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®Nurse, MSN, RN 12,110 Views

Joined Feb 26, '08. Posts: 1,136 (63% Liked) Likes: 2,947

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  • Apr 2

    I've been on numerous interview panels for ICU positions.

    Be prepared to discuss how you handled a critical patient and what was wrong with them.

    Talk about how you used your critical thinking to address your patients issues.

    Good luck to you

  • Mar 20

    I'll never be able to look at my laundry room linoleum floor the same way again. To think it was once a roll of cold linoleum.

  • Mar 3

    Kaiser compiles the latest EBP into an algorithm that the RN uses, along with the nursing process and a heavy dose of critical thinking to work through the patient phone assessment in order to arrive at the safest outcome.
    Even with all of the safe guards built in, if an RN doesn't explore the right symptoms, or has a lapse in "active listening skills", the algorithm will fail.
    You utilize a combination of both to guide your advice.
    You are forbidden from giving advice that is not listed within the established parameters. You cannot "go maverick" with a personal tried-and-true method of addressing an ill. You must only utilize the established evidence based practice methods. (i.e. honey for a continual cough, versus standing on one leg and holding your head back while jumping up and down).
    There is precious little room for creativity, and it gets old, very quickly, taking call after call after call, while regurgitating a rote fix for someone's ills.
    .....and then, there's the special little snowflakes (I don't want to go there....)

  • Feb 18

    I applaud anyone going from LPN/LVN to RN.
    I understand what struggles you have had to endure.

  • Dec 26 '16

    I don't know what "shands" is, I assume that is your place of employment.

    I have a question for you: Could the Dr have been under the impression that you were a visitor/family member? ~ if so, I can understand the clarification "she is a CNA".

    It is always best to ask questions/requests politely. I would have asked you to turn off the light in no different manner than if YOU were the Doctor.

    I AM uncomfortable that this exchange happened in front of a patient. Next time, I suggest having a well-thought out discussion with the offender in private.

  • Dec 9 '16

    Quote from believeallispossible
    I have experienced nurse bullying on numerous occasions. The ones that I remember are: 1. An old nurse educator when I was in nursing school. 2. Old nurse at an assisted living facility. 3. Old nurse in a clinic setting. And probably more that I cannot recall at the moment. All three are old nurses who liked to "eat their young" as you may already know that term. I think to myself how immature they are compared to me (even though they are 30+ years older than I am). Bottom line.... the reason they are like that is because of pure jealously. Old nurses do not like when a younger nurse comes in the workplace for numerous reasons. Many of them def need to retire. Just my two cents
    I have to speak my mind on this, because it is so......*sigh*......SMH.

    (Adjusts flame retardant cap and climbs onto flame-retardant soapbox)

    Pure Jealousy ?

    Please explain how someone who: Can walk into a room an know instantly how to gauge a patient's status, know whether or not a patient is stable, and know exactly what to do at the very first hint of trouble,......How could a nurse with that kind of skill and know-how could Possibly be jealous of someone who is a "newcomer"?

    Nursing is not a beauty contest. A pretty face and skinny hips holds NO candle to what an "old Nurse" has in their brain.

    Trust me, I haven't run into an "old Nurse" yet who has even begun to express jealousy towards a newer nurse. More likely, it's pity, because the new nurse has yet to figure out that nursing is not a contest of what's on the outside, and the patient is always the one who gets the winning prize.

    (Steps down from flame retardant soapbox and walks slowly off).

  • Nov 11 '16

    Quote from AccelCNL2b16
    I am presently enrolled in direct entry CNL program. I already plan on working at the bedside after graduation. I know that my degree my bestow me with a BSN but I will need actual work experience. Personally, I think my program in no different than direct entry NP programs. Yes, I know that I will not graduate with a specialization. However, new graduates of direct entry NP programs ( depending on the setup of the program) will never have worked as a RN much less as an NP ( outside of school based clinical hours). Does that mean they are not competent? Not necessarily, they just need clinical work experience. Right now CNL is the new kid on the block and there is a bit of fear, misunderstanding, and lack of information where it is concerned.

    As a CNL I will not be a nurse manager or unit leader. I will simply be making sure that all the people in the health care team are working for the best favor of the patient and other roles. I know I want to work at the bedside and eventually I know I want to become an NP but I plan on honing my skills on the floor. I think direct entry CNL programs are great for those who do not know what specialization they wish to enter or simply do not want to enter a particular NP field so early in their career.
    Hi Accel - Congratulations on your career choice. I am also a CNL student; however, I have been an RN for many years. I am learning more and more about the CNL role, and I would STRONGLY recommend that you locate a local CNLA Chapter and get involved. Clinical Nurse Leader Association (CNLA)

    I assume that the “BSN” degree is a typo because the AACN requires that the CNL education be within an MSN program in order to qualify to sit for the CNL exam.

    As an aside, if your CNL program curriculum provides for the “Three P’s” (Advanced Pharmacology, Advanced Pathophysiology, and Advanced Physical Assessment), you should enjoy a seamless transition into an NP program for a “Post Masters Certificate Program.” From all the research that I have done for my personal information, I can share that I have learned that you should have (roughly) about 18-24 more credits to complete in your PMCP in order to graduate from an NP program. (18, in my case).

    I would like to clarify one point in that, as a CNL; you will be a unit leader. Patient safety is your main priority. Although you may need to come up to speed on patient care activities, time management, and documentation specifics, you will be far ahead of the game. So don’t sell yourself short! You will be learning skills that all new grads need to learn as a general rule, but you will be learning them through the filter of a Masters Prepared Clinical Nurse Leader.

  • Oct 31 '16

    When credentials are required, I sign my name according to how the AACN instructs that they be signed.

    "What is the preferred order of credentials?
    The preferred order is:
    Highest earned degree
    State designations or requirements National certifications
    Awards and honors
    Other recognitions
    why is this order recommended?
    The education degree comes first because it is a “permanent” credential, meaning it cannot be taken away except under extreme circumstances. The next two credentials (licensure and state designations/requirements) are required for you to practice. National certification is sometimes voluntary, and awards, honors, and other recognitions are always voluntary".

  • Oct 23 '16

    Epigenetics: How large a role can Nurses play in shaping healthcare outcomes.

  • Oct 22 '16

    Quote from Jrod85
    I'm the insensitive husband. My wife is a nurse that works in the float pool. She spends a lot time working in behavioral health and the medical floors.

    She has been working 3-4 16 hour shifts per 2 week pay period lately.

    She feels that since she is working 16 hour shifts, and a nurse that I should be more appreciative.

    I see things different than her. I wish I could 16 hour shifts and have more days off. I will 4 days off to her 8-9 days off per pay period. I work 80 hours per pay period and she works 60-70 hours. I wish I could do that.

    She will also explain to me how hard nursing is. In my mind, that is what she enjoys and is good at. Most of her issues with being a nurse is dealing with other nurses. It has nothing to do with the work itself.

    I basically came her to see if I could get a better understanding of how she feels. To hear from other nurses that have done the same thing and how their spouses were.

    Please don't hold back. I want your real thoughts. If I mad you mad, then tell me.
    Here is a better understanding of how I would feel if I were in her shoes: “Do you want a little cheese with that w(h)ine?

    For Christ sake, you’re trying to have a contest with your spouse? Over work hours? Over who works harder?

    Did you not get enough affirmation of your point of view when you discussed this with her? Didn’t she TELL you what her work was like? Did you think I would know what her work is like?!?

    Did you think that you were going to come here and get ammo for the next time you compared your pity party to hers?

    Not falling for that one.

    Do yourself a favor - go in to the bathroom, look at yourself in the mirror, and tell the person looking back at you that you’re going to begin with a fresh perspective tomorrow. The perspective of both of you being on the same team. Quit having a contest.

  • Oct 19 '16

    One poster made the comment that the impersonator worked in the position of a unit clerk. Could it possibly be that she was an LPN/LVN (nurse) who impersonated an RN?

    I don’t know the skills mix in the hospitals of that region.

    Where I live, it is highly feasible to have an LVN at the monitor, or working as a ward clerk, because the RN’s are the only ones who are assigned to patients in the hospital settings.

  • Oct 18 '16

    One poster made the comment that the impersonator worked in the position of a unit clerk. Could it possibly be that she was an LPN/LVN (nurse) who impersonated an RN?

    I don’t know the skills mix in the hospitals of that region.

    Where I live, it is highly feasible to have an LVN at the monitor, or working as a ward clerk, because the RN’s are the only ones who are assigned to patients in the hospital settings.

  • Oct 2 '16

    Epigenetics: How large a role can Nurses play in shaping healthcare outcomes.

  • Aug 16 '16

    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.

  • Aug 15 '16

    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.