and his brother who were shot in the head by a deranged parent. And despite your best efforts, you now have to somehow gather what remaining willpower and strength you have left for the family who now has two empty seats at the table.
It's not all doom and gloom, but I don't know of a single other environment that has such various elements (highs and lows) in a shift. You could be at the end of your rope of patience in dealing with people who aren't really sick or who just want a place to crash because they got drunk again... and in the next moment have to refill your compassion bucket to deal with someone who is on death's door.
Just as inpatient nurses may feel they get endless admissions, ER nurses do not get to tell ambulances to go somewhere else. We just take them because that's what we do. Even when we are at capacity. That's usually when we really need nurses on the inpatient side to understand that delaying that report, or pushing admissions off on the next nurse may seem like its helping you, but in the end it's compromising patient care.
It takes a team. Assuming all ER nurses do is "set IVs" and such is just about as insulting as someone assuming that non-ER nurses just sit at a nurse's station. We can do much better.
Darth Practicus, NP and all-around good guy
Former ER Nurse, ICU Nurse,
I for one am not surprised that a Nurse can perform in a leadership capacity that is Nationwide. She after all hold a PhD in Nursing. We should be celebrating that our profession is much more than what the general public perceives us to be. I am very proud of the new Surgeon general, no matter how long she will be in place, it is the top place and well deserved.
Congratulation Admiral Sylvia Trent-Adams Ph.D., R.N., F.A.A.N on all your hard work, on your competence in a world where it seems to be lacking at times and for being a leader who inspires so many people to "make something of your life". May your time in this position be filled with challenges that you over come and that you make the Public Health System in the US better as you assume this important leadership position.
A, she's not technically the first; there was a physician surgeon general who was also an (or had been an) RN, and claimed to have been the first nurse SG.
B, she's the acting SG and will likely be replaced as soon as Trump can find a physician craven and disreputable enough to meet his standards.
I agree, though, that it's kinda cool while it lasts ...
Would you say it's the military's way of discouraging people from doing it? By making it a complicated process?
Daily medication approved by the flight surgeon is allowed. They just carry out and destribute it out on the field.
Fake it til you make it.
Think of it as "acting." When you go into your patient's room (or wherever ...) "act" like a calm professional nurse. Play the role - think of yourself as "on stage, in front of an audience."
Soon, it will become 2nd nature to you -- and you WILL be the calm professional nurse you appear to be.
It is different for military because you are on a huge plane, not a helo or private. You take care of patients that are not critical, there's a separate critical care team (CCAT) who comes on board during the transfer. A military flight nurse ensures the plane is set up to care for all patients. You take care of the non-critical and assist the CCAT team. Th CCAT team are not flyers like FN's because they are solely caring for the patient before during and after transport. I am prior service and have fellow FN friends. Only one year of acute care required and they will send you to training that equals 6 mos sporadically or consecutively, depending on timing. Anyone who works in a plane is considered a flyer, all flyers have to go through survival school where you are trained to be in a capture situation if you were to survive a plane crash. Water survival is included. My spouse went through it. Pretty cool. So yes, the military FN is much different than civilian.
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