TiffyRN, ASN, BSN, RN 13,427 Views
Joined Sep 1, '03.
Posts: 2,363 (35% Liked)
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?
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.
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.
$350 one-time bonus. Exam fees and certification review class paid for.
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.
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.
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.
Well, there is the California "30 unit option."
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.
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!
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.
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.
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!
TiffyRN, how's it going at UTMB online? I live in San Antonio and am doing research on online programs.
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.
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