Latest Comments by glascow

glascow 3,245 Views

Joined Jul 7, '03. Posts: 232 (1% Liked) Likes: 2

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    VivaLasViejas likes this.

    Any chemical, physical or mental impairment and/or disability or treatment for such that impacts the advanced practice registered nurse's ability to practice nursing safely, and a description of accommodations and/or practice limitations needed, if any
    Specificlly, this is the question above that I am referring to. My psych NP claims that my MI does not impact my ability to practice nursing safely because I am medicated and stable. Everytime I have been unstable I have stopped working.

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    VivaLasViejas likes this.

    I see a pychiatric nurse practitioner and she prescribes my meds. When I told her I needed something for stateboard due to my bipolar, she recommended non-disclosure. When I first applied for my license in 1992 I did not have that diagnosis so there was no reason to worry about that question. In 1999 when I was diagnosed and it came time to renew my license I freaked out.

    I took her advise and have not self-disclosed my illness. I have enough hassles in life without having state board breathing down my neck. I don't want to have to enter a recovery program. Whether MI or substance abuse, it's the same program. Do they even have a right to ask that question? I am a nurse practitioner and none of my collegues are aware that I have bipolar.

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    Go to the website emuniversity.com There are many useful tools on that website to help you better get the hang of coding. There is also a free online cme on coding information available at http://emuniversity.com/Curriculum_Free.html.
    This is a great site, I have spent hours on it!!

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    Loyola University in New Orleans has a ADN-MSN program.

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    I remember reading her posts, too. I even called and spoke to her soon after she was rescued. I have no idea how her situation turned out and don't know if there is still a link to her posts or not. Sorry.

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    (right before the needle goes in)

    "Big stick"

    "If you don't pee, I'm going to have to put in a catheter."

    (to male patients who continue to pull/tug at their foleys)

    "If you pull out that catheter, your penis is going to fall off"

    "Any numbness or tingling to *insert extremity*"

    "I'm sorry it took so long for me to respond, threre was an emergency with another patient"

    "Do you have your call bell?"

    "This pain medicine is strong, it will work" *Said in your most convincing voice*

    "I need to keep track of everything you drink"

    "Call if you need anything"

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    Nitroglycerine

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    I have read this book. Frankl was an amazing man! There is a midlevel nurse theorist, Joyce Travelbee, who developed her theory around Frankl's beliefs and logotherapy. At first, the concept of finding meaning to your suffering didn't really make sense to me, but after reading the book and studying Travelbee's theory, I understand it a bit more.

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    The above poster is definitely correct in my opinion. But there is much more to it than that. Some states do not require criminal background checks, as Louisiana does, so they feel we may be getting some less than desirable nurses into our state through the compact.

    If you want to know more about the politics and pros and cons of the compact send me a pm and I will forward you a paper I did on this subject for a healthcare mgmt course.

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    I personally think the nurse licensure compact is a good idea. I also live in Louisiana. I don't think we will be joining it anytime soon. The LSNA, as well as the BON is very much against it.
    Senator Schindler proposed a bill during the last legislative session and it died on the floor after a "closed door" meeting with members from LSNA and the BON.
    I also think had we been a member of the compact during the hurricanes last year we would not have taken so much time to get nurses from other states here to help us out. Once the Governor declared our state an emergency disaster area she signed a bill allowing nurses from other states to come in without all of the required paper work from the BON. It was a mess!

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    On my AHA card: "This card certifies that the above individual has successfully completed the national cognitive and skills evaluations in accordance with the curriculum of the AHA for the BLS for Healthcare Providers Program."

    I am certified.
    Sure, your card certifies that you successfully completed the national cognitive and skills evaluations in accordance with the curriculum of the AHA for the BLS for Healthcare Providers Program."

    This is not the same as saying you are certified in CPR, as another poster pointed out. The card only certifies that you completed the course and passed the written and skills exam. Unfortunately, we all know people who can pass test but in reality don't really "get it." They are just good at mimicking what they have seen, and will soon forget the info.

    To be certified in an area of expertise, the wording would be different: i.e. AACN hereby grants certification status for the successful completion of all requirements for Certification in Adult Critical Care Nursing.

    I know it sounds like symantics only, but this is a topic that has been hashed out many times about wether or not a person is "certified in CPR." It is not the same thing as saying, "I am certified in Critical Care." No "certification status" is granted in CPR. The card is only certifying that you successfully completed a course in accordance with nationally recognized guidelines.

    Actually, the correct terminology is that one who has successfully completed a CPR course for healthcare provider (HCP)is now a Basic Life Support (BLS)provider. I know, I know, it's just words and am not usually anal about stuff like this, but I have heard this debate so many times, and now being an instructor, I want to clarify that although it is typically acceptable for someone, or an agency, to say they will certify you in CPR, or require you to be CPR certified, is incorrect.The card that you are given after you successfully complete a course only certifies you took a certain class, whether it be BLS, Heartsaver, ACLS, etc...

    If listing credentials on your resume, I would not put:
    1992-present CPR certified

    The proper way to document this would be:
    1992-present: BLS HCP

    If you have taken a CPR course, you know that AHA has changed MANY of its guidelines as well as teaching methods. AHA has very strict guidelines for instructors to follow, and I am disappointed to hear that so many feel they did not get adequate training. But the way the rules are written, instructors do have a certain amt of "wiggle room." I.E. Having the book for the course. The AHA says that all instructors must have a student handbook available for the students. It seems as though many of you have had instructors who interpret this to mean they give you a book as you walk in the door! This keeps the price down for the instructor or student but is hardly useful.

    I always make sure that each student has their book atleast 1-2 wks before the course and emphasize that they must come prepared, having already watched the new student CD that comes along with the book.

    Also, AHA does not want the instructors to "teach" the CPR course, they want the video to teach the skills, and the instructor is there to provide feedback. AHA strongly discourages the instructors from "reteaching" the material learned from the film.

    AHA also gives the instructor the ability to "tailor their classes to the students needs." It may take me 8 hrs to do a first time HCP course for nursing students, because all of the material is overwhelming! It may only take me 2 hrs to complete a class for a group of ICU nurses that I have worked with for yrs and participated in many codes with.

    AHA also has strict guidelines about instructor to student ratio to manikins. If an instructor closely follows the guidelines for conducting a BLS course, you should walk out of their class feeling somewhat confident that you atleast know what needs to be done and in what order. i.e. Call first, call fast. ABCD.

    OK, sorry for rambling about this, but just wanted to put my 2 cents in on the matter. If you feel you have taken a "mickey mouse" course I would find out which community training center the instructor is affiliated with and report them.

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    I teach CPR, and all my students walk out passing, AND knowing how to perform CPR.

    Sudents who don't perform the skills properly will be remediated. I just make them redo the skills through practice and check them off.

    If they did not PASS the written test, I will talk to each student individually and have them read the question to me or I read it to them and then I get them to verbally answer. Some people are just poor test takers and need the material presented in different ways. This is how AHA sets up thier program. Therefore, nobody walks out without learning the proper way to perform CPR.

    Rather than looking at CPR as a pass/fail test, it should be viewed as a learning experience. Also, no one is "ceritified" in CPR. They get a card saying they have successfully completed a CPR course according to AHA guidelines.

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    I have a new found appreciation for pts with chronic backpain and take offense when other nurses call them "drug seekers."

    I hurt my back at work and had to have back surgery and have not had a pain free day since 1996. You learn to live with it, but the flare ups can be hell!

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    You might find this site usefu http://www.ncsbn.org/nlc/index.asp

    It is about the Nurse Licensure Compact. Unfortunately, not all states have joined. I believe only 23 states have joined. You can work in any of the states that are in the compact under one license, which cuts down on the price of having to apply for a license in each of these states.

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    I agree with lindsey. I love my crocs! They are the most comfortable shoe I have ever worn to work.

    I bet half of the staff where I work wears them. They're contagious! I have a pair in 4 different colors. There kind of ugly, but once you get used to of the look thier kind of cute


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