®Nurse, MSN, RN 10,750 Views
Joined Feb 26, '08.
Posts: 1,133 (63% Liked)
If it helps; In California, the mandatory ratio of RN to Stepdown patient is 1:3. In the past, I've worked in an ICU stepdown unit with post cardiac, level II trauma, and your obligatory sepsis, DKA and ETOH'rs that were supposed to be more "stable" vents and what-have-you.
A vented patient's alarms cannot be put off like a call light for the bathroom. If you add hourly blood sugar checks and insulin drip titration, a delicate drip titration on a gorked-out ETOH'r, a need to address a CVP of 1 in a septic patient, a sheath-pull on a post-op heart cath and the vent alarming in the other room...... Things can get hairy very quickly.
The trick is to know what management expects of the nursing staff. If you find out that they make every attempt possible to prevent the scenario that I gave above, then 5:1 can be do-able. If they cannot state what their parameters are for acuity purposes, then do not put yourself in that environment.
It is so critical to be able to see....then understand....then act with increasingly quicker response times as a new grad. If you are constantly drowning, you're really not cementing the lesson for further use like you could otherwise.
I am confused about the poor perception of WGU. I work in academia, and have observed faculty members who have nursing graduate degrees from WGU perform exceptionally well. I am not personally familiar with their program, only their graduates.
Education of nurses traditionally has faculty in close, consistent contact with students of their program. I find that many of my colleagues are non-plussed with the advent of programs that lose that contact. The perception is that the loss of contact equals a lesser-quality program.
I find that students have their own unique learning styles, and some students have a richer learning experience without the distractions of a roomful of other students that a physical classroom typically has.
Also - I have sat in on many hiring committees for faculty, and the pedigree of someone's education only has so much weight, because by the time you obtain a MSN or PHD/DNP/EdD, you generally have quite a bit of history to add to the whole picture. Honestly, by the time you're sitting in the chair answering interview questions, What and How you answer questions either confirm or deny an interview-panel members pre-conceived notion about you. Not only that, but there is generally more than one person sitting in on the interview.
My advice to you is to enter the program that is the best fit for you and your circumstances. A degree holder from Fancy-University can just as easily bomb a faculty interview as a degree holder from Online-U. I've seen it happen.
Best of hope for your continued success on your educational journey.
I went from ADN to MSN and did not have any difficulty landing a full time tenure track position as nurse faculty at a college.
Since you are a nursing instructor, this sounds like the perfect opportunity to introduce your student to EBSCO and CINAHL in order to do some proper research and critical appraisal of some articles in order to see what is current evidence based practice. Current EBP should drive practice, although, it’s nice to socialize with fellow nurses on AllNurses...
1. Mathematically Challenged Family. The notice over the phone that you called to get access into the ICU says "Two Visitors at a time" for a reason. Do you REALLY a think I won't notice TEN of you at the patients bedside? I can't see the vent, nor the patient because I can only see You all.
2. Bondage Averse Family.
Yes, I really DO need you to STOP taking Dad's wrist restraints off because this is the Second time that he's needed to be re-intubated because he pulled his ETT out, and don't even get me started on how many OG's I've had to reinsert because of you.....
3. Sedation Vacation Family.
Please, for the love of God ~ stop trying to get my patient to wake up. As I've explained numerous times, I am trying to Sedate you loved one. The fact that you are shaking him and yelling in his ear is only going to hasten kidney failure from the ever-increasing doses of sedation that I'm having to give him because of you.
This may help answer some of your questions: CDC - Safe Patient Handling and Movement (SPHM) - NIOSH Workplace Safety and Health Topic
Preventing Back Injuries in Health Care Settings | NIOSH Science Blog | Blogs | CDC
To put it simply, it is usually not one single episode of heavy lifting. If you’ve ever heard the story about holding a glass of water, it is very relevant: "[FONT=verdana, arial, helvetica, sans-serif][COLOR=#292f34]A psychologist walked around a room while teaching stress management to an audience. As she raised a glass of water, everyone expected they'd be asked the "half empty or half full" question. Instead, with a smile on her face, she inquired: "How heavy is this glass of water?" Answers called out ranged from 8 oz. to 20 oz. She replied, "The absolute weight doesn't matter. It depends on how long I hold it. If I hold it for a minute, it's not a problem. If I hold it for an hour, I'll have an ache in my arm. If I hold it for a day, my arm will feel numb and paralyzed. In each case, the weight of the glass doesn't change, but the longer I hold it, the heavier it becomes." She continued, "The stresses and worries in life are like that glass of water. Think about them for a while and nothing happens. Think about them a bit longer and they begin to hurt. And if you think about them all day long, you will feel paralyzed – incapable of doing anything." It’s important to remember to let go of your stresses. As early in the evening as you can, put all your burdens down. Don't carry them through the evening and into the night. Remember to put the glass down!”[/COLOR][/FONT]
[FONT=verdana, arial, helvetica, sans-serif][COLOR=#292f34]Reference : [/COLOR][/FONT]https://www.reddit.com/r/GetMotivated/comments/19bn9s/how_heavy_is_your_glass_of_water/
Usually, a candidate has a resume that shows a progression of accomplishments, and the doctoral program that was attended is but one piece of a larger picture. I’ve sat in on many hiring committee’s, and I’ve not seen any nurses that only have a doctorate and no other history.
If you’re trying to capture a plumb position, a degree from a pedigreed school might capture attention, but only for so long, as the rest of the candidates attributes will either confirm or deny any preconceived notions that a hiring committee member may have about the candidate during the interview.
To answer your question: Not in a considerable way.
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