Latest Comments by TiffyRN

TiffyRN, ASN, BSN, RN 13,427 Views

Joined Sep 1, '03. Posts: 2,363 (35% Liked) Likes: 2,761

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  • 0

    Quote from jdubs99
    Thank you all for the responses so far.

    My follow-up question is, aside from what your unit may offer you, what made/makes you want to get your certification? I got mine after 3 years of NICU nursing because that was my goal when I became a new grad; I wanted to prove to myself that I was competent in my discipline and I wanted to commit to the specialty. What about you?
    I was getting my BSN and my college at the time (Excelsior) and I needed at least 3 credits of an elective. One of the options was to get my professional certification. Considering that regular courses cost $300+ per credit hour (so $900 to take a 3 credit course), paying only $300 all total was a bargain and I came away with my certification.

  • 1
    jennylee321 likes this.

    So many great topics. I'll kind of play with one of ChampagnesupeRNova's topics. How about the incidence of NEC when using all breast milk? (we've had awesome results). Or to play with yours and her topics, the rate of BPD when using positive pressure ventilation (traditional vents) versus non-invasive ventilations (like bubble CPAP). I'm almost certain you can find Cochrane reviews on both of those topics that will be full of articles you can mine for further information.

    Good luck!

  • 0

    Quote from ShayRN0217
    Hi vinsmuffin,

    I am interested in possibly pursuing my MSN as an FNP and then going on to get my PhD, but I am concerned with my age. If it's not inappropriate, may I inquire of your age? I will be 38 soon.
    I'm not sure how old you might be when you start your PhD program but you are pretty young for a nursing PhD program. I was 43 when I started my program and while there were a couple in my cohort younger than me, they dropped out and I was a good 10 years younger than the remaining people in my cohort. I am told all the time how the profession is excited to have "young" nurses like myself entering the field.

    BTW, I'm pursuing BSN to PhD in a program that is almost 100% online. I have completed my coursework, successfully passed comprehensive qualifying exams AKA "orals" (mine were all written). If all goes well, I should be sending my proposal to my committee then hopefully start data collection by the Summer semester.

  • 0

    Quote from champagnesupeRNova
    $350 one-time bonus. Exam fees and certification review class paid for.
    The unit where I work will also sponsor a few nurses every year for the RNC review course. It's not a consistent number, but most people who want to get in can.

  • 3

    The implementation of turning patients every 2 hours is not compatible with the neonatal patient's pressure injuries. I'm going to list some literature, you may have to contact your hospital's librarian to get full-text copies or perhaps some nurse in your unit is in college/university and can access them through his/her school's library.

    Pressure injuries to the skin in a neonatal unit: Fact or fiction. There are pressure injuries in the NICU, they do not tend to be on bony prominences (except the occiput), most are equipment related (NCPAP, lines, etc. . .)

    Pressure injuries to the skin in a neonatal unit: Fact or fiction - ScienceDirect

    Small Japanese study on incidence of pressure sores in a NICU. Basically, most were on the nose, one on the occiput. All the articles have a decent review of the literature you can mine for additional information:

    While paper on pressure ulcers by the National Pressure Ulcer Advisory Panel. They address how it's inappropriate to use adult guidelines on neonates because of the whole "touch me not" phenomenon.

    Your unit needs to write their own age and developmentally appropriate skin guidelines. Perhaps propose a study to retrospectively (and prospectively) track skin breakdown and focus your interventions on the actual injuries documented.

    It is beyond irresponsible to implement interventions designed for adults on infants.

  • 0

    Our unit reimburses you for the testing fee then gives you a $500 bonus (with tax taken out). When you renew every 3 years, they give you a $250 bonus which kind of covers all the CE you have to pay for. We use RNC-NIC through NCC. As some may know, they "require" 50 CE every 3 years but give you credit for 5 when you take your knowledge assessment. Then depending on how you score, you may only need to get another 15 CE so $250 has generally covered all the CE I've needed to get on renewal. Sadly we don't get an hourly bonus. When I worked in the adult world at my first hospital (1993-1998) they would give you 25 cents/hour.

  • 0

    I've been reading some books related to my coursework. All about primary care nursing. There is a great statement from Mary Manthey regarding primary nursing. She is discussing LPNs caring for patients in a hospital that practices primary nursing. She talks about how this can be done very reasonably. The statement I really liked though was she wrote something to the effect of: There is a difference between skill and preparation. Many LPNs have a lot of skill. I thought that was great. I'm not going to write out the whole reference but it was her 2002 book: The practice of primary nursing.

  • 1
    AspiringRN26 likes this.

    Quote from elkpark
    Well, there is the California "30 unit option."
    I thought of the same thing when I saw the petition on FB. Then I looked up the 30 unit option. It seems to still require 30 "units" of education to be completed in addition to so many years experience as an LPN/LVN. I looked at the courses required and they seemed appropriate to educating on RN scope of practice.

  • 0

    I'm not totally clear. . . So you want either a DNP or a PhD? You are right that DNP is mostly (though not exclusively) geared for APRNs though I don't know much about those. I have heard one can get a DNP in leadership without the APRN which I don't understand but you know nursing, we specialize in complicating educational paths.

    The PhD is certainly available to non-APRNs because I'm such such a program. In fact, in our entire cohort only 2 of the 8 were NPs and only one survived the program long enough to take comps. PhD is going to be more academically focused and does not require the advanced clinical knowledge. The emphasis is on strong scholastic ability. For example, we had a recent graduate who was a psych nurse (not NP) who did her study on school nursing. Yes, it did have a psych flavor to it but the skills you need are more about finding a good research question, exploring the literature, designing a study, conducting a rigorous study and writing it up.

    My program is out of UTMB-Galveston and is available to out-of-State students but they are certainly not the only program out there. I didn't expend a lot of energy looking because I was hoping to get into a State university to hopefully control costs as I am a Texas resident. I found that there were 4 programs in my State, one was campus-based only, and I had missed that year's application deadlines for 2 of them. So thankfully I got into the remaining program and it has worked out so far. Hoping to have my proposal defended by the end of the year and (maybe) defend my dissertation by the end of next year. That would put me at about 4.5 years to completion and that is about average even if you come from a BSN like I did. Probably the fastest it can be done coming from an MSN is 2.5-3 years.

    My program required one yearly visit the first 3 years then I don't absolutely have to go back to campus unless I want to defend my dissertation in person (can be done by Skype) or if I want to walk in the graduation ceremonies. Most assignments are papers or powerpoint type presentations with voiceover. There are a few required monitored tests and they can be arranged to be done local to you.

  • 0

    To the OP,

    Thanks for the information though I don't think I'll need it for my study as I'm doing qualitative with purposive/snowball sampling and will probably need <30 participants. But you never know where things will go in the future!

    Thanks again!

  • 0

    I think this would be a great resource. Years ago I found a resource for adult ICU nurses that was discussed in this forum somewhere. It was useful to me as a telemetry nurse and even somewhat as I transitioned to NICU nursing. Maybe you can use the site as inspiration but use it for NICU specific topics.


  • 1
    rawrrrs likes this.

    I came to NICU from med/surg/tele with 9 years experience. I had been an extremely competent nurse, go-to for IVs and occasional charge nurse. Going to NICU revealed that practically none of my knowledge crossed over. I was for all intents and purposes a new grad. I generally say the only skills I brought were time management in that I mentally knew how to arrange tasks once I figured out which ones were expected.

    Thankfully, my preceptors didn't expect me to know too much specific about NICU and treated me respectfully. They would ask my knowledge base on a topic and not scoff that it was so different from NICU. They would just say, "oh ok, great, so in NICU we do feeding tubes like this and we do it differently because of. . . "

    Every unit is going to have their own lingo so there is no reason to demean you because you don't know terms like "chevron" which I had only heard in nursing school and then not again until I got to NICU.

    In general I had a very positive orientation in my unit, and they gave me as much time as a new grad would have. I never hated med/surg but am ever so thankful to have found the little gem that is neonatal nursing.

  • 1
    JustMe54 likes this.

    Yes, ask for a consult. Some of the questions you might ask is if the facility has absolute requirements for NICU admission like admitting all infants under so many grams. Basically, what are their criteria going to be that will determine whether baby needs NICU care versus standard newborn care. I could tell you ours but that really wouldn't be helpful because they are different from place to place (and the whole advice-giving thing). If it is looking like baby will go to the NICU, ask what resources are available to facilitate breastfeeding, every place is different and there are ways to support lactation even if baby can't suckle (yet).

    I do wish you the very best!

  • 1
    m4howie likes this.

    Quote from ShayRN0217
    TiffyRN, how's it going at UTMB online? I live in San Antonio and am doing research on online programs.
    Hi Shay! I don't check here as often as I should. It's been oh-so-interesting to say the least. One thing I can say is that I believe this is an excellent program. I feel I've truly been learning what I need to be successful as a Nurse Scientist.

    I was doing the BSN to PhD program so I had to take something like 6 courses from the MSN-education department while my PhD courses were mostly with other students who had an MSN background. It takes approximately a year but after that, the BSN students are pretty indistinguishable from the MSN students in our PhD courses.

    It takes about 2.5 years to complete all the coursework required if you take full time hours (9/semester). I completed that in Spring 2017 and was eligible to take Comprehensive Qualifying Exams (CQEs) in May 2017. Some programs call this exam your "orals" but ours were all written. You essentially get 2 tries at this exam and if you can't pass there really is no recourse. It was by far the most intellectually challenging experience of my life. I was able to pass on the first attempt.

    At that point I started earnestly working on my proposal but as happens, my personal life got a little complicated so my Summer was not very productive. I was supposed to be picking things up full-steam this Fall but then my dissertation advisor's home was flooded out with Harvey so she has been trying to get back on her feet.

    Now the proposal work is back on seriously and I hope to defend my proposal by the end of the year and start data collection for my study in the Spring. I have selected Classical Grounded Theory method with the topic surrounding relationships between nurses and families in the NICU. Ambitiously I should be defending my dissertation by the end of the year 2019.

    The program has had some significant attrition. There were 10 students accepted to the program and 8 actually showed up to orientation. Three of us were BSN to PhD. One of the BSN students dropped in weeks. Over the course of the next year 2 of the MSN students dropped due to lack of interest or ability. The two of us BSN students were very tight as we had such similar paths. Sadly she had to drop about a year ago due to severe health issues leaving just 4 of us from this cohort. All of us have now passed CQEs with only one student requiring a retake. So, this is not an easy-peasy program.

    As for the feasibility of doing the program online far from Galveston, it is truly doable. A yearly trip to Galveston is required the first 3 years then no more are required. There are very few tests that require a secure location and that can arranged pretty easily. I took mine at the testing center of a local Community College. You can even get a TexShare card that allows you to visit University libraries in your vicinity though this is not usually all that needed, the online library is excellent. The librarian support is above expectations. One can even defend one's proposal by Skype though most students tend to go to the campus to do so. Also, one of the students in my cohort is from the San Antonio area and she has had no issues related to location.

  • 5

    Well, a lot of police departments do require a college degree but it is not a nationwide standard.

    The most important thing to assess is whether there are studies supportive of degreed officers being less likely to engage in inappropriate violence. I'm a big proponent of higher education but having a degree is not the automatic answer to every issue.