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Dembitz 3,171 Views

Joined Mar 5, '09 - from 'New England'. Dembitz is a Nurse Practitioner. She has '4' year(s) of experience. Posts: 52 (40% Liked) Likes: 77

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  • Jun 22

    Quote from Jules A
    But the real problem, imo, lies with the schools telling her and a bazillion others "absolutely just pony up $50,000 and you too can be a NP." It will be interesting to see how this all shakes out a decade or so down the road. Remember Alina Health's ad?

    "Allina Health does not hire new grads from all academic institutions. Many proprietary on-line schools do not meet Allina Health’s standards due to the minimal oversight of the student’s clinical experience, the high faculty/student ratio, and the lack of focus on national certification standards in the curriculum."

    Ruby Vee will you be sharing your concerns with the CCNE? There is only a few days left for the survey.
    Not all schools will take any paying customer. Some are like that, but there are respectable programs who do adhere to national standards and have a rigorous admission policy. I know of several who accept less than 10% of applicants. So, you can't make sweeping generalities.

    Jules-I've also seen you disparage the so called "Mommy Hours" in several posts. What's wrong with wanting to have a balance between life and work? Not all of us want to be at work either physically or mentally 24/7. You can be an excellent provider and keep up with new advances without trying to mimic a resident's schedule. Those that want their lives to be all work may be better off at medical school.

  • Dec 20 '16

    I am a dyed in the wool liberal who doesn't live under a rock, and has no issues with anyone legally owning a gun, nurse or not.

    Sweeping generalizations are usually inaccurate, Annie.

  • Dec 6 '16

    This was more common back in more sensible times. The patient is obviously a daily drinker and needs his maintenance dose.

    My late husband got wine with meals in the hospital to help his appetite thanks to a very caring dietitian to whom I'm forever grateful.

    America is still puritanical regarding alcoholic beverages. But with 5% of the world's population we consume 70% of the world's prescribed pharmaceuticals. We are one of 2 nations allowing direct to consumer advertising of drugs. Yet we get nervous at a daily glass of wine or 2.

  • Sep 8 '16

    Quote from nurse0614
    Recently I heard our hospital will be forcing everyone to get a flu shot or they will have to wear a mask for their entire shift. I have had a reaction to it and usually just boost my immune system during flu season and this works well. I was told that even if we have had a reaction in the past and still don't get it, we wear a mask. This does not sit well with many of us at the hospital. Was wondering if others have experienced this and what they did.
    I am not sure how you boost your immune system but your facility probably won't accept it as effective immunity, so will need a mask. It protects both you and the patient, good all around.

  • Sep 7 '16

    Quote from Dianna11
    Am I the only one in this thread dissagreing with her? Nope, I'm not. So why is she personally attacking me, but not someone else? Everyone is welcome to have an opinion, it's a discussion board. No need for personal nastiness.
    And btw, I'm a GN, not a student.
    It wasn't a personal attack on you. I used the same words that were used previously in the thread, that's all.

    Everyone can have an opinion. In this kind of discussion regarding best practices and evidence-based practice the extant data matters far more than limited anecdotal experiences. I know you have observed this procedure a few times, did you ask any questions about it? Does the facility have a policy that the providers follow? What is the policy based on? Did you have any formal training on the procedure? Have you done any reading on the topic?

    Facilities may have policy about using sterile gloves, but the data doesn't support it and it doesn't make it "the right way" to do the procedure.

    Again, we are talking about minor surgical procedure of a cutaneous lesion done at the bedside, not a major surgical procedure done on invasive lesions in the OR.

    Heal, C., Sriharan, S., Buttner, P. G., & Kimber, D. (2015). Comparing non-sterile to sterile gloves for minor surgery: a prospective randomised controlled non-inferiority trial. Med J Aust, 202(1), 27-31.

  • Sep 7 '16

    "Garden variety" abscess I&D is a clean procedure. There's nothing wrong with setting it up as a sterile procedure, including doing appropriate skin prep but once that abscess is opened, whatever's in there comes out and completely wrecks sterility. Yes, the instruments used will be from a sterile pack but all that really does is limit the chance of new critters getting into the wound and causing a secondary infection on top of the initial one that was just drained. Abscesses can be packed or simply left open to drain. They're not closed. If an I&D was truly a sterile procedure, we'd close the wound to maintain sterility... but instead we leave the wounds open to drain. You can't keep those open, draining wounds sterile. Clean, yes but sterile, no. The body does an incredible job at cleaning up the mess...

  • Sep 7 '16

    Quote from Dianna11
    I am not the only one having a different opinion than you, in this thread. Why the snark?
    Haha, please tell me your kidding? An NP vs a new grad with no experience outside of a clinical rotation? Pretty sure an opinion pales in comparison to years of real experience.

  • May 17 '16

    I suppose my views will go against the general grain...

    There tends to be a difference in the types of students who opt for pre-med versus pre-nursing. For instance, we simply do not hear of pre-med students who struggle with 7th grade level dosage calculations or seek to be admitted to programs with low GPAs.

    Nursing attracts its fair share of dreamers. Some of these dreamers lack the academic horsepower to work through the curriculum. I know I might receive some blowback for my thoughts, but sometimes an opposing view stings.

  • May 5 '16

    Why do nurses, with each degree, leave them on behind their last degree?

    So, hi, I'm Offlabel, RN, CCRN, AA, BSN, MSN, DPN.

    Why isn't it just Offlabel, RN? Or CNM? or NP? or CRNA?

    I know that's the culture but doesn't, say, an MS imply that there is a BS in there somewhere? It's sort of aggrandizement that looks dumb. MD's or DO's or whatever don't do that so why do nurses?

    It's as though some folks are trying to convince themselves that they're really smart and have an axe to grind.

    It really looks unprofessional when certifications are mixed with degrees that are mixed with licenses.

    My opinion

  • Apr 29 '16

    I can't help the OP unfortunately but I had to chime in and state that what drug tests are testing is not the psychoactive component of marijuana. Typical screening drug tests in no way measure impairment due to marijuana. Typical drug tests are testing the non-psychoactive metabolite of marijuana which is THC-COOH. This metabolite can linger in the body for days or weeks depending on the level and frequency the user consumes the drug.
    Therefore when someone fails a drug test it does NOT mean they are "high" or impaired when they took the test. It simply means that in the recent past (which can be a while) they used the drug.

  • Apr 26 '16

    Quote from springchick1
    Wow. You're lucky you got hired at all. This is very demanding of a potential employer and it says to me that you are not a team player.
    It says to me that she knows what she is looking for and what she is not looking for in a job. If those are her "rules", and she is willing to accept that some jobs may not be options because of that, then so be it. I don't think its fair to judge if she would be a good coworker or team player based on that though - she very possibly is a team player in other ways. We all have deal breakers, that is just one of hers.

  • Apr 19 '16

    Quote from DeLanaHarvickWannabe
    I'm in the minority here, but every place I've worked has been very liberal about allowing for requesting off. What is your policy?
    . my 20+ years of my adult working life (nursing and pre-nurse), I've always accrued vacation time as I go. I've never had to wait longer than a few months. I certainly wouldn't make it a year in a new job without vacation.

  • Feb 26 '16

    Quote from kateee
    I work in an ED annex which used to be urgent care and usually the techs do splints and casts here!
    Doesn't matter who does it. You are the ordering provider. Know how it works.

  • Feb 4 '16

    I successfully raised two children to adulthood, made it to 45, have numerous friends who get headaches and have so far managed to keep my license. I also managed not to lose it before I ever started nursing school.

    Your Prof is either highly illogical or sucks at allegory/metaphor. Not sure which. [emoji41]

  • Dec 21 '15

    How could it be a HIPAA violation if the parents have willingly shared the info with her?

    There may well be some violations of some sort here, but I don't see HIPAA being one of them.